CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Lafayette Regional Health Center

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$239

about 1.0× the $244 Medicare rate · typically $143–$869

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

Below the fair price — a good deal

about $95 under the fair price · 0.6× Medicare

Medicare pays $244 Fair price $239 This hospital $144 Cash price $9,079 Hospital's list price $9,079

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

One of the lower prices — 6 of 8 other MO hospitals charge more for the same procedure.

Cheapest $118 Priciest $224

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $239 (about 1.0× the $244 Medicare rate). Lafayette Regional Health Center charges insurers about $144, or about $9,079 in cash — below the fair price — a good deal. Located in Lexington, MO.

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	$131 - $5,448	54%
Blue Cross Blue Shieldmajor	$2,300 - $12,106	944%
Aetnamajor	$136 - $10,593	56%
Cignamajor	$3,457 - $8,644	1418%
Humanamajor	$2,046 - $5,206	839%
Ambetter (Centene)	$1,126 - $2,252	462%
Amerigroup	$136	56%
Oscar Health	$3,026 - $6,053	1241%
UniCare	$136	56%
+ 9 smaller / regional plans	$134 - $10,896

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,079), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 73721.

Insurance Before you use insurance

Call your insurance company to confirm Lafayette Regional Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 73721.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Lafayette Regional Health Center

Compare: MRI, knee or other leg joint at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.