CMS Price Transparency Data

Blood test, potassium

Facility: Lafayette Regional Health Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $92
  • Cash Discount Price: $215
  • vs. Medicare Baseline: 19.33x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium 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 $4.76, this hospital’s rate is 19.33x 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
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $215 (4517%)
Insurance Median: $92 (1933%)
Cash: $215 (4517% of Medicare)
Ins. Median: $92 (1933% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 1933% of the Medicare baseline (a markup of 1833%). 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 - $188 84%
Amerigroup $4 84%
Healthyblue $4 84%
Home State Health Plan $4 84%
Medicaid / KanCare $4 84%
Unicare $4 84%
United $4 - $97 84%
Corvel Corporation $10 - $183 210%
Oha Network $10 - $107 210%
Ambetter / Centene $40 840%
Nhc Advantage $41 861%
Universal Healthcare $56 1176%
Humana $73 - $92 1534%
Blue Cross Blue Shield $82 - $215 1723%
College Park Family Care Center $92 1933%
Oscar $107 2248%
Cigna $123 - $153 2584%
Wppa Providrs Care Network $161 3382%
Multiplan $168 3529%
Coventry $171 3592%
Coventry Kc Mo $171 3592%
Cco, Inc. $183 3845%
Focus Healthcare Mgmt, Inc $193 4055%

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