CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lafayette Regional Health Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $116
  • Cash Discount Price: $270
  • vs. Medicare Baseline: 7.69x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lafayette Regional Health Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.69x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$270

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Cash / Self-Pay: $270 (1790%)
Insurance Median: $116 (769%)
Cash: $270 (1790% of Medicare)
Ins. Median: $116 (769% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 769% of the Medicare baseline (a markup of 669%). 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 $14 - $237 93%
Healthyblue $15 99%
United $15 - $122 99%
Amerigroup $16 106%
Home State Health Plan $16 106%
Medicaid / KanCare $16 106%
Unicare $16 106%
Corvel Corporation $33 - $230 219%
Oha Network $33 - $135 219%
Ambetter / Centene $50 332%
Nhc Advantage $51 338%
Universal Healthcare $70 464%
Humana $91 - $116 603%
Blue Cross Blue Shield $103 - $270 683%
College Park Family Care Center $116 769%
Oscar $135 895%
Cigna $154 - $193 1021%
Wppa Providrs Care Network $203 1346%
Multiplan $211 1399%
Coventry $216 1432%
Coventry Kc Mo $216 1432%
Cco, Inc. $230 1525%
Focus Healthcare Mgmt, Inc $243 1611%

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