CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Lafayette Regional Health Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $140
  • Cash Discount Price: $324
  • vs. Medicare Baseline: 44.16x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Lafayette Regional Health Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $324. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 44.16x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$324

Average discount available for prompt cash payment at this facility.

Insurance Median
$140

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $324 (10221%)
Insurance Median: $140 (4416%)
Cash: $324 (10221% of Medicare)
Ins. Median: $140 (4416% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 4416% of the Medicare baseline (a markup of 4316%). 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 $3 - $284 95%
Amerigroup $3 95%
Healthyblue $3 95%
Home State Health Plan $3 95%
Medicaid / KanCare $3 95%
Unicare $3 95%
United $3 - $146 95%
Corvel Corporation $7 - $276 221%
Oha Network $7 - $162 221%
Ambetter / Centene $60 1893%
Nhc Advantage $62 1956%
Universal Healthcare $84 2650%
Humana $110 - $140 3470%
Blue Cross Blue Shield $123 - $324 3880%
College Park Family Care Center $140 4416%
Oscar $162 5110%
Cigna $185 - $232 5836%
Wppa Providrs Care Network $243 7666%
Multiplan $253 7981%
Coventry $259 8170%
Coventry Kc Mo $259 8170%
Cco, Inc. $276 8707%
Focus Healthcare Mgmt, Inc $292 9211%

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