Blood test, liver function panel
Facility: Lmh
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $66
- 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 |
|---|---|---|
| UnitedHealthcare | $7 - $46 | 86% |
| Blue Cross Blue Shield | $7 - $172 | 86% |
| Cigna | $8 - $177 | 98% |
| Allwell | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Haskell Indian Health Services | $8 | 98% |
| Humana | $8 | 98% |
| Aetna | $9 - $220 | 110% |
| Ambetter / Centene | $13 | 159% |
| Non Contracted | $212 | 2595% |
| First Health | $247 | 3023% |
Consumer Guidance & Cost Commentary
For this blood test, liver function panel service, the facility's cash median price of $66.00 is significantly lower than the gross charge of $265.00, offering a substantial potential savings for patients. While the facility is in-network for major payers like UnitedHealthcare, Blue Cross Blue Shield, and Cigna, their negotiated rates range widely from $7 to $247 depending on the specific plan. It is important to note that for patients with high-deductible plans, paying the cash price of $66.00 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate. Additionally, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final balance by offering immediate liquidity incentives.
The facility's pricing is benchmarked against federal standards, with a Medicare amount of $8.17 serving as the baseline for cost evaluation. Although the data does not provide specific state or county average comparisons for this code, the facility's cash rate of $66.00 is notably higher than the Medicare amount, reflecting the complexity of commercial billing structures. To ensure you are receiving the most accurate pricing, we recommend requesting an itemized bill before payment to verify that all charges are correct and that no unnecessary services were billed. If you receive a balance bill from an out-of-network provider, such as a lab or physician, you have the right to dispute it under the No Surprises Act, which protects you from unexpected costs for emergency and non-emergency care at in-network facilities.