Blood test, liver function panel
Facility: Greeley County Health Services
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $8
- Cash Discount Price: $48
- 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 |
|---|---|---|
| Aetna | $8 | 98% |
| Medicaid / KanCare | $8 | 98% |
Consumer Guidance & Cost Commentary
For this liver function panel test at Greeley County Health Services, the cash price of $48.00 is significantly lower than the facility's gross charge of $68.00. While the facility is a Critical Access Hospital in Tribune, KS, with government ownership, the data indicates that paying out-of-pocket may be the most cost-effective option for patients with high-deductible plans, as the cash rate is already below the negotiated rate of $8.00 paid by insurers like Aetna and Medicaid/KanCare. Because insurance contracts often include administrative overheads that inflate the allowed amount, patients should verify their specific plan's deductible status before scheduling to avoid paying the higher negotiated rate. Additionally, since the cash price is well below the gross charge, asking for a prompt-pay discount at registration could potentially lower the final amount further, though the current cash median already represents a substantial reduction from the list price.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, this specific CPT code reflects a standard in-network scenario where the insurer has a contract with the hospital. However, if any ancillary services or emergency physicians involved in your care are out-of-network, you may face unexpected bills unless you dispute them under federal protections. To ensure you are not overcharged, always request a full itemized bill before paying; hospitals often issue summary invoices that hide individual code costs, and over 80% of hospital bills contain errors that can be corrected through a formal written audit. By comparing the facility's rates directly to the Medicare benchmark of $8.17, you can see that the cash price of $48.00