CMS Price Transparency Data

Blood test, calcium

Facility: Lafayette Regional Health Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $98
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 18.99x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Lafayette Regional Health Center is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 18.99x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $227 (4399%)
Insurance Median: $98 (1899%)
Cash: $227 (4399% of Medicare)
Ins. Median: $98 (1899% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 1899% of the Medicare baseline (a markup of 1799%). 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 $5 - $199 97%
Amerigroup $5 97%
Healthyblue $5 97%
Home State Health Plan $5 97%
Medicaid / KanCare $5 97%
Unicare $5 97%
United $5 - $102 97%
Corvel Corporation $11 - $193 213%
Oha Network $12 - $114 233%
Ambetter / Centene $42 814%
Nhc Advantage $43 833%
Universal Healthcare $59 1143%
Humana $77 - $98 1492%
Blue Cross Blue Shield $86 - $227 1667%
College Park Family Care Center $98 1899%
Oscar $114 2209%
Cigna $130 - $162 2519%
Wppa Providrs Care Network $170 3295%
Multiplan $177 3430%
Coventry $181 3508%
Coventry Kc Mo $181 3508%
Cco, Inc. $193 3740%
Focus Healthcare Mgmt, Inc $204 3953%

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