Blood test, liver function panel
Facility: Minneola District Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $42
- Cash Discount Price: $33
- vs. Medicare Baseline: 5.14x 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 514% of the Medicare baseline (a markup of 414%). 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 Community Care Program-All Plans | $31 | 379% |
| UnitedHealthcare | $31 - $47 | 379% |
| Humana | $31 | 379% |
| Blue Cross Blue Shield | $32 | 392% |
| Providrs Care Network-All Plans | $40 | 490% |
| Corporate Plan Management-All Plans | $40 | 490% |
| Triwest-All Plans | $42 | 514% |
| Preferred Health Care (Coventry)-All Other Plans | $42 | 514% |
| Phc (Coventry) Leased Network | $45 | 551% |
| Health Partners Of Kansas-All Plans | $45 | 551% |
| Aetna | $45 - $47 | 551% |
| Medicaid / KanCare | $47 | 575% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Minneola District Hospital, the cash median price is $33.00, which is lower than the facility's negotiated rates of $42.00 and the gross charge of $47.00. This cash price is also notably lower than the Medicare benchmark of $8.17 when adjusted for the facility's specific pricing context, though it remains higher than the raw Medicare amount. Patients with high-deductible plans may find paying cash upfront more cost-effective than using insurance, as the negotiated rates paid by insurers often exceed the cash price. To maximize savings, individuals should ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can reduce the bill by 20% to 50% if paid in full within a short window.
The facility, a Critical Access Hospital in Minneola, KS, serves 12 payers with negotiated rates ranging from $31.00 to $47.00, with UnitedHealthcare and Aetna showing the widest spread at $31.00 to $47.00. While the data does not provide explicit state or county average comparisons for this specific code, the facility's ownership by a Hospital District or Authority often influences its pricing structure. Consumers should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, but it is crucial to verify network status and request an itemized bill to avoid unexpected charges. Always confirm your deductible status before proceeding, as paying the full negotiated rate without meeting your deductible can result in