CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lafayette Regional Health Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $106
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 10.92x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lafayette Regional Health Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 10.92x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $246 (2533%)
Insurance Median: $106 (1092%)
Cash: $246 (2533% of Medicare)
Ins. Median: $106 (1092% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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 1092% of the Medicare baseline (a markup of 992%). 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.

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
Aetna $9 - $215 93%
Amerigroup $10 103%
Healthyblue $10 103%
Home State Health Plan $10 103%
Medicaid / KanCare $10 103%
Unicare $10 103%
United $10 - $111 103%
Corvel Corporation $21 - $209 216%
Oha Network $21 - $123 216%
Ambetter / Centene $46 474%
Nhc Advantage $47 484%
Universal Healthcare $64 659%
Humana $83 - $106 855%
Blue Cross Blue Shield $93 - $246 958%
College Park Family Care Center $106 1092%
Oscar $123 1267%
Cigna $140 - $175 1442%
Wppa Providrs Care Network $184 1895%
Multiplan $192 1977%
Coventry $196 2019%
Coventry Kc Mo $196 2019%
Cco, Inc. $209 2152%
Focus Healthcare Mgmt, Inc $221 2276%

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