CMS Price Transparency Data

Blood test, liver function panel

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $41
Cash Discount Price: $55
vs. Medicare Baseline: 5.02x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Oklahoma Heart Hospital South, LLC is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 5.02x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $55 (673%)

Insurance Median: $41 (502%)

Cash: $55 (673% of Medicare)

Ins. Median: $41 (502% 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 502% of the Medicare baseline (a markup of 402%). 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
Aetna	$7 - $108	86%
Humana	$7 - $108	86%
Blue Cross Blue Shield	$8 - $41	98%
Cigna	$8 - $109	98%
Geha	$8	98%
Medicare (plans)	$8	98%
UnitedHealthcare	$8	98%
Va Ccn	$8	98%
Ambetter / Centene	$11	135%
Community Care	$16 - $109	196%
The Kempton Group	$20	245%
Healthcare Highways	$39 - $94	477%
Healthscope	$72	881%
Oscar Insurance Company	$72	881%
Webtpa Chickasaw Nation Hch	$73	894%
Webtpa Hobby Lobby Hch	$83	1016%
Coventry	$92	1126%
Global Health	$98	1200%
Sana Benefits	$101	1236%
Ufcw	$101	1236%
First Health Network	$108	1322%
Manhattan Life	$108	1322%
Phcs	$109	1334%
Preferred Community Choice	$119	1457%
Multiplan	$140	1714%

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 $55.
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 Oklahoma Heart Hospital South, LLC 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.