CMS Price Transparency Data

Blood transfusion

Facility: Lafayette Regional Health Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $543
  • Cash Discount Price: $939
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Lafayette Regional Health Center is $543. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $939. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.20x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$939

Average discount available for prompt cash payment at this facility.

Insurance Median
$543

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $939 (208%)
Insurance Median: $543 (120%)
Cash: $939 (208% of Medicare)
Ins. Median: $543 (120% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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.

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
Ambetter / Centene $92 - $329 20%
United $125 - $1,218 28%
Aetna $129 - $1,548 29%
Universal Healthcare $129 - $460 29%
Humana $168 - $761 37%
Blue Cross Blue Shield $189 - $1,769 42%
College Park Family Care Center $214 - $761 47%
Oha Network $248 - $885 55%
Oscar $248 - $885 55%
Healthyblue $263 58%
Medicaid / KanCare $265 59%
Amerigroup $268 59%
Home State Health Plan $268 59%
Unicare $268 59%
Cigna $284 - $1,263 63%
Wppa Providrs Care Network $373 - $1,327 83%
Multiplan $388 - $1,380 86%
Coventry $396 - $1,412 88%
Coventry Kc Mo $396 - $1,412 88%
Cco, Inc. $422 - $1,504 94%
Corvel Corporation $422 - $1,504 94%
Focus Healthcare Mgmt, Inc $447 - $1,592 99%
Nhc Advantage $2,550 566%

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