Blood test, liver function panel
Facility: Logan County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $86
- Cash Discount Price: $25
- vs. Medicare Baseline: 10.53x 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 1053% of the Medicare baseline (a markup of 953%). 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 | $32 | 392% |
| Humana | $53 | 649% |
| Health Partners - All Plans | $119 | 1457% |
| Medicaid / KanCare | $125 | 1530% |
Consumer Guidance & Cost Commentary
For this liver function panel test at Logan County Hospital in Oakley, Kansas, the facility's cash price of $25.00 is significantly lower than the negotiated rates paid by major insurers, which range from $32.00 to $125.00 depending on the plan. While Medicaid/KanCare pays the full $125.00, commercial payers like Blue Cross Blue Shield and Humana pay $32.00 and $53.00 respectively, all of which exceed the cash price. This pricing structure highlights a common billing dynamic where paying out-of-pocket can be more cost-effective than using insurance, especially for patients with high deductibles or those who have already met their out-of-pocket maximum. To minimize costs, patients should explicitly ask the registration desk about "self-pay" or "prompt-pay" discounts, which often reduce the final bill further by bypassing administrative fees associated with insurance claims.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $8.17, and the facility's cash rate of $25.00 represents a markup of approximately 10.5 times the Medicare rate. Although commercial negotiated rates are typically higher than cash prices due to administrative overhead and contract structures, the cash price remains the most transparent baseline for comparison. Patients should be aware that summary bills often obscure these details, so requesting a full itemized statement is crucial to verify that no unbundled codes or services not rendered have inflated the total. Additionally, if a patient receives care from an out-of-network provider at this facility, federal