Blood test, liver function panel
Facility: Kingman Healthcare Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $2
- Cash Discount Price: $3
- vs. Medicare Baseline: 0.24x 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.
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 |
|---|---|---|
| Humana | $2 | 24% |
| Medicaid / KanCare | $2 - $8 | 24% |
| Celtic Insurance Company | $2 | 24% |
| UnitedHealthcare | $2 - $4 | 24% |
| Ambetter / Centene | $2 | 24% |
| Wellcare | $2 | 24% |
| Health Partners | $4 | 49% |
| Aetna | $4 | 49% |
| Cigna | $4 | 49% |
| Healthy Blue | $8 | 98% |
| Triwest | $8 | 98% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function, Kingman Healthcare Center in Kingman, KS (ZIP 67068) lists a cash median price of $3.00. This cash rate is significantly lower than the Medicare benchmark of $8.17, which serves as the federal baseline for the true cost of this service. While the facility is a voluntary non-profit Critical Access Hospital, the data does not provide a specific state or county average for this procedure to allow for a direct comparison. However, the cash price of $3.00 is notably lower than the median negotiated rate of $2.00 reported in the dataset, illustrating that paying out-of-pocket can sometimes be more cost-effective than relying on insurance, particularly for patients with high-deductible plans where the insurer's allowed amount might exceed the cash price.
Patients should be aware that commercial insurance carriers like Humana, UnitedHealthcare, and Aetna have negotiated rates that act as a ceiling, often resulting in higher out-of-pocket costs due to administrative overhead and contract dynamics. Although the facility offers a cash price of $3.00, patients must verify if their specific plan has a deductible that would require them to pay the full negotiated amount before coverage begins. To minimize costs, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement rather than accepting a summary bill, ensuring that all charges align with the actual services rendered