CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lafayette Regional Health Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,531
  • Cash Discount Price: $8,408
  • vs. Medicare Baseline: 19.70x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lafayette Regional Health Center is $3,531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,408. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.70x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$8,408

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,531

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $8,408 (4692%)
Insurance Median: $3,531 (1970%)
Cash: $8,408 (4692% of Medicare)
Ins. Median: $3,531 (1970% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1970% of the Medicare baseline (a markup of 1870%). 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 $101 - $3,783 56%
Healthyblue $103 57%
Medicaid / KanCare $104 58%
Aetna $105 - $7,357 59%
Amerigroup $105 59%
Home State Health Plan $105 59%
Unicare $105 59%
Corvel Corporation $205 - $7,146 114%
Oha Network $207 - $4,204 116%
Ambetter / Centene $1,564 873%
Nhc Advantage $1,597 891%
Universal Healthcare $2,186 1220%
Humana $2,842 - $3,615 1586%
Blue Cross Blue Shield $3,195 - $8,408 1783%
College Park Family Care Center $3,615 2017%
Oscar $4,204 2346%
Cigna $4,802 - $6,003 2680%
Wppa Providrs Care Network $6,306 3519%
Multiplan $6,558 3660%
Coventry $6,709 3744%
Coventry Kc Mo $6,709 3744%
Cco, Inc. $7,146 3988%
Focus Healthcare Mgmt, Inc $7,567 4223%

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