CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Lafayette Regional Health Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,081
about 1.1× the $5,676 Medicare rate · typically $3,763–$9,191
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $6,081

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,647 - $10,711 47%
Blue Cross Blue Shieldmajor $2,337 41%
Aetnamajor $1,849 - $3,988 33%
Cignamajor $2,430 43%
Humanamajor $2,337 41%
Ambetter (Centene) $4,550 80%
Amerigroup $3,988 70%
Devoted Health $2,384 42%
UniCare $3,988 70%
WellCare $2,384 42%
+ 5 smaller / regional plans $2,022 - $5,563
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals