Blood test, liver function panel
Facility: Cheyenne County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $45
- Cash Discount Price: $47
- vs. Medicare Baseline: 5.51x 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 551% of the Medicare baseline (a markup of 451%). 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 | $4 - $47 | 49% |
| Blue Cross Blue Shield | $32 | 392% |
| First Health - All Plans | $33 | 404% |
| Healthy Blue Mcr Adv | $34 | 416% |
| Choice Care - All Plans | $34 | 416% |
| Tricare | $34 | 416% |
| Aetna | $34 - $45 | 416% |
| Firstguard - All Plans | $38 | 465% |
| Wppa - All Plans | $43 | 526% |
| Preferred Hc - All Plans | $45 | 551% |
| Cpm - All Plans | $45 | 551% |
| Unicare - All Plans | $46 | 563% |
| Midlands Choice - All Plans | $46 | 563% |
| Ppo Next - All Plans | $46 | 563% |
| Health Partners - All Plans | $46 | 563% |
| Integrated Hp - All Plans | $46 | 563% |
| Childrens Mercy - All Plans | $47 | 575% |
| Healthy Blue Mcaid - All Other Plans | $47 | 575% |
| Healthwave Mcaid - All Plans | $47 | 575% |
| Providers Care-All Plans | $71 | 869% |
Consumer Guidance & Cost Commentary
For CPT code 80076, a liver function panel, the cash price at Cheyenne County Hospital in St. Francis, KS is $47.00, which matches the facility's median negotiated rate and the cash median across all payers. This price is significantly lower than the gross chargemaster of $47.00 listed in the data, though it is important to note that the facility is a Critical Access Hospital in Kansas. While the cash rate is competitive, patients should be aware that commercial insurance negotiated rates can sometimes exceed cash prices; for instance, UnitedHealthcare has a range of $4 to $47, and Aetna ranges from $34 to $45. If a patient has a high-deductible plan or has not yet met their deductible, paying the cash price of $47.00 upfront may result in immediate savings compared to the higher allowed amounts some insurers charge. Patients are encouraged to explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost.
To ensure accuracy and avoid unexpected charges, patients should request a full itemized bill that lists every specific CPT code and service rendered, rather than accepting a summary invoice that groups charges into broad categories. Over 80% of hospital bills contain errors, such as double-billing or unbundling, which can be identified through a systematic line-by-line review. If a patient receives a balance bill for the difference between the provider's full rate and the insurance allowed amount, they should verify the legality of the charge under the No Surprises Act, which prohibits balance billing for out-of-network providers at