Blood test, liver function panel
Facility: St. Catherine Hospital - Garden City
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $38
- Cash Discount Price: $70
- vs. Medicare Baseline: 4.65x 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 465% of the Medicare baseline (a markup of 365%). 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 |
|---|---|---|
| Humana | $8 | 98% |
| Aetna | $8 - $81 | 98% |
| Devoted Health | $8 | 98% |
| Innovage | $8 | 98% |
| Kaiser | $8 - $70 | 98% |
| Cigna | $8 - $11 | 98% |
| Medicare (plans) | $8 | 98% |
| Kansas Health | $8 | 98% |
| UnitedHealthcare | $8 - $60 | 98% |
| Blue Cross Blue Shield | $8 - $38 | 98% |
| Centura Employee Plan | $10 | 122% |
| United Colorado Doctor'S Plan | $12 | 147% |
| Direct To Employer | $14 - $101 | 171% |
| Denver Health | $60 | 734% |
| Wpaa | $67 | 820% |
| Christian Health Aid | $77 | 942% |
| Multiplan | $87 - $215 | 1065% |
| Health Partners Of Kansas | $94 | 1151% |
| Peak Health | $98 | 1200% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at St. Catherine Hospital in Garden City, KS, the facility's cash median price is $70.00, which is significantly higher than the state average of $38.00. While Medicare sets a benchmark rate of $8.17 for this service, commercial negotiated rates vary widely among payers, ranging from $8.00 for Aetna plans to $98.00 for Peak Health. It is important to note that for patients with high-deductible plans, paying the cash price of $70.00 upfront may be more cost-effective than relying on insurance, as many commercial negotiated rates exceed this amount. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled in full before the due date.
The facility's ownership as a voluntary non-profit church organization and its location in Garden City (Zip 67846) influence these pricing structures, though the data does not provide a specific county average for comparison. With 19 different payers participating, the range of allowed amounts is broad, with the lowest negotiated rate at $8.00 and the highest at $215.00 for Multiplan. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services at in-network facilities, unexpected charges can still occur if ancillary services like lab tests are billed separately. To ensure transparency, consumers should request an itemized bill to review specific CPT codes and avoid paying