CMS Price Transparency Data

X-ray, lower back

Facility: Lafayette Regional Health Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $678
  • Cash Discount Price: $1,614
  • vs. Medicare Baseline: 6.35x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Lafayette Regional Health Center is $678. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,614. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.35x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$1,614

Average discount available for prompt cash payment at this facility.

Insurance Median
$678

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: $1,614 (1511%)
Insurance Median: $678 (635%)
Cash: $1,614 (1511% of Medicare)
Ins. Median: $678 (635% 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 635% of the Medicare baseline (a markup of 535%). 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
Corvel Corporation $53 - $1,372 50%
Oha Network $53 - $807 50%
United $60 - $726 56%
Healthyblue $61 57%
Aetna $62 - $1,412 58%
Amerigroup $62 58%
Home State Health Plan $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Ambetter / Centene $300 281%
Nhc Advantage $307 287%
Universal Healthcare $420 393%
Humana $546 - $694 511%
Blue Cross Blue Shield $613 - $1,614 574%
College Park Family Care Center $694 650%
Oscar $807 756%
Cigna $922 - $1,152 863%
Wppa Providrs Care Network $1,210 1133%
Multiplan $1,259 1179%
Coventry $1,288 1206%
Coventry Kc Mo $1,288 1206%
Cco, Inc. $1,372 1285%
Focus Healthcare Mgmt, Inc $1,453 1360%

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