CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Lafayette Regional Health Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,455
  • Cash Discount Price: $5,844
  • vs. Medicare Baseline: 22.98x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Lafayette Regional Health Center is $2,455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,844. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.98x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$5,844

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,455

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $5,844 (5471%)
Insurance Median: $2,455 (2298%)
Cash: $5,844 (5471% of Medicare)
Ins. Median: $2,455 (2298% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2298% of the Medicare baseline (a markup of 2198%). 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 $60 - $2,630 56%
Healthyblue $61 57%
Aetna $62 - $5,114 58%
Amerigroup $62 58%
Home State Health Plan $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Corvel Corporation $167 - $4,968 156%
Oha Network $169 - $2,922 158%
Ambetter / Centene $1,087 1018%
Nhc Advantage $1,110 1039%
Universal Healthcare $1,520 1423%
Humana $1,975 - $2,513 1849%
Blue Cross Blue Shield $2,221 - $5,844 2079%
College Park Family Care Center $2,513 2353%
Oscar $2,922 2736%
Cigna $3,338 - $4,173 3125%
Wppa Providrs Care Network $4,383 4104%
Multiplan $4,559 4268%
Coventry $4,664 4367%
Coventry Kc Mo $4,664 4367%
Cco, Inc. $4,968 4651%
Focus Healthcare Mgmt, Inc $5,260 4925%

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