CMS Price Transparency Data

Blood test, liver function panel

Facility: Valley Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $24
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Valley Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 2.94x the Medicare baseline. Located in 400 S 43Rd St, Renton, WA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $29 (355%)
Insurance Median: $24 (294%)
Cash: $29 (355% of Medicare)
Ins. Median: $24 (294% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $8 98%
Blue Cross Blue Shield $8 - $15 98%
Chpw Med Advantage [210102] $8 98%
Humana $8 98%
Medicare (plans) $8 - $9 98%
Premera Medadvantage [210114] $8 98%
Regence Blue Shield [170100] $8 98%
Regence Hma [170105] $8 98%
Regence Hma1 [170102] $8 98%
Regence Medadvantage [210111] $8 98%
Regence Uniform [130111] $8 98%
UnitedHealthcare $8 - $24 98%
Wellpoint Medadvantage [210115] $8 98%
Bh United [180100] $10 122%
Chpw [130116] $13 159%
Molina [130117] $14 171%
Empire Plan [130124] $15 184%
Cigna $16 196%
Providence Health [130125] $16 196%
Benefit Md [150113] $24 294%
Carpenters Trust [150122] $24 294%
Cement Masons And Plasterers [150127] $24 294%
Coresource [150109] $24 294%
Employee Benefit Management Services [150108] $24 294%
Fc Moda Health [150139] $24 294%
First Choice Health Administrators [150110] $24 294%
First Choice Health Comp [150112] $24 294%
First Choice [150134] $24 294%
Health Net [150111] $24 294%
Here [150114] $24 294%
Hotel Employees Health Trust [150115] $24 294%
International Longshore & Warehouse Union [150116] $24 294%
Kitsap Physician Services [150118] $24 294%
Loomis Benefits West [150119] $24 294%
Mega [150120] $24 294%
Midwest [150121] $24 294%
Nw Administrators [150123] $24 294%
Operating Engineers [150125] $24 294%
Painters Trust [150126] $24 294%
Puget Sound Electric [150131] $24 294%
Seattle Plumb And Pipe [150132] $24 294%
Trusteed Plan [150101] $24 294%
United Employee Benefit Trust [150137] $24 294%
Washington Bakers Trust [150102] $24 294%
Washington Employers Trust [150103] $24 294%
Washington State Health Ins Pool [150104] $24 294%
Welfare Pension Administration Services [150105] $24 294%
Zenith Admin [150106] $24 294%
Zzjohn Alden [150117] $24 294%
Zzprincipal Financial Group [150128] $24 294%
Zzprovidence [150129] $24 294%
Kaiser Washington Contracted [130118] $30 367%
Kaiser Washington Non Contracted [140116] $30 367%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals