Blood test, liver function panel
Facility: Regional Medical Center
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $870
- Cash Discount Price: $82
- vs. Medicare Baseline: 106.49x 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 10649% of the Medicare baseline (a markup of 10549%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 10649% |
Consumer Guidance & Cost Commentary
Regional Medical Center in Manchester, Iowa, offers a blood test, liver function panel with a cash price of $82. This facility is a government-owned Critical Access Hospital located at 709 W Main Street. While the cash rate is notably lower than the insurance negotiated rate of $870, patients should be aware that cash payments can sometimes be more cost-effective for those with high-deductible plans if their insurance allowed amount exceeds the cash price. Additionally, it is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling your visit.
For comparison, the facility's cash rate of $82 is significantly lower than the state average of $82 and the county average of $82. The insurance negotiated rate of $870 is much higher than the state average of $870 and the county average of $870. Because the facility is in-network with Medical Associates Health Plan - Tri, the allowed amount is set at $870, which matches the negotiated rate. If you have a plan with a high deductible, you may end up paying the full $870 before your deductible is met, whereas paying the cash price of $82 upfront could result in immediate savings.