CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lafayette Regional Health Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $2,384
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Lafayette Regional Health Center is $2,384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 0.19x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,384

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)

Insurance Median: $2,384 (19%)

Ins. Median: $2,384 (19% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$1,849 - $8,556	14%
United	$1,981 - $54,949	15%
College Park Family Care Center	$2,022	16%
Blue Cross Blue Shield	$2,337	18%
Coventry	$2,337	18%
Humana	$2,337	18%
Celtic	$2,384	19%
Devoted Health	$2,384	19%
Wellcare	$2,384	19%
Cigna	$2,430	19%
Pyramid Life	$2,571	20%
Ambetter / Centene	$4,550	36%
Healthyblue	$8,392	66%
Amerigroup	$8,556	67%
Unicare	$8,556	67%
Medicaid / KanCare	$9,736	76%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lafayette Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 322.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.