Blood test, liver function panel
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Va | $8 | 98% |
| Via Christi Research | $8 | 98% |
| Saint Lukes Health Systems | $8 | 98% |
| Blue Cross Blue Shield | $8 | 98% |
| Humana | $8 | 98% |
| Vc Hope | $8 | 98% |
| UnitedHealthcare | $8 - $23 | 98% |
| Medicare (plans) | $8 | 98% |
| Smarthealth | $8 - $11 | 98% |
| Corizon | $10 | 122% |
| Medicaid / KanCare | $14 | 171% |
| Mdsave | $18 | 220% |
| Aetna | $26 | 318% |
| Coventry City Of Wichita | $33 | 404% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function, the facility Ascension Via Christi Hospitals Wichita, Inc. has a negotiated rate of $8.00 across 14 payers, including major carriers like UnitedHealthcare, Blue Cross Blue Shield, and Medicare. This negotiated amount aligns closely with the Medicare benchmark of $8.17, indicating that the facility's pricing for this service is consistent with federal cost standards rather than inflated chargemaster rates. While the data does not provide a specific cash or self-pay median, patients with high-deductible plans or those without insurance may find that paying directly could result in lower costs if the facility offers a prompt-pay discount, which typically ranges from 20% to 50% off the billed amount for upfront payment. It is important to verify these self-pay rates directly with the hospital before scheduling, as waiting until after receiving an insurance bill may forfeit these incentives.
This service is provided at an acute care hospital in Wichita, Kansas, and the facility is a voluntary non-profit. Although the report does not list specific county or state average prices for this exact procedure, the facility's reliance on a negotiated rate that matches the Medicare benchmark suggests a transparent pricing structure compared to the typical commercial markup seen in many facilities. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still advisable to request an itemized bill to ensure no unbundled charges or services not rendered are included. If a patient receives a bill significantly higher than the $8.00 negotiated rate, they should dispute the itemized charges in writing rather than accepting a summary