Blood test, liver function panel
Facility: Labette Health
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $11
- Cash Discount Price: $55
- vs. Medicare Baseline: 1.35x 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 |
|---|---|---|
| Wellcare | $8 | 98% |
| Humana | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| UnitedHealthcare | $8 - $118 | 98% |
| Healthy Blue | $8 | 98% |
| Multiplan | $8 - $115 | 98% |
| Blue Cross Blue Shield | $8 - $32 | 98% |
| Ambetter / Centene | $9 | 110% |
| Uhccp | $11 | 135% |
| Montgomery County | $15 - $45 | 184% |
| Choicecare (First Health Network) | $122 | 1493% |
| Health Partners Of Kansas, Inc | $122 | 1493% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a liver function panel at Labette Health in Parsons, KS, the cash median price is $55.00. This cash rate is notably lower than the facility's negotiated rates, which range from $8 to $122 depending on the insurance plan. While the facility is government-owned and located in a rural area, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated amounts paid by insurers often exceed the cash rate. It is important to note that while the facility offers a cash median of $55.00, the actual self-pay or prompt-pay discount should be confirmed directly with the hospital before scheduling, as these rates can vary based on payment timing and specific plan details.
When evaluating the cost of this service, it is essential to compare the facility's pricing against objective benchmarks rather than the inflated chargemaster list price. The Medicare benchmark for this procedure is $8.17, which serves as a scientifically validated baseline for the true cost of delivery. The facility's cash rate of $55.00 represents a markup relative to this federal standard, whereas the negotiated rates paid by commercial payers like Wellcare, Humana, and UnitedHealthcare reflect complex administrative structures and contract dynamics that often result in higher final costs for patients. Consumers should avoid accepting summary bills that obscure individual charges and instead request a full itemized audit to ensure no errors or unbundled codes are present, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes.