CMS Price Transparency Data

Blood test, liver function panel

Facility: Medical City Plano

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $12
  • Cash Discount Price: $1,936
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Medical City Plano is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,936. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,936

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: $1,936 (23696%)
Insurance Median: $12 (147%)
Cash: $1,936 (23696% 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 - $1,171 73%
Amerigroup $6 - $8 73%
Cigna $6 - $271 73%
United $6 - $337 73%
Molina $7 - $9 86%
Parkland Community Health Plan $7 86%
Blue Cross Blue Shield $8 - $859 98%
Care N Care $8 98%
Devoted Health $8 98%
Humana $8 - $91 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%
Imperial Insurance Company $9 110%
Procare Advantge $9 110%
Provider Partners Health Plan $9 110%
Superior Health Plan $9 - $135 110%
Texas Independent Health Plan $9 110%
Triwest Health Alliance $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 - $1,548 196%
Molina Healthcare $21 257%
Oscar $21 257%
Healthcare Highways $474 - $654 5802%
Evry Health $499 6108%
Lifecare Hospitals $581 7111%
Prominence Health Plan $774 9474%
City Of Mckinney $871 10661%
Fidelis Securecare $871 10661%
National Choicecare $968 11848%
Pc Texas Partners $1,065 13035%
Physicians Coop Of Tx $1,065 13035%
Rockport Health Group $1,065 13035%
Averde Health, Inc $1,123 13745%
Texas Healthcare Foundation Wc $1,258 15398%
Coastal Comp Health Networks $1,355 16585%
Mega Life $1,355 16585%
Multiplan Phcs $1,355 16585%
Healthsmart Preferred Care $1,452 17772%
Lewisville Isd/Dls Consulting $1,452 17772%
Usc Health Services $1,548 18947%
Galaxy Health Network $1,645 20135%
Independent Medical Systems $1,936 23696%
National Healthcare Solutions $1,936 23696%
Unicare $1,936 23696%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals