CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical Center of McKinney

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $12
  • Cash Discount Price: $2,632
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical Center of McKinney is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,632. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$2,632

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $2,632 (32215%)
Insurance Median: $12 (147%)
Cash: $2,632 (32215% of Medicare)
Ins. Median: $12 (147% 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
Aetna $6 - $1,913 73%
Amerigroup $6 - $8 73%
Cigna $6 - $2,106 73%
Parkland Community Health Plan $6 73%
United $6 - $492 73%
Molina $7 - $9 86%
Blue Cross Blue Shield $8 - $1,169 98%
Care N Care $8 98%
Devoted Health $8 98%
Humana $8 - $1,711 98%
Integranet $8 98%
Mutual Of Omaha $8 98%
Triwest Veterans $8 98%
Wellcare $8 98%
Wellmed $8 98%
American Health Plan Of Texas, Inc. $9 110%
Cenpatico $9 110%
Imperial Insurance Company $9 110%
Procare Advantge $9 110%
Provider Partners Health Plan $9 110%
Superior Health Plan $9 - $184 110%
Texas Independent Health Plan $9 110%
Universal Healthcare Group $10 122%
Verda Health Plan $11 135%
Bravo Health $12 147%
Superior $15 - $18 184%
Corvel Corporation $16 196%
Usa Managed Care $16 - $2,106 196%
Molina Healthcare $21 257%
Oscar $21 257%
Healthcare Highways $645 - $890 7895%
Evry Health $679 8311%
Unicare $684 - $2,632 8372%
City Of Mckinney $921 11273%
Fidelis Securecare $1,184 14492%
National Choicecare $1,316 16108%
Pc Texas Partners $1,448 17723%
Physicians Coop Of Tx $1,448 17723%
Rockport Health Group $1,448 17723%
Averde Health, Inc $1,527 18690%
Magellan Bh $1,579 19327%
Value Options Behavioral Health $1,579 19327%
Coastal Comp Health Networks $1,842 22546%
Mega Life $1,842 22546%
Multiplan Phcs $1,842 22546%
Lewisville Isd/Dls Consulting $1,974 24162%
Compsych Corporation $2,106 25777%
Healthsmart Preferred Care $2,106 25777%
Galaxy Health Network $2,237 27381%
Independent Medical Systems $2,632 32215%
National Healthcare Solutions $2,632 32215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals