Blood test, liver function panel
Facility: Wesley Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $12
- Cash Discount Price: $607
- vs. Medicare Baseline: 1.47x 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 |
|---|---|---|
| United | $1 - $545 | 12% |
| Aetna | $1 - $432 | 12% |
| First Health | $1 - $558 | 12% |
| Health Partners Of Kansas | $2 - $606 | 24% |
| Triwest Healthcare Alliance | $2 - $787 | 24% |
| Multiplan | $2 - $1,090 | 24% |
| Usa Managed Care | $3 - $1,029 | 37% |
| Devoted Health | $8 | 98% |
| Coventry Health Care | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| UnitedHealthcare | $8 | 98% |
| Amerigroup | $8 | 98% |
| Humana | $8 | 98% |
| Ambetter / Centene | $9 - $218 | 110% |
| Triwest Health Alliance | $9 | 110% |
| Correct Care Solutions | $12 | 147% |
| Blue Cross Blue Shield | $24 | 294% |
| Wppa | $211 | 2583% |
| Medical Associates Health Plan | $229 | 2803% |
| Preferred Health Choices | $229 | 2803% |
| Spirit Aerosystems | $388 | 4749% |
Consumer Guidance & Cost Commentary
For CPT code 80076, a liver function panel, Wesley Medical Center in Wichita, KS lists a cash price of $607.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average, as indicated by a 1.5x multiplier compared to Medicare's reimbursement rate of $8.17. While commercial insurance plans like United and Aetna negotiate rates ranging from $1 to $558, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying cash directly can be more cost-effective than relying on insurance, provided the patient has a high deductible that has not yet been met.
Patients should verify if the facility offers self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to avoid accepting summary bills that only show broad category totals, as these often obscure individual line items and potential errors. Instead, request a full itemized CPT-coded statement to identify any unbundled charges or services not rendered, which are common sources of billing discrepancies. By comparing the facility's rates directly to the Medicare benchmark and understanding the administrative costs embedded in commercial contracts, consumers can make informed decisions about whether to pay cash or utilize their insurance coverage.