Blood test, liver function panel
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Va | $8 | 98% |
| Blue Cross Blue Shield | $8 | 98% |
| UnitedHealthcare | $8 - $23 | 98% |
| Smarthealth | $8 - $11 | 98% |
| Humana | $8 | 98% |
| Vc Hope | $8 | 98% |
| Medicare (plans) | $8 | 98% |
| Cigna | $12 | 147% |
| Medicaid / KanCare | $14 | 171% |
| Aetna | $26 - $29 | 318% |
| Coventry City Of Wichita | $33 | 404% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function, the facility's negotiated rates align closely with the Medicare benchmark of $8.17, with a median negotiated amount of $8.00. This pricing structure is consistent with the state of Kansas and the Wichita county average, where the facility's rates do not exceed the federal baseline. Unlike many commercial plans that may negotiate rates significantly higher than Medicare due to administrative overhead and contract dynamics, this facility maintains a rate near the cost-basis standard. Patients should note that while commercial payers like UnitedHealthcare and Aetna have their own negotiated ceilings, the facility's pricing here reflects a transparent approach that avoids the common pitfall of charging commercial members rates far above the true cost of care.
For patients considering payment options, the data indicates that cash or self-pay rates are not available in the current dataset, so the facility's standard negotiated rate applies regardless of payment method. However, it is always advisable to contact the hospital directly before scheduling to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payments. Since this is a Part A provider hospital, the No Surprises Act likely protects patients from balance billing for out-of-network ancillary services, but verifying the specific status of the lab draw is recommended. Consumers should also request an itemized bill to ensure no unbundled codes or services not rendered are included, as these are common sources of unexpected medical debt.