CMS Price Transparency Data

Blood antibody screen

Facility: Lafayette Regional Health Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $69
  • Cash Discount Price: $161
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lafayette Regional Health Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.30x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$161

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $161 (302%)
Insurance Median: $69 (130%)
Cash: $161 (302% of Medicare)
Ins. Median: $69 (130% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthyblue $8 15%
United $8 - $73 15%
Aetna $9 - $141 17%
Amerigroup $9 17%
Home State Health Plan $9 17%
Medicaid / KanCare $9 17%
Unicare $9 17%
Corvel Corporation $17 - $137 32%
Oha Network $17 - $81 32%
Ambetter / Centene $30 56%
Nhc Advantage $31 58%
Universal Healthcare $42 79%
Humana $55 - $69 103%
Blue Cross Blue Shield $61 - $161 115%
College Park Family Care Center $69 130%
Oscar $81 152%
Cigna $92 - $115 173%
Wppa Providrs Care Network $121 227%
Multiplan $126 237%
Coventry $129 242%
Coventry Kc Mo $129 242%
Cco, Inc. $137 257%
Focus Healthcare Mgmt, Inc $145 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals