Blood test, liver function panel
Facility: Jewell County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $131
- Cash Discount Price: $103
- vs. Medicare Baseline: 16.03x 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 1603% of the Medicare baseline (a markup of 1503%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $117 | 1432% |
| Aetna | $124 | 1518% |
| Meritain - All Plans | $124 | 1518% |
| Cigna | $131 | 1603% |
| First Health - All Plans | $131 | 1603% |
| Midlands Choice - All Plans | $131 | 1603% |
| UnitedHealthcare | $131 | 1603% |
Consumer Guidance & Cost Commentary
For this blood test, liver function panel at Jewell County Hospital in Mankato, KS, the negotiated rates for in-network payers average $131, which matches the median negotiated amount. This rate is notably higher than the cash price of $103, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they can afford it upfront. While the facility is a Critical Access Hospital owned by the local government, the data does not include a county or state average for comparison, so the $131 negotiated rate should be viewed as the standard allowed amount for in-network members rather than a benchmark against regional averages.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still important to verify your specific plan details before scheduling. If you choose to pay out-of-pocket, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled in full within 30 days. Additionally, since over 80% of hospital bills contain errors, request a detailed, itemized statement showing every CPT code and charge before agreeing to pay, ensuring you are not being double-billed or charged for services not rendered.