Blood test, liver function panel
Facility: Licking Memorial Hospital
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $248
- Cash Discount Price: $345
- vs. Medicare Baseline: 30.35x 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 3035% of the Medicare baseline (a markup of 2935%). 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 |
|---|---|---|
| Champva [500001] | $8 | 98% |
| Tricare | $8 | 98% |
| Cigna | $8 - $310 | 98% |
| Wellcare By Allwell [450104] | $8 | 98% |
| Blue Cross Blue Shield | $8 - $296 | 98% |
| Medicare (plans) | $8 | 98% |
| Humana | $8 - $334 | 98% |
| Veterans Administration [100068] | $8 | 98% |
| UnitedHealthcare | $8 - $293 | 98% |
| Aetna | $8 - $251 | 98% |
| Molina Marketplace [100106] | $13 | 159% |
| Medical Mutual [100114] | $190 - $286 | 2326% |
| Medben [700068] | $241 - $338 | 2950% |
| Optima [700069] | $248 | 3035% |
| Allied Benefit Systems [100015] | $248 | 3035% |
| Gravie Administrative Services [100165] | $248 | 3035% |
| Webtpa [100127] | $248 | 3035% |
| Meritain [100063] | $248 | 3035% |
| Geha [100039] | $248 | 3035% |
| Trustmark Small Business Benefits [100263] | $248 | 3035% |
| Benicomp [70090] | $259 | 3170% |
| Consociate Health 6 Degrees [100059] | $276 | 3378% |
| Consociate Health [100029] | $276 | 3378% |
| Surest [100016] | $293 | 3586% |
| United Medical Resources [700071] | $293 | 3586% |
| Healthscope [100157] | $293 | 3586% |
| Ohio Healthy Luminare Health [100264] | $310 | 3794% |
| American Postal Workers [100089] | $310 | 3794% |
| Ohio Healthy [100255] | $310 | 3794% |
| Osu Prime Care [100254] | $310 | 3794% |
| Great West Life [700064] | $310 | 3794% |
| Ohio PPO Connect [70006801] | $310 | 3794% |
| Coresource [100002] | $310 - $345 | 3794% |
| Quality Care Partners [70006802] | $310 | 3794% |
| Antidote Health Plan of Ohio [70006803] | $310 | 3794% |
| The Health Plan [100261] | $310 | 3794% |
| National Association of Letter Carriers [100067] | $310 | 3794% |
| Wellfleet Group, LLC [100164] | $310 | 3794% |
| Coventry [100010] | $318 | 3892% |
| Pan American Life [700070] | $318 | 3892% |
| Ohio Health Choice [100109] | $331 | 4051% |
| Administrative Concepts [100006] | $334 | 4088% |
| Philadelphia American Life [100260] | $334 - $345 | 4088% |
| Reliance Standard-Asrm [100258] | $334 | 4088% |
| Carefactor [100087] | $334 | 4088% |