Blood test, liver function panel
Facility: Greenwood County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $184
- Cash Discount Price: $174
- vs. Medicare Baseline: 22.52x 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 2252% of the Medicare baseline (a markup of 2152%). 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 | $18 - $183 | 220% |
| Blue Cross Blue Shield | $30 - $32 | 367% |
| Triwest - All Plans | $78 | 955% |
| Choicecare Mcr Adv - All Plans | $92 | 1126% |
| Tricare | $92 | 1126% |
| Integrated Health Plan - All Plans | $164 | 2007% |
| Beech Street - All Plans | $185 | 2264% |
| First Health - All Other Plans | $185 | 2264% |
| First Health Ccn Network | $185 | 2264% |
| Preferred Hs (Coventry) - All Plans | $196 | 2399% |
| Principal Health Care Inc - All Plans | $207 | 2534% |
| Medicaid / KanCare | $218 | 2668% |
| Amerigroup Mcaid-All Plans | $218 | 2668% |
| Providrs Care/Wppa - All Plans | $327 | 4002% |
Consumer Guidance & Cost Commentary
For the liver function panel procedure (CPT 80076) at Greenwood County Hospital in Eureka, Kansas, the cash price of $174.00 is lower than the facility's negotiated rates with most major payers, which range from $18 to $327. While the median negotiated rate across all plans is $184.00, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. It is important to note that while the facility is a Critical Access Hospital owned by the local government, the specific negotiated rates vary significantly by insurer, with UnitedHealthcare plans paying as low as $18 and Medicaid/McAid plans paying the full $218.00.
To ensure you receive the most accurate pricing, always request a prompt-pay discount or self-pay rate before scheduling your visit, as these upfront payments can reduce the final bill by 20% to 50%. If you do receive a bill after insurance processing, you should request a detailed itemized audit to verify that no services were double-billed or unbundled, as over 80% of hospital bills contain errors. Additionally, remember that under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so do not feel pressured to sign away your rights to dispute any unexpected charges immediately.