Blood test, liver function panel
Facility: Goodland Regional Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $72
- Cash Discount Price: $72
- vs. Medicare Baseline: 8.81x 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 881% of the Medicare baseline (a markup of 781%). 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% |
| Wppa | $68 - $72 | 832% |
| UnitedHealthcare | $72 | 881% |
Consumer Guidance & Cost Commentary
For the liver function panel (CPT 80076) at Goodland Regional Medical Center in Goodland, Kansas, the cash median price is $72.00, which is $8.80 higher than the Medicare benchmark rate of $8.17. While the facility offers a negotiated rate of $72.00 for in-network payers like Blue Cross Blue Shield, Wppa, and UnitedHealthcare, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. Because the cash price is already lower than the Medicare baseline, it is unlikely that paying out-of-pocket will result in a lower total cost compared to using insurance, but verifying your specific plan's allowed amount is essential before scheduling.
Goodland Regional Medical Center is a Critical Access Hospital with government-local ownership, and while the facility holds a rating of 2, the pricing data reflects standard billing practices for this service. Patients should be aware that hospitals often offer prompt-pay discounts for upfront cash payments, which can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. If you receive a bill, always request a full itemized statement to ensure no errors exist, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. Furthermore, if you are ever billed for services from out-of-network providers at this in-network facility, the No Surprises Act may protect you from balance billing, so do not immediately pay surprise invoices without first disputing them with your insurer.