Blood test, liver function panel
Facility: Kansas Medical Center Llc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $44
- 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 |
|---|---|---|
| United | $5 | 61% |
| Indian Health | $7 | 86% |
| Blue Cross Blue Shield | $8 - $20 | 98% |
| Ambetter / Centene | $8 | 98% |
| Medadv_Wellcare | $8 | 98% |
| Humana | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
| Three_Rivers | $16 | 196% |
| Wppa | $22 - $37 | 269% |
| Aetna | $26 | 318% |
Consumer Guidance & Cost Commentary
For this blood test, liver function panel procedure at Kansas Medical Center Llc in Andover, KS, the facility's cash median rate is $44.00, which is significantly lower than the state average of $62.00. While many patients assume insurance offers the best price, the data shows that paying cash directly can sometimes be cheaper, particularly for those with high-deductible plans where the insurance negotiated rate might exceed the cash price. The facility's negotiated rate is $8.00, which is lower than the cash price but still higher than the Medicare benchmark of $8.17. Because the facility is a Proprietary Acute Care Hospital, it is important to verify your specific plan's allowed amount before scheduling to ensure you are not paying more than necessary.
Patients should be aware that commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40%, meaning the negotiated rate of $8.00 reflects these structural costs rather than just the service cost. If you are self-pay, you may be eligible for a prompt-pay discount by paying in full upfront, which can reduce the bill by 20% to 50% and bypass costly insurance billing cycles. Additionally, if you receive care from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency and non-emergency services, so you should never feel pressured to sign away your rights to dispute unexpected charges. Always request a full itemized bill before finalizing payment to ensure no unbundled codes or services not rendered are included in your total.