Blood test, liver function panel
Facility: Kearny County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $157
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 19.22x 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 1922% of the Medicare baseline (a markup of 1822%). 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 |
|---|---|---|
| Wps Gha - Mac J5 Part A | $157 | 1922% |
| Blue Cross Blue Shield | $157 | 1922% |
| Community Care Health Plan Of | $157 | 1922% |
| UnitedHealthcare | $157 | 1922% |
Consumer Guidance & Cost Commentary
For this blood test at Kearny County Hospital in Lakin, KS, the negotiated rate is $157.00, which matches the facility's cash median and the lowest possible payment across all four payers listed. This service is billed at the maximum allowed amount, meaning no patient will pay less than $157.00 through insurance. While the facility is a Critical Access Hospital with government ownership, the data does not provide a specific cash price or state/county average for comparison. However, because the negotiated rate is identical to the cash median, patients with high-deductible plans may find that paying the full $157.00 upfront is the most cost-effective option, as there is no additional balance billing to worry about.
Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is important to verify your specific plan details before scheduling. Since the facility's negotiated rate is fixed at $157.00, there is no discrepancy between the insurance allowed amount and the cash price to resolve. If you have questions about your deductible status or if you prefer to pay directly, you should contact the hospital's billing department to confirm if any prompt-pay discounts apply, though the current data indicates the cash and negotiated rates are already aligned. Always request an itemized bill to ensure all charges are accurate, as over 80% of hospital bills contain errors that can be corrected through a formal audit.