CMS Price Transparency Data

Pneumococcal vaccine

Facility: Lafayette Regional Health Center

Billing Code: 90732 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$120
modeled fair price · typically $44–$284
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
Above the fair price
about $19 over the fair price
Fair price $120 This hospital $139 Cash price $869 Hospital's list price $869

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 1 charge more and 4 charge less, among the 9 MO hospitals compared.

Cheapest $115 Priciest $141

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 Pneumococcal vaccine is about $120. Lafayette Regional Health Center charges insurers about $139, or about $869 in cash — above the fair price. Located in Lexington, MO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $120. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $133 - $526 —
Blue Cross Blue Shieldmajor $216 - $748 —
Aetnamajor $139 - $1,023 —
Cignamajor $325 - $835 —
Humanamajor $192 - $503 —
Ambetter (Centene) $106 - $218 —
Amerigroup $139 —
Oscar Health $285 - $585 —
UniCare $139 —
+ 6 smaller / regional plans $136 - $1,052
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

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