Blood test, liver function panel
Facility: Kansas Surgery & Recovery Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $30
- 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 | $3 - $8 | 37% |
| Blue Cross Blue Shield | $8 - $21 | 98% |
| Aetna | $8 - $25 | 98% |
| Triwest | $9 | 110% |
| Cigna | $14 | 171% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $30.00, which matches the facility's median paid amount. This cash rate is significantly lower than the negotiated rates typically paid by major insurers like UnitedHealthcare, Blue Cross Blue Shield, Aetna, Triwest, and Cigna. While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find paying the $30.00 cash price upfront more cost-effective than facing a large deductible or balance billing if their insurance does not cover the service. It is important to verify your specific plan's deductible status and allowed amount before scheduling, as assuming that in-network coverage automatically yields the lowest price can lead to unexpected out-of-pocket costs.
To ensure you are receiving the most accurate and fair pricing, always request a full itemized bill before finalizing payment. Hospitals often issue summary bills that obscure individual charges, but an itemized statement reveals the exact CPT codes and unit costs, allowing you to identify errors, unbundled services, or charges for items not rendered. Additionally, ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window, bypassing the costly insurance claims process. Finally, compare the facility's rates against the state average; since this specific code has a cash median of $30.00, ensure your negotiated or cash rate aligns with fair market value rather than inflated chargemaster lists, which can make discounts