Blood test, liver function panel
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $80
- Cash Discount Price: $27
- vs. Medicare Baseline: 9.79x 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 979% of the Medicare baseline (a markup of 879%). 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 |
|---|---|---|
| Alt Wppa [5032000964] | $53 - $58 | 649% |
| Wppa [503200056] | $53 - $58 | 649% |
| Meritain Health [503200039] | $53 - $83 | 649% |
| Alt Carelon Behavioral Health [503200905] | $64 - $69 | 783% |
| Cigna | $76 - $110 | 930% |
| Aha-Healthcare Preferred [503200050] | $76 - $83 | 930% |
| Alt Meritain Health [503999911] | $76 - $83 | 930% |
| National Assn Letter Carriers [503200019] | $76 - $83 | 930% |
| First Health [5032000110] | $76 - $83 | 930% |
| Allied National [503999937] | $76 - $83 | 930% |
| Php [503200005] | $76 - $83 | 930% |
| Aetna | $76 - $83 | 930% |
| Correct Care Solutions [50311253] | $89 - $97 | 1089% |
| Workers Comp [503999901] | $108 - $117 | 1322% |
| Usa Managed Care [503999030] | $114 - $124 | 1395% |
Consumer Guidance & Cost Commentary
For the CPT code 80076 (Blood test, liver function panel) at the University Of Ks Hlth System Great Bend Campus, the facility's cash median price is $27.00, which is significantly lower than the state average of $80.00 for this service. While many commercial payers negotiate rates ranging from $53 to $124, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket or by utilizing "prompt-pay" discounts if available. It is important to note that commercial negotiated rates frequently include administrative overhead and contract premiums, sometimes reaching 200% to 300% of the Medicare benchmark, whereas fair pricing is typically defined as 120% to 150% of the Medicare rate of $8.17.
Patients should verify their specific plan details before scheduling, as assuming that being in-network guarantees the lowest possible price can lead to unexpected costs if the insurer's allowed amount is higher than the cash rate. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. To ensure you are receiving the most accurate pricing, always confirm with the hospital whether "self-pay" or "prompt-pay" discounts apply prior to check-in, and avoid relying on summary bills that obscure individual line items.