Blood test, liver function panel
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $61
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $8 | 98% |
| Humana | $8 | 98% |
| United Mine Workers Of America | $8 | 98% |
| Providrs Care Network | $8 | 98% |
| UnitedHealthcare | $8 - $10 | 98% |
| Aetna | $8 - $10 | 98% |
| Lantern Specialty Care | $13 | 159% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function, Kansas Spine & Specialty Hospital, LLC in Wichita, KS, lists a cash median price of $61.00. This cash rate is significantly lower than the facility's gross charge of $93.00 and aligns closely with the median negotiated rate of $8.00 found across payers like Blue Cross Blue Shield and Humana. While the facility is an Acute Care Hospital owned by a physician group, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rates exceed this amount. It is important to note that the cash median is not directly comparable to the state or county averages provided in this dataset, as the report focuses on specific payer negotiations and cash rates for this facility.
Patients should be aware that commercial insurance rates often include administrative overheads that can inflate the final cost compared to direct payment. Although the Medicare amount for this service is $8.17, commercial negotiated rates vary by payer, with UnitedHealthcare covering up to 10 plans and Aetna covering 2 plans at this facility. To minimize costs, consumers should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer fee reductions for upfront payment that bypass insurance billing cycles. Additionally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes.