CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lafayette Regional Health Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80061
  • Insurance Median: $411
  • Cash Discount Price: $955
  • vs. Medicare Baseline: 30.69x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lafayette Regional Health Center is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $955. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 30.69x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$955

Average discount available for prompt cash payment at this facility.

Insurance Median
$411

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)
Cash / Self-Pay: $955 (7132%)
Insurance Median: $411 (3069%)
Cash: $955 (7132% of Medicare)
Ins. Median: $411 (3069% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 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 3069% of the Medicare baseline (a markup of 2969%). 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 $13 - $835 97%
United $13 - $430 97%
Amerigroup $14 105%
Healthyblue $14 105%
Home State Health Plan $14 105%
Medicaid / KanCare $14 105%
Unicare $14 105%
Corvel Corporation $29 - $812 217%
Oha Network $30 - $477 224%
Ambetter / Centene $178 1329%
Nhc Advantage $181 1352%
Universal Healthcare $248 1852%
Humana $323 - $411 2412%
Blue Cross Blue Shield $363 - $955 2711%
College Park Family Care Center $411 3069%
Oscar $477 3562%
Cigna $545 - $682 4070%
Wppa Providrs Care Network $716 5347%
Multiplan $745 5564%
Coventry $762 5691%
Coventry Kc Mo $762 5691%
Cco, Inc. $812 6064%
Focus Healthcare Mgmt, Inc $859 6415%

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