Blood test, liver function panel
Facility: Rawlins County Health Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $66
- Cash Discount Price: $73
- vs. Medicare Baseline: 8.08x 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 808% of the Medicare baseline (a markup of 708%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $32 | 392% |
| UnitedHealthcare | $66 - $83 | 808% |
Consumer Guidance & Cost Commentary
For the liver function panel (CPT 80076) at Rawlins County Health Center in Atwood, Kansas, the cash median price is $73.00, which is notably lower than the facility's gross charge of $86.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rates vary by insurer; UnitedHealthcare plans range from $66.00 to $83.00, whereas Blue Cross Blue Shield has a fixed rate of $32.00. It is important to note that the facility's negotiated rates are significantly higher than the Medicare benchmark of $8.17, reflecting standard commercial pricing dynamics where administrative costs and claim processing inflate the baseline price. Patients with high-deductible plans may find the cash price of $73.00 more affordable than the insurance negotiated rates, provided they have not yet met their deductible.
To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling their visit, as these upfront payment incentives can reduce the final bill by 20% to 50%. Since the facility is located in Atwood (ZIP 67730), it is advisable to verify if the local county or state averages for this procedure differ from the facility's specific pricing, though the provided data highlights the facility's own cash and negotiated figures. If you are using insurance, be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, but you should still review your itemized bill to ensure no unbundled codes or services not rendered are included. Always ask for a detailed, line-by-line