Blood test, liver function panel
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Via Christi Research | $8 | 98% |
| Smarthealth | $8 - $11 | 98% |
| Saint Lukes Health Systems | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Va | $8 | 98% |
| Humana | $8 | 98% |
| Blue Cross Blue Shield | $8 | 98% |
| Vc Hope | $8 | 98% |
| UnitedHealthcare | $8 - $23 | 98% |
| Corizon | $10 | 122% |
| Medicaid / KanCare | $14 | 171% |
| Aetna | $26 | 318% |
| Coventry City Of Wichita | $33 | 404% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a liver function panel, the facility's negotiated rates range from $8.00 to $33.00 depending on the insurance carrier, with Medicare set at $8.17. This data indicates that the facility's negotiated rates are consistent with the national average, as the ratio to Medicare is exactly 1.0. While commercial payers like UnitedHealthcare and Aetna have negotiated rates significantly higher than the Medicare baseline, the facility's cash and self-pay rates are not listed in this report. Patients with high-deductible plans should be aware that paying cash upfront might result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, though specific cash amounts are not available for this procedure.
To ensure you are not overcharged, it is critical to request an itemized bill before paying, as summary bills often obscure individual line items and potential errors. Since over 80% of hospital bills contain mistakes, such as unbundled codes or charges for services not rendered, asking for a detailed CPT-coded statement is the most effective way to verify accuracy. Additionally, if you are receiving 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. Finally, always ask the billing department about "self-pay" or "prompt-pay" discounts prior to scheduling, as these upfront payment incentives can significantly reduce your final cost by bypassing administrative fees and insurance processing delays.