CMS Price Transparency Data

Blood test, liver function panel

Facility: Valley Regional Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $16
  • Cash Discount Price: $2,130
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Valley Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,130. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
$2,130

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $2,130 (26071%)
Insurance Median: $16 (196%)
Cash: $2,130 (26071% of Medicare)
Ins. Median: $16 (196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $6 - $87 73%
Driscoll Childrens Health Plan $6 73%
Texas Health Network $6 73%
United $6 - $958 73%
Usa Mco $6 73%
Molina Healthcare $7 - $17 86%
Blue Cross Blue Shield $8 - $958 98%
Cigna $8 - $30 98%
Humana $8 - $105 98%
Independent Medical System $8 98%
Physicians Health Choice $8 98%
Triwest Healthcare Alliance $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Molina $9 110%
Prominence Health $9 110%
Provider Partners Health Plan Of Texas $9 110%
Shared Health $9 110%
Superior Health Plan $9 - $149 110%
Superior $13 159%
Corvel Corporation $16 196%
Omni Healthcare $17 208%
Oscar $19 233%
Healthcare Highways $25 306%
Texas Workforce Commission $511 6255%
Averde Health $703 8605%
Healthsmart Preferred Care $916 - $1,810 11212%
First Health $1,225 14994%
National Healthcare Solutions $1,278 15643%
Southwest Medical $1,278 15643%
Coastal Comp $1,384 16940%
Total E&P Mexico $1,384 16940%
Affiliated Healthcare $1,448 17723%
Mcm Maxcare $1,704 20857%
Pronet Ppo $1,704 20857%
Usa Managed Care $1,704 20857%
Beech Street $1,917 23464%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals