Blood test, liver function panel
Facility: Childrens Hospital of Wisconsin
Billing Code: 80076 (CPT)
- CPT Billing Code: 80076
- Insurance Median: $35
- Cash Discount Price: $68
- vs. Medicare Baseline: 4.28x 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 428% of the Medicare baseline (a markup of 328%). 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 |
|---|---|---|
| Chorus Community Health Plan | $8 | 98% |
| My Choice Wisconsin | $8 - $9 | 98% |
| UnitedHealthcare | $8 - $159 | 98% |
| Blue Cross Blue Shield | $9 - $199 | 110% |
| Managed Health Services | $9 | 110% |
| Molina Healthcare of Wisconsin | $9 | 110% |
| Icare | $10 | 122% |
| Medical College of Wisconsin | $27 - $146 | 330% |
| Froedtert Health | $27 - $178 | 330% |
| Network Health Plan | $28 - $149 | 343% |
| Common Ground Healthcare Cooperative | $29 - $178 | 355% |
| Aspirus Health Plan | $29 - $157 | 355% |
| Wps Health Plan | $29 - $188 | 355% |
| Trilogy Health Solutions | $29 - $178 | 355% |
| Advocate Aurora Healthcare | $30 - $161 | 367% |
| Centivo | $30 - $163 | 367% |
| Health Partners | $30 - $184 | 367% |
| Employer Health Care Alliance Cooperative | $30 - $164 | 367% |
| Group Health Cooperative of Eau Claire | $31 - $167 | 379% |
| Oan LLC | $31 - $167 | 379% |
| Dean Health Plan | $31 - $167 | 379% |
| Security Health Plan | $32 - $174 | 392% |
| Praire States | $33 - $178 | 404% |
| Health Payment Systems | $33 - $177 | 404% |
| Sheboygan Employer's Health Network | $33 - $178 | 404% |
| Quartz Health Insurance | $33 - $178 | 404% |
| Aetna | $34 - $186 | 416% |
| Mayo Clinic Health Solutions | $34 - $182 | 416% |
| Bellin Thedacare | $35 - $188 | 428% |
| Multiplan | $35 - $199 | 428% |
| Cigna | $35 - $188 | 428% |
| Prevea Health Network | $35 - $188 | 428% |
| Group Health Cooperative of South Central Wisconsin | $35 - $188 | 428% |
| Coventry Health Care | $37 - $199 | 453% |