Blood test, liver function panel
Facility: Republic County Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $219
- Cash Discount Price: $179
- vs. Medicare Baseline: 26.81x 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 2681% of the Medicare baseline (a markup of 2581%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $202 | 2472% |
| Aetna | $214 | 2619% |
| Meritain-All Plans | $214 | 2619% |
| UnitedHealthcare | $219 | 2681% |
| First Health-All Plans | $226 | 2766% |
| Cigna | $226 | 2766% |
| Midlands Choice-All Plans | $226 | 2766% |
Consumer Guidance & Cost Commentary
For the blood test liver function panel (CPT 80076) at Republic County Hospital in Belleville, KS, the cash price of $179.00 is lower than the facility's median negotiated rate of $214.00 and the median paid amount of $214.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance carriers like Aetna, Cigna, and UnitedHealthcare have negotiated rates ranging from $202 to $226, which are higher than the cash price. This pricing dynamic suggests that for individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly could result in lower immediate costs compared to having insurance process the claim at the higher negotiated rate.
To ensure you are receiving the most accurate pricing, it is recommended to request an itemized bill before finalizing payment, as summary bills often obscure individual code costs and may include unbundled charges or services not rendered. Additionally, since the facility offers a cash price of $179.00, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can further reduce the total amount owed by bypassing administrative claim processing fees. While the Medicare amount for this service is $8.17, commercial rates are significantly higher due to administrative structures and contract dynamics; however, the cash price remains a reliable benchmark for determining the true cost of care without insurance involvement.