Blood test, liver function panel
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $40
- 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 |
|---|---|---|
| Providrs Care | $8 | 98% |
| Va | $8 | 98% |
| UnitedHealthcare | $8 - $23 | 98% |
| Humana | $8 | 98% |
| Medicaid / KanCare | $8 - $9 | 98% |
| Smarthealth | $8 - $11 | 98% |
| Medicare (plans) | $8 | 98% |
| Aetna | $8 | 98% |
| Ambetter / Centene | $14 | 171% |
| Blue Cross Blue Shield | $27 - $149 | 330% |
Consumer Guidance & Cost Commentary
For this liver function panel test at Ascension Via Christi Hospital Manhattan, the cash median price is $40.00, which is significantly lower than the facility's gross charge of $99.00. While the data does not provide a specific state or county average for comparison, the cash rate represents a substantial discount from the hospital's full list price. For patients with high-deductible plans or those without insurance, paying the cash price upfront may be more cost-effective than relying on insurance, as commercial negotiated rates can sometimes exceed the cash price due to administrative overhead. We recommend contacting the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs can further reduce the final amount owed.
The Medicare benchmark for this service is $8.17, which serves as a baseline for evaluating the facility's pricing structure. The cash price of $40.00 is approximately five times the Medicare rate, reflecting the typical markup found in commercial billing. If you have insurance, your plan's negotiated rate will likely fall between the Medicare amount and the cash price, though it may still be higher than paying out-of-pocket. To ensure you are not overcharged, always request an itemized bill before paying, as summary invoices can obscure individual line items and potential errors. If you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, and you should dispute any unexpected charges in writing rather than paying immediately.