Blood test, liver function panel
Facility: Kansas Heart Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $33
- 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 |
|---|---|---|
| Aetna | $4 | 49% |
| Tricare | $7 | 86% |
| Medicaid / KanCare | $8 | 98% |
| UnitedHealthcare | $8 | 98% |
| Humana | $8 | 98% |
| Celtic Mcr Adv | $8 | 98% |
| Blue Cross Blue Shield | $21 | 257% |
| Wppa - All Plans | $21 | 257% |
| Multiplan - All Plans | $47 | 575% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Kansas Heart Hospital in Wichita, KS, the facility's cash median price is $33.00, while the negotiated rate paid by insurance carriers averages $8.00. This specific service is priced at 1.0 times the Medicare benchmark of $8.17, indicating that the facility's commercial rates are aligned with federal cost standards rather than inflated chargemaster lists. For patients with high-deductible plans, paying the cash price of $33.00 may be more cost-effective than relying on insurance, as the negotiated rate of $8.00 often exceeds the cash price when administrative fees and claim processing costs are factored into the final out-of-pocket expense.
Patients should verify their specific plan details before scheduling, as some commercial payers may negotiate rates that differ significantly from the facility's published averages. It is important to note that while the facility offers a cash median of $33.00, patients should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if a patient receives care from an out-of-network provider at this in-network facility, they may encounter balance billing for services not covered by the No Surprises Act protections, such as certain ancillary lab services; in such cases, patients should dispute any unexpected bills immediately and request a formal audit to ensure they are not being charged for services they did not receive or that were incorrectly bundled.