CMS Price Transparency Data

Blood test, liver function panel

Facility: Lafayette Regional Health Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $414
  • Cash Discount Price: $963
  • vs. Medicare Baseline: 50.67x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Lafayette Regional Health Center is $414. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $963. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 50.67x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$963

Average discount available for prompt cash payment at this facility.

Insurance Median
$414

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $963 (11787%)
Insurance Median: $414 (5067%)
Cash: $963 (11787% of Medicare)
Ins. Median: $414 (5067% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 5067% of the Medicare baseline (a markup of 4967%). 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 - $842 98%
Amerigroup $8 98%
Healthyblue $8 98%
Home State Health Plan $8 98%
Medicaid / KanCare $8 98%
Unicare $8 98%
United $8 - $433 98%
Corvel Corporation $18 - $818 220%
Oha Network $18 - $481 220%
Ambetter / Centene $179 2191%
Nhc Advantage $183 2240%
Universal Healthcare $250 3060%
Humana $325 - $414 3978%
Blue Cross Blue Shield $366 - $963 4480%
College Park Family Care Center $414 5067%
Oscar $481 5887%
Cigna $550 - $687 6732%
Wppa Providrs Care Network $722 8837%
Multiplan $751 9192%
Coventry $768 9400%
Coventry Kc Mo $768 9400%
Cco, Inc. $818 10012%
Focus Healthcare Mgmt, Inc $866 10600%

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