Blood test, liver function panel
Facility: Stanton County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $135
- Cash Discount Price: $133
- vs. Medicare Baseline: 16.52x 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 1652% of the Medicare baseline (a markup of 1552%). 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 | $30 - $230 | 367% |
| Healthy Blue Mcr Adv - All Other Plans | $134 - $238 | 1640% |
| Healthy Blue Mcaid | $136 - $207 | 1665% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Stanton County Hospital in Johnson, KS, the cash price is $133.00, which matches the facility's median negotiated rate of $135.00 and the cash median of $133.00. This rate is significantly higher than the Medicare benchmark of $8.17, reflecting a markup typical of commercial billing structures where negotiated rates often range from 200% to 300% of the federal baseline. While specific county or state average data for this code was not provided in the report, patients should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs if their insurance plan's negotiated rate exceeds the cash price, particularly if they have a high deductible.
Patients should verify their specific plan details before scheduling, as in-network rates vary by carrier and can sometimes be higher than cash prices due to administrative overhead and contract dynamics. Although the facility is a Critical Access Hospital with government local ownership, there is no facility rating listed in this report. To ensure you are receiving the best possible price, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full within a short window. If you receive a bill after using insurance, always request a full itemized statement to check for errors, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes that can be corrected through a formal written audit.