CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lafayette Regional Health Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,049
  • Cash Discount Price: $2,498
  • vs. Medicare Baseline: 9.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lafayette Regional Health Center is $1,049. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,498. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.82x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$2,498

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,049

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,498 (2339%)
Insurance Median: $1,049 (982%)
Cash: $2,498 (2339% of Medicare)
Ins. Median: $1,049 (982% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 982% of the Medicare baseline (a markup of 882%). 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 $60 - $1,124 56%
Healthyblue $61 57%
Aetna $62 - $2,186 58%
Amerigroup $62 58%
Home State Health Plan $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Corvel Corporation $100 - $2,123 94%
Oha Network $101 - $1,249 95%
Ambetter / Centene $465 435%
Nhc Advantage $475 445%
Universal Healthcare $649 608%
Humana $844 - $1,074 790%
Blue Cross Blue Shield $949 - $2,498 888%
College Park Family Care Center $1,074 1006%
Oscar $1,249 1169%
Cigna $1,427 - $1,783 1336%
Wppa Providrs Care Network $1,873 1754%
Multiplan $1,948 1824%
Coventry $1,993 1866%
Coventry Kc Mo $1,993 1866%
Cco, Inc. $2,123 1988%
Focus Healthcare Mgmt, Inc $2,248 2105%

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