Blood test, liver function panel
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $13
- Cash Discount Price: $176
- vs. Medicare Baseline: 1.59x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $7 - $14 | 86% |
| UnitedHealthcare | $7 - $183 | 86% |
| Aetna | $7 - $230 | 86% |
| Humana | $7 - $8 | 86% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $8 | 98% |
| Kindful Hospice Contracted [320434] | $8 | 98% |
| Elara Caring Aspire Hospice [20433] | $8 | 98% |
| Cross Timbers Hospice [20098] | $8 | 98% |
| Blue Cross Blue Shield | $8 - $38 | 98% |
| Halo Hcr Inc Hospice [20432] | $8 | 98% |
| Kindful Hospice [20434] | $8 | 98% |
| Medica Contracted [320239] | $8 | 98% |
| Pace Of The Ozarks Contracted [320518] | $8 | 98% |
| Halo Hcr Inc Hospice Contracted [320432] | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Dept Of Veteran Affairs Contracted [320106] | $8 | 98% |
| Tricare | $8 | 98% |
| Mercy Hospice Okc [20252] | $8 | 98% |
| Health Choice Contracted [320166] | $11 | 135% |
| Ambetter / Centene | $14 | 171% |
| Home State Health Plan Contracted [320187] | $14 | 171% |
| Providrs Care Network Contracted [320484] | $16 | 196% |
| Cigna | $45 - $46 | 551% |
| United Medical Resources Contracted [320454] | $183 | 2240% |
| Mercy Benefit Admin Contracted [320251] | $217 | 2656% |
| Healthlink Contracted [320179] | $217 | 2656% |
| Aither Health Contracted [320449] | $217 | 2656% |
| Auxiant Contracted [320462] | $217 | 2656% |
| Edison Health Solutions Contracted [320502] | $217 | 2656% |
| Workers Comp [20426] | $217 | 2656% |
| Ebms Contracted [320493] | $217 | 2656% |
| Reflect Health Contracted [320492] | $217 | 2656% |
| Yuzu Health Contracted [320521] | $217 | 2656% |
| Imagine 360 Contracted [320494] | $217 | 2656% |
| American Healthcare Alliance Contracted [320020] | $217 | 2656% |
| First Health Contracted [320128] | $230 | 2815% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, a liver function panel, Mercy Hospital Pittsburg, Inc. lists a cash price of $271.00, which is significantly higher than the facility's own cash median of $176.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range between $7 and $230, these amounts often exceed the cash price due to administrative overhead and contract structures. It is important to note that Medicare, which serves as the objective baseline for pricing, reimburses $8.17 for this service, meaning commercial negotiated rates can average 200% to 300% of this benchmark. Patients with high-deductible plans may find it more cost-effective to pay the cash price directly, especially if their insurance negotiated rate is higher than $176.00, and should inquire about self-pay or prompt-pay discounts before scheduling.
This facility is a voluntary non-profit church-owned acute care hospital located in Pittsburg, KS, with 36 different payers participating in pricing for this code. The data reflects a vintage of June 2026, and while specific state or county average comparisons are not provided in the current dataset, the wide variance in negotiated rates—from as low as $7 with Medicaid/KanCare to $230 with First Health—highlights the importance of verifying your specific plan's allowed amount. To avoid unexpected costs, patients should request an itemized bill to ensure no services were unbundled or double-charged, as over 80% of hospital bills contain errors. Additionally, under the No Surprises Act, patients are protected