Blood test, liver function panel
Facility: Lindsborg Community Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $131
- Cash Discount Price: $100
- vs. Medicare Baseline: 16.03x 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 1603% of the Medicare baseline (a markup of 1503%). 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 | $32 | 392% |
| Tricare | $67 | 820% |
| Coventry Mcr Adv | $68 | 832% |
| Cigna | $121 | 1481% |
| Coventry Comm-All Other Plans | $129 | 1579% |
| UnitedHealthcare | $129 | 1579% |
| Phcs Preferred-All Plans | $133 | 1628% |
| Multiplan-All Plans | $133 | 1628% |
| Century Health-All Plans | $136 | 1665% |
| Wppa-All Plans | $136 | 1665% |
| Coventry Wc | $136 | 1665% |
| Health Partners -All Plans | $136 | 1665% |
Consumer Guidance & Cost Commentary
For the blood test, liver function panel (CPT 80076) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash median rate is $100.00, which is lower than the negotiated rates paid by most insurance plans ranging from $32 to $136. While the hospital is a Critical Access Hospital owned by a voluntary non-profit, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the negotiated rate exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than paying directly. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if paid in full upfront.
When reviewing your bill, be cautious of balance billing, where a provider charges the difference between their full list price and what your insurance pays, a practice often restricted for out-of-network care at in-network facilities by the No Surprises Act. If you receive a summary bill showing only broad categories like "Laboratory," request a full itemized statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. For context, the facility's Medicare benchmark amount is $8.17, which serves as a baseline for evaluating pricing; commercial negotiated rates typically range from 200% to 300% of this amount, whereas fair pricing is often defined as 120% to 150%. Always dispute any unexpected charges in writing to ensure