CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lafayette Regional Health Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $4,092
  • Cash Discount Price: $9,079
  • vs. Medicare Baseline: 16.79x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Lafayette Regional Health Center is $4,092. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,079. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.79x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$9,079

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,092

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: $9,079 (3724%)
Insurance Median: $4,092 (1679%)
Cash: $9,079 (3724% of Medicare)
Ins. Median: $4,092 (1679% 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 1679% of the Medicare baseline (a markup of 1579%). 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 - $5,448 54%
Healthyblue $134 55%
Medicaid / KanCare $135 55%
Aetna $136 - $10,593 56%
Amerigroup $136 56%
Home State Health Plan $136 56%
Unicare $136 56%
Corvel Corporation $272 - $10,290 112%
Oha Network $274 - $6,053 112%
Ambetter / Centene $1,126 - $2,252 462%
Nhc Advantage $1,150 - $2,300 472%
Universal Healthcare $1,574 - $3,148 646%
Humana $2,046 - $5,206 839%
Blue Cross Blue Shield $2,300 - $12,106 944%
College Park Family Care Center $2,603 - $5,206 1068%
Oscar $3,026 - $6,053 1241%
Cigna $3,457 - $8,644 1418%
Wppa Providrs Care Network $4,539 - $9,080 1862%
Multiplan $4,721 - $9,443 1937%
Coventry $4,830 - $9,661 1981%
Coventry Kc Mo $4,830 - $9,661 1981%
Cco, Inc. $5,145 - $10,290 2111%
Focus Healthcare Mgmt, Inc $5,447 - $10,896 2234%

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