Blood test, liver function panel
Facility: Providence Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $9
- Cash Discount Price: $8
- vs. Medicare Baseline: 1.10x 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 | $8 - $13 | 98% |
| Medicaid / KanCare | $8 | 98% |
| Healthy Blue | $8 - $9 | 98% |
| Aetna | $8 - $14 | 98% |
| Midland Care Connection | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Tricare | $8 | 98% |
| Blue Cross Blue Shield | $8 - $20 | 98% |
| Celtic | $8 - $13 | 98% |
| Cigna | $8 | 98% |
| Kansas Superior Select | $9 | 110% |
| Employer Direct Healthcare | $11 | 135% |
| Corizon | $11 | 135% |
| Well Path Prison | $11 | 135% |
| Centurion | $12 | 147% |
| Naphcare | $13 | 159% |
| Comp Alliance - Fka Compresults Worker Compensation | $16 | 196% |
| Oha Networks | $18 | 220% |
| Worker Compensation | $18 | 220% |
Consumer Guidance & Cost Commentary
For this blood test, liver function panel procedure at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $8.00, which is significantly lower than the state average of $200.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates that average around $9.00 to $13.00, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details, as some ancillary services or non-covered items could still result in unexpected charges if not carefully reviewed.
To ensure you are receiving the most accurate pricing, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can inflate your total. Additionally, since the facility offers a prompt-pay discount for upfront payments, you may be eligible for a further reduction if you pay the cash rate directly rather than waiting for insurance adjudication. Always confirm with the hospital whether your specific insurance plan qualifies for the negotiated rate or if you should opt for the self-pay classification to avoid administrative fees and potential balance billing scenarios.