Blood test, liver function panel
Facility: Grisell Memorial Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $42
- Cash Discount Price: $68
- vs. Medicare Baseline: 5.14x 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 514% of the Medicare baseline (a markup of 414%). 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 |
|---|---|---|
| UnitedHealthcare | $6 - $54 | 73% |
| Blue Cross Blue Shield | $30 | 367% |
| Humana | $72 | 881% |
| Medicaid / KanCare | $72 | 881% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Grisell Memorial Hospital in Ransom, KS, the facility's negotiated rates for UnitedHealthcare, Blue Cross Blue Shield, and Humana range from $30 to $72, while Medicaid/KanCare rates are fixed at $72. These commercial rates are notably higher than the facility's cash price of $68 and the median paid amount of $63. When compared to the national benchmark, the facility's cash rate is 5.1% above the Medicare amount of $8.17, which serves as the objective baseline for fair pricing. Patients with high-deductible plans may find it financially advantageous to pay the cash price of $68 directly, as this amount is lower than the negotiated rates charged by most major payers listed for this service.
To maximize savings, consumers should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to avoid accepting summary bills that only show broad category totals; instead, request a full itemized CPT-coded statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should verify their specific plan's deductible status and network tiering before relying on insurance, as administrative processing costs often inflate the final allowed amount compared to direct cash payment.