CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Lafayette Regional Health Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,895
  • Cash Discount Price: $6,893
  • vs. Medicare Baseline: 11.88x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Lafayette Regional Health Center is $2,895. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,893. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.88x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$6,893

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,895

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $6,893 (2828%)
Insurance Median: $2,895 (1188%)
Cash: $6,893 (2828% of Medicare)
Ins. Median: $2,895 (1188% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1188% of the Medicare baseline (a markup of 1088%). 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 $131 - $3,102 54%
Healthyblue $134 55%
Medicaid / KanCare $135 55%
Aetna $136 - $6,031 56%
Amerigroup $136 56%
Home State Health Plan $136 56%
Unicare $136 56%
Corvel Corporation $251 - $5,859 103%
Oha Network $254 - $3,446 104%
Ambetter / Centene $1,282 526%
Nhc Advantage $1,310 537%
Universal Healthcare $1,792 735%
Humana $2,330 - $2,964 956%
Blue Cross Blue Shield $2,619 - $6,893 1074%
College Park Family Care Center $2,964 1216%
Oscar $3,446 1414%
Cigna $3,937 - $4,921 1615%
Wppa Providrs Care Network $5,170 2121%
Multiplan $5,376 2205%
Coventry $5,500 2256%
Coventry Kc Mo $5,500 2256%
Cco, Inc. $5,859 2403%
Focus Healthcare Mgmt, Inc $6,203 2545%

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