CMS Price Transparency Data

Blood test, liver function panel

Facility: Hillcrest Hospital Henryetta

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $166
Cash Discount Price: $62
vs. Medicare Baseline: 20.32x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Hillcrest Hospital Henryetta is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 20.32x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $62 (759%)

Insurance Median: $166 (2032%)

Cash: $62 (759% of Medicare)

Ins. Median: $166 (2032% of 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 2032% of the Medicare baseline (a markup of 1932%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Black Lung [6055]	$52	636%
Lucent Health [6000]	$52	636%
Cigna	$114	1395%
Healthpartners [1500]	$114	1395%
National Association Of Letter Carriers [1695]	$114	1395%
Pba [1775]	$114	1395%
Global Health [1430]	$129	1579%
First Health [1375]	$141 - $179	1726%
Multiplan [1680]	$141 - $179	1726%
Healthcare Solutions [1485]	$148	1812%
Community Care [1290]	$166	2032%
Fmh Benefit Services [1390]	$166	2032%
Group Resources [1455]	$166	2032%
Phcs [1780]	$166 - $179	2032%
Healthsmart [1505]	$177	2166%
Administrative Concepts [1005]	$179	2191%
Allied Benefit Systems Inc [1030]	$179	2191%
Allied National Global Care [1035]	$179	2191%
Gilsbar [1425]	$179	2191%
Healthnet [1495]	$179	2191%
New Era Life Insurance Company [1705]	$179	2191%
Pan American Life Insurance Co [1770]	$179	2191%
Trustmark [2030]	$179	2191%
Pending Ssi [1616]	$208	2546%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hillcrest Hospital Henryetta is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80076.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.