Blood test, liver function panel
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $67
- Cash Discount Price: $49
- vs. Medicare Baseline: 8.20x 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 820% of the Medicare baseline (a markup of 720%). 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 |
|---|---|---|
| Oncology Patient Assistance Programs [2295] | $67 | 820% |
| Lucent Health [6000] | $67 | 820% |
| Hooray Health [8000] | $67 | 820% |
| Blue Cross Blue Shield | $67 | 820% |
| Healthcare Highways [2210] | $67 | 820% |
| Aetna | $67 | 820% |
| Black Lung [6055] | $67 | 820% |
| Web Tpa [2115] | $67 | 820% |
| Department Of Corrections [1340] | $82 | 1004% |
| Cigna | $95 | 1163% |
| Healthpartners [1500] | $95 | 1163% |
| American Postal Workers Union [1070] | $95 | 1163% |
| National Association Of Letter Carriers [1695] | $95 | 1163% |
| Humana | $97 | 1187% |
| First Health [1375] | $127 | 1554% |
| American Healthcare [1055] | $127 | 1554% |
| Multiplan [1680] | $127 | 1554% |
| Administrative Concepts [1005] | $127 | 1554% |
| Coventry Healthcare [1320] | $134 | 1640% |
| Ks Disability Determination [6090] | $164 | 2007% |
Consumer Guidance & Cost Commentary
For the liver function panel (CPT 80076) at the University of Kansas Health System - St Francis Campus in Topeka, KS, the facility's cash price of $49.00 is significantly lower than the state average of $164.00. While the median negotiated rate across 20 payers is $67.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $49.00. It is important to note that commercial rates often include administrative overhead and contract markups that can inflate the baseline price, whereas the cash rate reflects the direct cost of the service. Patients should verify their specific plan's allowed amount before scheduling, as paying the full negotiated rate without meeting a deductible can result in higher out-of-pocket costs than paying cash directly.
The facility's cash price of $49.00 also compares favorably to the Medicare benchmark of $8.17, indicating a substantial markup relative to the federal cost baseline. Although the facility is a voluntary non-profit church-owned hospital, the wide variation in negotiated rates among payers—ranging from $67.00 to $164.00—highlights the impact of network tiering and administrative structures on final pricing. To minimize costs, patients should explicitly request "self-pay" or "prompt-pay" discounts before check-in, which can reduce the bill by 20% to 50% by bypassing insurance billing cycles. Additionally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered,