CMS Price Transparency Data

Blood test, liver function panel

Facility: Baylor Scott and White Medical Center McKinney

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $37
Cash Discount Price: $179
vs. Medicare Baseline: 4.53x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Baylor Scott and White Medical Center McKinney is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 4.53x the Medicare baseline. Located in 5252 West University Drive, Mc Kinney, TX.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $179 (2191%)

Insurance Median: $37 (453%)

Cash: $179 (2191% of Medicare)

Ins. Median: $37 (453% 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 453% of the Medicare baseline (a markup of 353%). 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	$8 - $164	98%
Baylor Scott & White Health Plan	$8 - $173	98%
Humana	$8 - $209	98%
Triwest	$8	98%
American Health Plan	$9	110%
Blue Cross Blue Shield	$9 - $40	110%
Corvel	$9	110%
Healthspring	$9	110%
Prime Health Services	$9	110%
Procare Advantage	$9	110%
Superior Health Plan	$9 - $42	110%
UnitedHealthcare	$9 - $11	110%
Ambetter / Centene	$17	208%
Cigna	$147 - $173	1799%
Employers Health Network	$164	2007%
Quiktrip	$164	2007%
University Of Mary Hardin-Baylor	$173	2118%
Imagine Health	$187	2289%
Curative	$194	2375%
First Health	$209	2558%
Healthsmart	$209 - $224	2558%
Private Health Care System	$224	2742%

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 $179.
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 Baylor Scott and White Medical Center McKinney 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.