Blood test, liver function panel
Facility: Memorial Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $137
- Cash Discount Price: $228
- vs. Medicare Baseline: 16.77x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1677% of the Medicare baseline (a markup of 1577%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Health Alliance | $4 - $148 | 49% |
| Veterans Administration | $6 | 73% |
| Blue Cross Blue Shield | $7 - $228 | 86% |
| Aetna | $8 - $173 | 98% |
| Humana | $8 - $137 | 98% |
| Medicare (plans) | $8 - $228 | 98% |
| Tricare | $8 | 98% |
| UnitedHealthcare | $8 - $141 | 98% |
| Medicaid / KanCare | $9 | 110% |
| Molina | $9 | 110% |
| Healthlink | $29 - $144 | 355% |
| Commercial Workers Compensation | $98 | 1200% |
| Current Health Network Ppo | $103 | 1261% |
| Illinois Workers Compensation | $103 | 1261% |
| Cigna | $120 | 1469% |
| Phcs/Multiplan | $123 - $137 | 1506% |
| 6 Degrees Health | $137 | 1677% |
| Hopetrust | $137 | 1677% |
| Hst | $137 | 1677% |
| Magellan | $137 | 1677% |
| Consociate | $148 | 1812% |
| Hfn | $148 | 1812% |
| Preferred Plan | $171 | 2093% |
| Soi Mcfarland | $171 | 2093% |
| Soi Rushville | $171 | 2093% |
| Corvel | $182 | 2228% |
| Methodist First Choice | $182 | 2228% |
| Mutual Medical Plans | $194 | 2375% |
| Liability | $228 | 2791% |