CMS Price Transparency Data

Blood test, urea nitrogen (BUN, kidney)

Facility: Lafayette Regional Health Center

Billing Code: 84520 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84520
  • Insurance Median: $67
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 16.96x Medicare
The contracted insurance negotiated median rate for a Blood test, urea nitrogen (BUN, kidney) at Lafayette Regional Health Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $3.95, this hospital’s rate is 16.96x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.95

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.95 (100%)
Cash / Self-Pay: $156 (3949%)
Insurance Median: $67 (1696%)
Cash: $156 (3949% of Medicare)
Ins. Median: $67 (1696% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.95 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 1696% of the Medicare baseline (a markup of 1596%). 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 - $137 101%
Amerigroup $4 101%
Healthyblue $4 101%
Home State Health Plan $4 101%
Medicaid / KanCare $4 101%
Unicare $4 101%
United $4 - $70 101%
Corvel Corporation $9 - $133 228%
Oha Network $9 - $78 228%
Ambetter / Centene $29 734%
Nhc Advantage $30 759%
Universal Healthcare $41 1038%
Humana $53 - $67 1342%
Blue Cross Blue Shield $59 - $156 1494%
College Park Family Care Center $67 1696%
Oscar $78 1975%
Cigna $89 - $111 2253%
Wppa Providrs Care Network $117 2962%
Multiplan $122 3089%
Coventry $125 3165%
Coventry Kc Mo $125 3165%
Cco, Inc. $133 3367%
Focus Healthcare Mgmt, Inc $140 3544%

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