Blood test, liver function panel
Facility: Mitchell County Hospital Health Systems
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $117
- Cash Discount Price: $111
- vs. Medicare Baseline: 14.32x 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 1432% of the Medicare baseline (a markup of 1332%). 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 | $8 - $123 | 98% |
| Blue Cross Blue Shield | $32 | 392% |
| Triwest Well Mark All Plans | $105 | 1285% |
| Aetna | $111 | 1359% |
| First Health-All Plans | $111 | 1359% |
| Pref Hlth Care Sytms Comm - All Plans | $111 | 1359% |
| Phc Leased Ntwrk Access - All Plans | $117 | 1432% |
| Multiplan Ppo - All Plans | $117 | 1432% |
| Auxiant-All Plans | $117 | 1432% |
| Cigna | $122 | 1493% |
| Health Partners Ks-All Plans | $122 | 1493% |
Consumer Guidance & Cost Commentary
For the CPT code 80076 (Blood test, liver function panel) at Mitchell County Hospital Health Systems in Beloit, KS, the cash price is $111.00, which is lower than the facility's negotiated rates of $117.00 and the gross charge of $123.00. This cash rate is also notably lower than the state average for this service, making it an attractive option for patients with high-deductible plans or those seeking immediate payment. While the facility's negotiated rates range from $8 to $123 across 11 different payers, the cash price remains the most consistent and accessible baseline. Patients should verify if their specific insurance plan has a negotiated rate that exceeds the cash price, as paying out-of-pocket may result in lower overall costs.
To ensure you are receiving fair pricing, it is important to understand that Medicare rates for this procedure are set at $8.17, serving as a cost-basis standard rather than a benchmark for commercial discounts. Commercial negotiated rates often average 200% to 300% of Medicare, whereas fair pricing is typically defined as 120% to 150% of the Medicare amount. Before scheduling, you should request an itemized bill to avoid summary bills that obscure individual charges, and ask about prompt-pay discounts which can reduce the total cost by 20% to 50% if paid upfront. Additionally, be aware that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should still confirm that all ancillary services, such as lab draws, are covered under your plan's network