CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Lafayette Regional Health Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $448
  • Cash Discount Price: $1,043
  • vs. Medicare Baseline: 52.96x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Lafayette Regional Health Center is $448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,043. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 52.96x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$1,043

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $1,043 (12329%)
Insurance Median: $448 (5296%)
Cash: $1,043 (12329% of Medicare)
Ins. Median: $448 (5296% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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 5296% of the Medicare baseline (a markup of 5196%). 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 $8 - $913 95%
United $8 - $469 95%
Amerigroup $9 106%
Healthyblue $9 106%
Home State Health Plan $9 106%
Medicaid / KanCare $9 106%
Unicare $9 106%
Corvel Corporation $18 - $886 213%
Oha Network $19 - $521 225%
Ambetter / Centene $194 2293%
Nhc Advantage $198 2340%
Universal Healthcare $271 3203%
Humana $352 - $448 4161%
Blue Cross Blue Shield $396 - $1,043 4681%
College Park Family Care Center $448 5296%
Oscar $521 6158%
Cigna $596 - $745 7045%
Wppa Providrs Care Network $782 9243%
Multiplan $813 9610%
Coventry $832 9835%
Coventry Kc Mo $832 9835%
Cco, Inc. $886 10473%
Focus Healthcare Mgmt, Inc $939 11099%

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