CMS Price Transparency Data

Blood test, liver function panel

Facility: Oakbend Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $26
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Oakbend Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 3.18x the Medicare baseline. Located in 1705 Jackson St, Richmond, TX.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $86 (1053%)
Insurance Median: $26 (318%)
Cash: $86 (1053% of Medicare)
Ins. Median: $26 (318% 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 318% of the Medicare baseline (a markup of 218%). 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.

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 $6 73%
Ambetter / Centene $8 - $494 98%
Blue Cross Blue Shield $8 - $28 98%
Friday Health Plan Mcr $8 98%
Medicare (plans) $8 98%
Friday Health Plan-All Other Plans $10 122%
Humana $258 - $280 3158%
Medicaid / KanCare $430 5263%
Wellcare Mcare-All Plans $452 5532%
Community Health Choice-All Plans $473 5789%
Oscar - All Plans $538 6585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1705 Jackson St, Richmond, TX 77469
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals