CMS Price Transparency Data

Blood test, liver function panel

Facility: Knapp Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Knapp Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $8 (98%)
Insurance Median: $9 (110%)
Cash: $8 (98% of Medicare)
Ins. Median: $9 (110% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Corvel $6 73%
Zelis Healthcare Fka Stratose $6 73%
Molina $7 - $15 86%
Provider Network Of America $7 86%
Provider Select $7 86%
Superior Health Plan $7 - $14 86%
Three Rivers $7 86%
UnitedHealthcare $7 - $14 86%
Americas Choice Provider Network (Acpn) $8 98%
Blue Cross Blue Shield $8 - $29 98%
Cigna $8 - $14 98%
Coventry (First Health) $8 98%
Division Of Immigration Health $8 98%
Medicare (plans) $8 98%
Prime Health Services $8 98%
Texas Bluebonnet Health Plan $8 - $13 98%
Tricare $8 98%
Veterans Evaluation Services $8 98%
Wellmed Aarp Ma Fka Physicians Health Choice $8 98%
Worker Comp $8 98%
Imperial Insurance Companies $9 110%
Multiplan $9 110%
Provider Partners Health Plan $9 110%
Texas Oncology Pa Op $10 122%
Employer Direct Healthcare $11 135%
Frontier Health (Fka Asserta Health) $11 135%
Magic Valley Electric Cooperative $11 135%
Corporate Remedies (Wc) $12 147%
Medicaid / KanCare $13 - $14 159%
Naphcare $13 159%
Occunet $14 171%
Baker Benefits Administrators $16 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals