Blood test, liver function panel
Facility: Salina Regional Health Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $129
- Cash Discount Price: $100
- vs. Medicare Baseline: 15.79x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1579% of the Medicare baseline (a markup of 1479%). 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.
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 | $20 - $21 | 245% |
| Preferred Phsic | $86 | 1053% |
| Preferred Healthcare - All Other Plans | $116 | 1420% |
| Aetna | $129 | 1579% |
| Multiplan (Mpi)-All Plans | $129 | 1579% |
| Cigna | $129 | 1579% |
| Providers Care (Wppa)-All Plans | $129 | 1579% |
Consumer Guidance & Cost Commentary
For the CPT code 80076, representing a blood test for liver function, the Salina Regional Health Center in Salina, KS, lists a gross charge of $143.00. This amount is significantly higher than the facility's cash median of $100.00 and the median negotiated rate of $129.00. While the facility is a voluntary non-profit acute care hospital, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the cash price of $100.00 is notably lower than the lowest negotiated rate of $20.00 found among Blue Cross Blue Shield plans, suggesting that paying out-of-pocket or utilizing a prompt-pay discount could result in substantial savings compared to standard insurance billing.
The facility's pricing is also evaluated against federal benchmarks, with a Medicare amount of $8.17 and a reported variance of 15.8% versus Medicare. It is important to note that comparing rates to the gross chargemaster can be misleading, as commercial rates are often marked up significantly above the true cost of care represented by Medicare. For consumers with high-deductible plans, the cash price of $100.00 may be more favorable than the insurance negotiated rate of up to $129.00, provided the patient meets their deductible threshold. To ensure the most accurate pricing, patients are encouraged to request an itemized bill to verify all charges and explicitly ask about self-pay or prompt-pay discounts before scheduling the service.