Blood test, liver function panel
Facility: Overland Park Reg Med Ctr
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $282
- Cash Discount Price: $1,590
- vs. Medicare Baseline: 34.52x 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 3452% of the Medicare baseline (a markup of 3352%). 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 |
|---|---|---|
| Cigna | $4 - $8 | 49% |
| United | $7 - $750 | 86% |
| Coventry | $8 - $670 | 98% |
| Devoted Health | $8 | 98% |
| Healthyblue | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| Amerigroup | $8 | 98% |
| Celtic | $8 | 98% |
| Unicare | $8 | 98% |
| Blue Cross Blue Shield | $8 - $716 | 98% |
| Home State Health Plan | $8 | 98% |
| Wellcare | $8 | 98% |
| Humana | $8 - $20 | 98% |
| Aetna | $8 - $850 | 98% |
| Triwest Health Alliance | $9 | 110% |
| Pyramid Life | $9 | 110% |
| Oscar | $12 | 147% |
| Multiplan | $15 - $1,233 | 184% |
| Corvel Corporation | $17 - $1,083 | 208% |
| Oha Network | $18 - $833 | 220% |
| Ambetter / Centene | $282 - $310 | 3452% |
| Nhc Advantage | $288 - $317 | 3525% |
| Wppa Providrs Care Network | $303 - $333 | 3709% |
| Universal Healthcare | $530 - $583 | 6487% |
| Coventry Kc Mo | $621 - $683 | 7601% |
| College Park Family Care Center | $651 - $716 | 7968% |
| Focus Healthcare Mgmt, Inc | $1,136 - $1,249 | 13905% |
| Cco, Inc. | $1,136 - $1,249 | 13905% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a liver function panel, the cash price at Overland Park Reg Med Ctr is $1,590. This cash rate is significantly higher than the state of Kansas average, which is $8.17, and exceeds the facility's own negotiated rate of $282. While commercial payers like United and Aetna have negotiated rates ranging from $7 to $850, these amounts often include administrative overhead and may not reflect the lowest possible cost for a patient. Because commercial negotiated rates can sometimes exceed the cash price, patients with high-deductible plans or those without insurance may find paying cash directly cheaper than relying on an in-network plan that has not yet met its deductible.
To secure the best possible price, patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment. It is important to verify your specific plan's allowed amount before scheduling, as assuming that being in-network guarantees the lowest rate is a common pitfall; some in-network hospitals charge substantially more than others. Additionally, if you are billed for services not rendered or if you receive a summary bill, request a full itemized audit to identify errors or unbundled charges, as over 80% of hospital bills contain mistakes that can be corrected to lower your final cost.