Blood test, liver function panel
Facility: Neosho Memorial Regional Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $91
- Cash Discount Price: $214
- vs. Medicare Baseline: 11.14x 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 1114% of the Medicare baseline (a markup of 1014%). 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 |
|---|---|---|
| Medicaid / KanCare | $8 | 98% |
| Blue Cross Blue Shield | $35 - $91 | 428% |
| Tricare | $88 | 1077% |
| Medadv_Uhc | $91 | 1114% |
| Humana | $91 | 1114% |
| Medicare (plans) | $91 | 1114% |
| Medadv_Allwell | $91 | 1114% |
| Va_Ccn | $91 | 1114% |
| Aetna | $91 | 1114% |
| Ambetter / Centene | $96 | 1175% |
| Wppa_Providrscare | $237 | 2901% |
| United | $238 | 2913% |
| Coventry | $271 | 3317% |
| Hpk | $271 | 3317% |
| Cigna | $271 | 3317% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Neosho Memorial Regional Medical Center in Chanute, KS, the cash price is $214.00, which is lower than the facility's negotiated rates of $91.00 and the state average of $237.00. While the facility is a Critical Access Hospital owned by the local government, patients should verify if their specific insurance plan allows for cash payment, as paying out-of-pocket can sometimes be cheaper than the negotiated rate your insurer pays. If you have a high-deductible plan, consider asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower your total cost compared to waiting for insurance reimbursement.
The Medicare benchmark for this service is $8.17, indicating that the facility's cash rate of $214.00 represents a substantial markup relative to the federal baseline, which is common for commercial billing structures. However, the facility's negotiated rate of $91.00 is significantly lower than the state average of $237.00, suggesting a competitive contract with payers like Blue Cross Blue Shield and Tricare. To ensure you are receiving the best possible price, request an itemized bill to confirm there are no unbundled charges or services not rendered, and avoid relying on summary bills that obscure individual line items. Always compare the allowed amount from your insurer against the cash price to determine if paying directly is the most economical option for your situation.