Blood test, liver function panel
Facility: Stafford County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $111
- Cash Discount Price: $116
- vs. Medicare Baseline: 13.59x 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 1359% of the Medicare baseline (a markup of 1259%). 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 |
|---|---|---|
| Va Ccn-All Plans | $10 | 122% |
| UnitedHealthcare | $10 | 122% |
| Health Partners-All Plans | $111 | 1359% |
| Medica Mcr- All Plans | $116 | 1420% |
| Humana | $116 | 1420% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a liver function panel at Stafford County Hospital in Kansas, the cash median price is $116.00, which matches the facility's negotiated rate and the median amount paid by payers. This price is notably higher than the Medicare benchmark of $8.17, reflecting the standard administrative markup inherent in commercial billing. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $116.00, as paying out-of-pocket could result in immediate savings. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may still result in higher charges than the cash rate.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices often obscure individual line items and potential errors. If you receive a balance bill for the difference between the provider's chargemaster and your insurance payment, you may have rights under the No Surprises Act, particularly if the service was rendered at an in-network facility. Additionally, ask the hospital about prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Given that over 80% of hospital bills contain errors, disputing any discrepancies in writing with the billing supervisor is the most effective way to reduce medical debt.