Blood test, liver function panel
Facility: University Of Kansas Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $53
- Cash Discount Price: $18
- vs. Medicare Baseline: 6.49x 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 649% of the Medicare baseline (a markup of 549%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $11 - $41 | 135% |
| Health Plan Inc [503999941] | $17 - $65 | 208% |
| Alt Carelon Behavioral Health [503200905] | $18 - $69 | 220% |
| Accarent Health [503999034] | $18 - $69 | 220% |
| Med-Pay [503200040] | $22 - $84 | 269% |
| Healthlink [503200007] | $22 - $102 | 269% |
| Geha [503200036] | $22 - $84 | 269% |
| Allied National [503999937] | $22 - $83 | 269% |
| Inter-Americas Insurance [503999032] | $22 - $84 | 269% |
| Cerner [503200038] | $22 - $84 | 269% |
| Php [503200005] | $22 - $102 | 269% |
| Alt Wppa [5032000964] | $22 - $84 | 269% |
| Cigna | $24 - $110 | 294% |
| Aha-Healthcare Preferred [503200050] | $24 - $91 | 294% |
| First Health [5032000110] | $24 - $91 | 294% |
| Ascension Living Hope [503201517] | $26 - $97 | 318% |
| Consolidated Billing [50311256] | $26 - $97 | 318% |
| Blue Cross Blue Shield | $26 - $106 | 318% |
| Correct Care Solutions [50311253] | $26 - $97 | 318% |
| Coeur Plan Services [503301517] | $26 - $97 | 318% |
| Empire Plan/Nyship [503200705] | $28 - $106 | 343% |
| Orscheln Industries [503201608] | $28 - $104 | 343% |
| Alt Lucent Health Solutions [503202603] | $28 - $106 | 343% |
| Alt Lineco [5032000976] | $28 - $106 | 343% |
| Point Comfort Underwriters [503200018] | $30 - $110 | 367% |
| Quiktrip [5032000412] | $30 - $110 | 367% |
| Century Health Solutions [503200054] | $30 - $110 | 367% |
| Meritain Health [503200039] | $31 - $116 | 379% |
| Wppa [503200056] | $31 - $116 | 379% |
| Employers Health Network [503999025] | $33 - $124 | 404% |
| Sanford Health Plan [503999027] | $33 - $124 | 404% |
| Plan Care America [503999026] | $33 - $124 | 404% |
| Usa Managed Care [503999030] | $33 - $124 | 404% |
| Three Rivers Provider Network [503999029] | $33 - $124 | 404% |
| Workers Comp [503999901] | $35 - $131 | 428% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at University Of Kansas Hospital, the cash price is $18.00, which is significantly lower than the facility's negotiated rates ranging from $11.00 to $131.00 across 35 payers. While the cash price is the lowest figure available, patients with high-deductible plans should verify if their insurance negotiated rate exceeds this amount, as paying cash upfront might still result in higher out-of-pocket costs depending on their specific plan. The facility offers a prompt-pay discount for upfront payment, which can further reduce the final bill, and patients are encouraged to ask about self-pay rates before scheduling to avoid unexpected charges.
This service is priced at $8.00 gross, with a Medicare benchmark of $8.17, indicating that the facility's cash rate is nearly identical to the federal government's cost baseline. Although the facility is located in Kansas City, KS, and holds a 5-star rating, the data does not provide specific county or state average comparisons for this procedure. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, and they should dispute any balance billing immediately if they receive a bill for the difference between the allowed amount and the full charge, especially if they are out-of-network.