Blood test, liver function panel
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $270
- Cash Discount Price: $361
- vs. Medicare Baseline: 33.05x 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 3305% of the Medicare baseline (a markup of 3205%). 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 | $216 | 2644% |
| Americas Choice Provider Network | $252 | 3084% |
| Usa Managed Care Organization | $270 | 3305% |
| Quiktrip Corporation | $270 | 3305% |
| Provider Network Of America | $270 | 3305% |
| Velocity | $270 | 3305% |
| Multiplan-Phcs | $288 | 3525% |
| Prime Health Services | $306 | 3745% |
| Medincrease | $324 | 3966% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at the Rehabilitation Hospital Of Overland Park, the cash price is $361.00, which matches the facility's median negotiated rate. This cash price is significantly higher than the Medicare benchmark of $8.17, reflecting the typical markup found in commercial billing. While the facility's negotiated rates for in-network payers range from $216 to $324, these amounts are still substantially above the Medicare baseline. Patients with high-deductible plans may find that paying the cash price of $361.00 upfront is more cost-effective than using insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract dynamics.
To minimize costs, patients should verify their specific plan's deductible status before scheduling, as using insurance without meeting the deductible can result in paying the full negotiated rate. Additionally, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no errors or unbundled charges are included. Always confirm the final allowed amount with the billing department prior to your visit to avoid unexpected financial surprises.