Blood test, liver function panel
Facility: Centura St. Catherine-Dodge City
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $239
- Cash Discount Price: $145
- vs. Medicare Baseline: 29.25x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 2925% of the Medicare baseline (a markup of 2825%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Medicare (plans) | $8 | 98% |
| Humana | $8 | 98% |
| Kaiser | $8 | 98% |
| Blue Cross Blue Shield | $8 - $37 | 98% |
| Kansas Health | $8 | 98% |
| Cigna | $8 | 98% |
| Aetna | $8 - $290 | 98% |
| Centura Employee Plan | $10 | 122% |
| UnitedHealthcare | $239 | 2925% |
| Wpaa | $254 | 3109% |
| Christian Health Aid | $290 | 3550% |
| Multiplan | $290 - $327 | 3550% |
| Health Partners Of Kansas | $327 | 4002% |
Consumer Guidance & Cost Commentary
For the liver function panel (CPT 80076) at Centura St. Catherine-Dodge City, the facility's cash median price of $145.00 is significantly lower than the state average of $239.00 and the national average of $363.00. While many commercial payers negotiate rates that exceed the cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance allowed amount is higher than $145.00. It is important to note that while the facility is a Proprietary Acute Care Hospital in Dodge City, KS, patients should always verify their specific plan's deductible status before relying on insurance, as some in-network contracts can result in higher out-of-pocket costs than direct cash payment.
The facility's negotiated rates vary widely among the 13 participating payers, ranging from $8.17 for Medicare to $327.00 for Multiplan, with a median negotiated rate of $239.00. Because the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients should be cautious about signing consent waivers that might waive their rights to dispute unexpected charges, particularly for ancillary services like laboratory tests. If a patient receives an itemized bill that appears higher than expected, they should request a formal audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through written dispute to the billing supervisor.