CMS Price Transparency Data

X-ray, chest (two views)

Facility: Lafayette Regional Health Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $429
Cash Discount Price: $1,021
vs. Medicare Baseline: 4.83x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Lafayette Regional Health Center is $429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,021. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.83x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$1,021

Average discount available for prompt cash payment at this facility.

Insurance Median

$429

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,021 (1148%)

Insurance Median: $429 (483%)

Cash: $1,021 (1148% of Medicare)

Ins. Median: $429 (483% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 483% of the Medicare baseline (a markup of 383%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Corvel Corporation	$31 - $868	35%
Oha Network	$31 - $510	35%
United	$49 - $459	55%
Healthyblue	$50	56%
Medicaid / KanCare	$50	56%
Aetna	$51 - $893	57%
Amerigroup	$51	57%
Home State Health Plan	$51	57%
Unicare	$51	57%
Ambetter / Centene	$190	214%
Nhc Advantage	$194	218%
Universal Healthcare	$265	298%
Humana	$345 - $439	388%
Blue Cross Blue Shield	$388 - $1,021	436%
College Park Family Care Center	$439	494%
Oscar	$510	574%
Cigna	$583 - $729	656%
Wppa Providrs Care Network	$766	862%
Multiplan	$796	895%
Coventry	$815	917%
Coventry Kc Mo	$815	917%
Cco, Inc.	$868	976%
Focus Healthcare Mgmt, Inc	$919	1034%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,021.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lafayette Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.