CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lafayette Regional Health Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,719
  • Cash Discount Price: $8,855
  • vs. Medicare Baseline: 10.43x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lafayette Regional Health Center is $3,719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,855. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.43x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$8,855

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,719

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $8,855 (2484%)
Insurance Median: $3,719 (1043%)
Cash: $8,855 (2484% of Medicare)
Ins. Median: $3,719 (1043% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1043% of the Medicare baseline (a markup of 943%). 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
United $207 - $3,985 58%
Healthyblue $211 59%
Medicaid / KanCare $213 60%
Aetna $215 - $7,748 60%
Amerigroup $215 60%
Home State Health Plan $215 60%
Unicare $215 60%
Corvel Corporation $353 - $7,527 99%
Oha Network $356 - $4,428 100%
Ambetter / Centene $1,647 462%
Nhc Advantage $1,683 472%
Universal Healthcare $2,302 646%
Humana $2,993 - $3,808 840%
Blue Cross Blue Shield $3,365 - $8,855 944%
College Park Family Care Center $3,808 1068%
Oscar $4,428 1242%
Cigna $5,058 - $6,323 1419%
Wppa Providrs Care Network $6,641 1863%
Multiplan $6,907 1938%
Coventry $7,067 1983%
Coventry Kc Mo $7,067 1983%
Cco, Inc. $7,527 2112%
Focus Healthcare Mgmt, Inc $7,970 2236%

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