CMS Price Transparency Data

X-ray, foot

Facility: Lafayette Regional Health Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $482
Cash Discount Price: $1,072
vs. Medicare Baseline: 5.42x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Lafayette Regional Health Center is $482. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,072. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.42x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$1,072

Average discount available for prompt cash payment at this facility.

Insurance Median

$482

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: $1,072 (1206%)

Insurance Median: $482 (542%)

Cash: $1,072 (1206% of Medicare)

Ins. Median: $482 (542% 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 542% of the Medicare baseline (a markup of 442%). 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	$33 - $1,213	37%
Oha Network	$34 - $714	38%
United	$49 - $642	55%
Healthyblue	$50	56%
Medicaid / KanCare	$50	56%
Aetna	$51 - $1,249	57%
Amerigroup	$51	57%
Home State Health Plan	$51	57%
Unicare	$51	57%
Ambetter / Centene	$133 - $265	150%
Nhc Advantage	$136 - $271	153%
Universal Healthcare	$186 - $371	209%
Humana	$242 - $614	272%
Blue Cross Blue Shield	$272 - $1,427	306%
College Park Family Care Center	$308 - $614	346%
Oscar	$358 - $714	403%
Cigna	$409 - $1,019	460%
Wppa Providrs Care Network	$537 - $1,070	604%
Multiplan	$559 - $1,113	629%
Coventry	$572 - $1,139	643%
Coventry Kc Mo	$572 - $1,139	643%
Cco, Inc.	$609 - $1,213	685%
Focus Healthcare Mgmt, Inc	$645 - $1,284	725%

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 $1,072.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.