CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lafayette Regional Health Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,059
  • Cash Discount Price: $4,902
  • vs. Medicare Baseline: 19.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lafayette Regional Health Center is $2,059. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,902. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.28x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$4,902

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,059

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: $4,902 (4589%)
Insurance Median: $2,059 (1928%)
Cash: $4,902 (4589% of Medicare)
Ins. Median: $2,059 (1928% 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 1928% of the Medicare baseline (a markup of 1828%). 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 - $2,206 56%
Healthyblue $61 57%
Aetna $62 - $4,289 58%
Amerigroup $62 58%
Home State Health Plan $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Corvel Corporation $117 - $4,167 110%
Oha Network $119 - $2,451 111%
Ambetter / Centene $912 854%
Nhc Advantage $931 872%
Universal Healthcare $1,275 1194%
Humana $1,657 - $2,108 1551%
Blue Cross Blue Shield $1,863 - $4,902 1744%
College Park Family Care Center $2,108 1974%
Oscar $2,451 2295%
Cigna $2,800 - $3,500 2621%
Wppa Providrs Care Network $3,677 3443%
Multiplan $3,824 3580%
Coventry $3,912 3663%
Coventry Kc Mo $3,912 3663%
Cco, Inc. $4,167 3901%
Focus Healthcare Mgmt, Inc $4,412 4131%

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