Blood test, liver function panel
Facility: Hamilton County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $102
- Cash Discount Price: $113
- vs. Medicare Baseline: 12.48x 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 1248% of the Medicare baseline (a markup of 1148%). 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 | $15 - $32 | 184% |
| First Health Coventry - All Plans | $96 | 1175% |
| UnitedHealthcare | $107 | 1310% |
| Cigna | $107 | 1310% |
| Va Ccn - All Plans | $113 | 1383% |
| Aetna | $192 | 2350% |
Consumer Guidance & Cost Commentary
For the CPT code 80076 (Blood test, liver function panel) at Hamilton County Hospital in Syracuse, KS, the cash price is $113.00, which matches the facility's median negotiated rate of $107.00 and the Medicare amount of $8.17. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial payers like Aetna have a negotiated rate of $192.00, which is significantly higher than the cash price. In this specific case, paying cash upfront at the listed rate of $113.00 is the most cost-effective option compared to the higher negotiated rates seen with some insurers.
To minimize costs, patients should proactively ask the hospital about "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full within 30 days, as this bypasses administrative claim processing fees. Additionally, since the facility is in-network for most major carriers, the No Surprises Act protects patients from unexpected balance billing for emergency or non-emergency services from out-of-network providers at this location. However, patients should always request an itemized bill before paying to ensure no unbundled charges or services not rendered are included, and they should verify their specific plan's deductible status to avoid paying the full negotiated amount if their insurance has not yet covered the service.