CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lafayette Regional Health Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $198
  • Cash Discount Price: $772
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lafayette Regional Health Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.26x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$772

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $772 (492%)
Insurance Median: $198 (126%)
Cash: $772 (492% of Medicare)
Ins. Median: $198 (126% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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.

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 - $347 38%
Healthyblue $61 39%
Aetna $62 - $676 39%
Amerigroup $62 39%
Home State Health Plan $62 39%
Medicaid / KanCare $62 39%
Unicare $62 39%
Blue Cross Blue Shield $92 - $772 59%
Coventry $92 - $616 59%
Devoted Health $92 - $94 59%
Humana $92 - $332 59%
Cigna $93 - $551 59%
Celtic $94 60%
Wellcare $94 60%
Pyramid Life $101 64%
Ambetter / Centene $144 - $180 92%
Nhc Advantage $147 94%
Corvel Corporation $193 - $656 123%
Oha Network $195 - $386 124%
Universal Healthcare $201 128%
College Park Family Care Center $332 211%
Oscar $386 246%
Wppa Providrs Care Network $579 369%
Multiplan $602 383%
Coventry Kc Mo $616 392%
Cco, Inc. $656 418%
Focus Healthcare Mgmt, Inc $695 443%

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