CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Lafayette Regional Health Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $92
  • Cash Discount Price: $215
  • vs. Medicare Baseline: 17.97x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Lafayette Regional Health Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 17.97x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$215

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $215 (4199%)
Insurance Median: $92 (1797%)
Cash: $215 (4199% of Medicare)
Ins. Median: $92 (1797% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 1797% of the Medicare baseline (a markup of 1697%). 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 - $188 98%
Amerigroup $5 98%
Healthyblue $5 98%
Home State Health Plan $5 98%
Medicaid / KanCare $5 98%
Unicare $5 98%
United $5 - $97 98%
Corvel Corporation $11 - $183 215%
Oha Network $12 - $107 234%
Ambetter / Centene $40 781%
Nhc Advantage $41 801%
Universal Healthcare $56 1094%
Humana $73 - $92 1426%
Blue Cross Blue Shield $82 - $215 1602%
College Park Family Care Center $92 1797%
Oscar $107 2090%
Cigna $123 - $153 2402%
Wppa Providrs Care Network $161 3145%
Multiplan $168 3281%
Coventry $171 3340%
Coventry Kc Mo $171 3340%
Cco, Inc. $183 3574%
Focus Healthcare Mgmt, Inc $193 3770%

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