Blood test, liver function panel
Facility: Menorah Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $15
- Cash Discount Price: $1,491
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Cigna | $4 - $1,193 | 49% |
| United | $7 - $671 | 86% |
| Blue Cross Blue Shield | $8 - $671 | 98% |
| Wellcare | $8 | 98% |
| Coventry | $8 - $599 | 98% |
| Celtic | $8 | 98% |
| Aetna | $8 - $760 | 98% |
| Devoted Health | $8 | 98% |
| Unicare | $8 | 98% |
| Healthyblue | $8 | 98% |
| Humana | $8 - $20 | 98% |
| Home State Health Plan | $8 | 98% |
| Amerigroup | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| Pyramid Life | $9 | 110% |
| Triwest Health Alliance | $9 | 110% |
| Oscar | $12 | 147% |
| Multiplan | $15 - $1,103 | 184% |
| Corvel Corporation | $17 - $969 | 208% |
| Oha Network | $18 - $745 | 220% |
| Ambetter / Centene | $277 | 3390% |
| Nhc Advantage | $283 | 3464% |
| Wppa Providrs Care Network | $298 | 3647% |
| Universal Healthcare | $522 | 6389% |
| Coventry Kc Mo | $611 | 7479% |
| College Park Family Care Center | $641 | 7846% |
| Cco, Inc. | $1,118 | 13684% |
| Focus Healthcare Mgmt, Inc | $1,118 | 13684% |
Consumer Guidance & Cost Commentary
For the liver function panel procedure (CPT 80076) at Menorah Medical Center in Overland Park, KS, the cash price is $1,491, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a ratio of 1.8 times the Medicare amount of $8.17. While commercial insurance plans like Cigna and United have negotiated rates ranging from $4 to $1,193 and $7 to $671 respectively, these figures often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, which can sometimes result in higher out-of-pocket expenses if the negotiated rate surpasses the cash amount.
To minimize potential costs, patients should actively inquire about "self-pay" or "prompt-pay" discounts before scheduling or receiving services, as these upfront payment incentives can reduce the total bill. It is also important to request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected. If a patient receives a balance bill for out-of-network services at this in-network facility, they should not pay immediately out of fear of credit damage; instead, they should dispute the charge with their insurer and request a No Surprises Act audit to ensure they are not being billed for services they are not responsible for.