Blood test, liver function panel
Facility: Wichita County Health Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $73
- Cash Discount Price: $64
- vs. Medicare Baseline: 8.94x 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 894% of the Medicare baseline (a markup of 794%). 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 |
|---|---|---|
| Medicaid / KanCare | $66 | 808% |
| UnitedHealthcare | $80 | 979% |
Consumer Guidance & Cost Commentary
For this liver function panel test at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $64.00 is lower than the state average of $66.00 and the median negotiated rate of $73.00. While Medicaid/KanCare pays the full $66.00 and UnitedHealthcare pays the full $80.00, patients with high-deductible plans might find the cash price more affordable if their insurance allowed amount exceeds $64.00. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices; therefore, patients should always ask for "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not charged the full insurance negotiated rate.
This service is billed under CPT code 80076, and the facility's cash rate of $64.00 is significantly lower than the Medicare benchmark of $8.17, which serves as the federal baseline for healthcare costs. Although the data shows a "vs_medicare" metric of 8.9, this figure likely reflects a specific calculation method rather than a direct price comparison, so patients should rely on the Medicare amount as the true cost baseline rather than the hospital's gross charge. If a patient receives an itemized bill that includes unexpected charges or double-billing, they should request a formal written audit to identify errors, as over 80% of hospital bills contain mistakes that can be corrected by disputing the line items directly with the billing supervisor.