Blood test, liver function panel
Facility: Girard Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $88
- Cash Discount Price: $150
- vs. Medicare Baseline: 10.77x 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 1077% of the Medicare baseline (a markup of 977%). 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 - $88 | 392% |
| Kansas Superior Select-All Plans | $88 | 1077% |
| Aetna | $88 - $438 | 1077% |
| Humana | $88 | 1077% |
| UnitedHealthcare | $88 - $238 | 1077% |
| Ambetter / Centene | $88 | 1077% |
| Medicare (plans) | $88 | 1077% |
| Multiplan-All Plans | $231 | 2827% |
| Uhhis-All Plans | $238 | 2913% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function at Girard Medical Center in Girard, KS, the facility's cash median rate is $150.00, which is notably higher than the state average of $88.00. While commercial insurance plans like Blue Cross Blue Shield and Kansas Superior Select-All Plans negotiate rates starting at $88.00, other carriers such as Aetna and UnitedHealthcare have negotiated ranges extending up to $438.00 and $238.00 respectively. Patients should be aware that despite these negotiated rates, paying cash directly can sometimes be more cost-effective if the insurance plan's deductible has not yet been met, as the facility offers a cash median of $150.00 which may be lower than the full negotiated amount for certain high-tier plans. Additionally, patients are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront.
When reviewing your bill, it is crucial to request an itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Comparing this service to the Medicare benchmark provides a clear baseline for fair pricing; the Medicare amount for this code is $8.17, and the facility's median negotiated rate of $88.00 represents a significant markup relative to this federal standard. If you receive a bill that appears inflated, you should dispute any errors in writing to the billing supervisor rather than settling verbally