CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lafayette Regional Health Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $110
  • Cash Discount Price: $255
  • vs. Medicare Baseline: 27.99x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lafayette Regional Health Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 27.99x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$255

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $255 (6489%)
Insurance Median: $110 (2799%)
Cash: $255 (6489% of Medicare)
Ins. Median: $110 (2799% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 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 2799% of the Medicare baseline (a markup of 2699%). 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 $4 - $223 102%
Amerigroup $4 102%
Healthyblue $4 102%
Home State Health Plan $4 102%
Medicaid / KanCare $4 102%
Unicare $4 102%
United $4 - $115 102%
Corvel Corporation $8 - $217 204%
Oha Network $8 - $127 204%
Ambetter / Centene $47 1196%
Nhc Advantage $48 1221%
Universal Healthcare $66 1679%
Humana $86 - $110 2188%
Blue Cross Blue Shield $97 - $255 2468%
College Park Family Care Center $110 2799%
Oscar $127 3232%
Cigna $146 - $182 3715%
Wppa Providrs Care Network $191 4860%
Multiplan $199 5064%
Coventry $203 5165%
Coventry Kc Mo $203 5165%
Cco, Inc. $217 5522%
Focus Healthcare Mgmt, Inc $229 5827%

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