Blood test, liver function panel
Facility: Oakleaf Surgical Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $79
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $8 | 98% |
| Dean Health Plan | $8 | 98% |
| Group Health Cooperative Of Eau Claire | $8 | 98% |
| Healthpartners | $8 | 98% |
| Humana | $8 | 98% |
| Medica | $8 | 98% |
| Quartz Health Solutions | $8 | 98% |
| Security Health Plan Of Wi | $8 | 98% |
| Ucare Wi | $8 | 98% |
| UnitedHealthcare | $8 | 98% |
Consumer Guidance & Cost Commentary
For a blood test, liver function panel, Oakleaf Surgical Hospital in Altoona, WI, lists a cash median price of $79, which is significantly lower than the facility's gross charge of $88. While the facility is a physician-owned acute care hospital, the negotiated rates for all ten listed payers, including Blue Cross Blue Shield and UnitedHealthcare, are set at $8. This negotiated rate is notably lower than the Medicare amount of $8.17, meaning patients with high-deductible plans might find paying the cash price of $79 more advantageous than relying on insurance that caps reimbursement at $8.
It is important to note that while the facility is in-network, the $8 negotiated rate may not represent the absolute lowest cost available, as commercial contracts often include administrative overhead that inflates prices above the true cost of care. Patients should verify their specific plan's deductible status before scheduling, as high negotiated rates may not apply until out-of-pocket limits are met. Additionally, if you choose to pay out-of-pocket, you should explicitly request a "self-pay" or "prompt-pay" discount prior to check-in, as hospitals often offer fee reductions for upfront payments that bypass the standard insurance billing cycle.