CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lafayette Regional Health Center

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0279
  • Insurance Median: $31
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Lafayette Regional Health Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.77x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $92 (228%)
Insurance Median: $31 (77%)
Cash: $92 (228% of Medicare)
Ins. Median: $31 (77% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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
Devoted Health $13 32%
Coventry $13 - $74 32%
Cigna $13 - $66 32%
Celtic $13 32%
Blue Cross Blue Shield $13 - $92 32%
United $13 - $57 32%
Humana $13 - $40 32%
Wellcare $13 32%
Pyramid Life $14 35%
Ambetter / Centene $17 - $25 42%
Healthyblue $18 45%
Nhc Advantage $18 45%
Aetna $24 - $81 59%
Universal Healthcare $24 59%
College Park Family Care Center $40 99%
Oscar $46 114%
Oha Network $46 114%
Wppa Providrs Care Network $69 171%
Multiplan $72 178%
Coventry Kc Mo $74 183%
Corvel Corporation $78 193%
Cco, Inc. $78 193%
Focus Healthcare Mgmt, Inc $83 205%

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