CMS Price Transparency Data

Blood test, sodium

Facility: Lafayette Regional Health Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $92
Cash Discount Price: $215
vs. Medicare Baseline: 19.13x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium 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 $4.81, this hospital’s rate is 19.13x 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

$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)

Cash / Self-Pay: $215 (4470%)

Insurance Median: $92 (1913%)

Cash: $215 (4470% of Medicare)

Ins. Median: $92 (1913% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 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 1913% of the Medicare baseline (a markup of 1813%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	83%
Amerigroup	$4	83%
Healthyblue	$4	83%
Home State Health Plan	$4	83%
Medicaid / KanCare	$4	83%
Unicare	$4	83%
United	$4 - $97	83%
Corvel Corporation	$11 - $183	229%
Oha Network	$11 - $107	229%
Ambetter / Centene	$40	832%
Nhc Advantage	$41	852%
Universal Healthcare	$56	1164%
Humana	$73 - $92	1518%
Blue Cross Blue Shield	$82 - $215	1705%
College Park Family Care Center	$92	1913%
Oscar	$107	2225%
Cigna	$123 - $153	2557%
Wppa Providrs Care Network	$161	3347%
Multiplan	$168	3493%
Coventry	$171	3555%
Coventry Kc Mo	$171	3555%
Cco, Inc.	$183	3805%
Focus Healthcare Mgmt, Inc	$193	4012%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $215.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lafayette Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 84295.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.