How many shoppable procedure prices are published for Lafayette Regional Health Center?

Lafayette Regional Health Center in Lexington, MO currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lafayette Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lafayette Regional Health Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Lafayette Regional Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Lafayette Regional Health Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · urban Updated: 2026-09-01

Lafayette Regional Health Center

1500 State Street, Lexington, MO 64067 · 118 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

70/100 · Caution

70/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness90

Price Logic89

Peer Alignment54

Clean Billing94

Real Cash Discount6

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Lafayette Regional Health Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#14 of 79 in MO · 16th State Percentile#644 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 81% patient recommendation (82/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.74× Fair BaseRate (0.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.95×) jump +28% above the median procedure ratio (Q50 0.74×)
Unnegotiated chargemaster list prices average 18.0× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

0.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.56× · Q50 0.74× · Q75 0.95×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

5% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 82/100Good

Procedure Prices at Lafayette Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$8,849	$13,413	0.7×
Total knee replacement CPT Code: `27447`	—	$4,434	$13,523	0.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$3,835	$8,223	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$3,447	$6,109	0.6×
Breast lump removal CPT Code: `19120`	—	$3,117	$3,875	0.8×
Inguinal hernia repair CPT Code: `49505`	—	$3,058	$3,629	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,020	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,020	$3,446	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,809	$855	3.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,550	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,550	$2,975	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,668	$2,540	0.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,116	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$881	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$850	$981	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$713	$713	$123	5.8×
New patient office visit (30-44 min) CPT Code: `99203`	$549	$549	$110	5.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$514	$514	$87	5.9×
Blood transfusion CPT Code: `36430`	$939	$501	$498	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$405	$166	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$405	$181	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$398	$1,021	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$8,855	$327	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$7,447	$327	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$1,627	$291	$322	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,737	$303	$583	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,289	$231	$151	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$6,893	$204	$338	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$8,563	$181	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$6,893	$204	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$9,079	$204	$369	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$5,227	$158	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$8,408	$158	$258	0.6×
Psychological testing by technician CPT Code: `96138`	—	$134	$395	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,498	$97	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$2,498	$97	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,257	$97	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,330	$97	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$772	$94	$148	0.6×
CT scan, head (no contrast) CPT Code: `70450`	$4,902	$97	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$4,902	$97	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$5,842	$97	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$5,844	$97	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$4,902	$97	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$5,772	$97	$169	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$93	$231	0.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$5,590	$83	$272	0.3×
Typhoid vaccine HCPCS Code: `90675`	$1,144	$333	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$869	$139	$140	1.0×
Drug screening test HCPCS Code: `G0480`	$1,313	$114	$116	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$815	$127	$203	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$69	$69	$48	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$69	$69	$49	1.4×
Speech therapy (language evaluation) CPT Code: `92507`	$601	$79	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$661	$78	$123	0.6×
Orthotic fitting and training CPT Code: `97760`	$284	$52	$51	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$74	$111	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$213	$72	$201	0.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$29	$25	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$69	$48	$49	1.0×
Blood test, magnesium CPT Code: `83735`	$261	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$30	$19	$19	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$473	$19	$20	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$269	$29	$35	0.8×
Physical therapy (gait training) CPT Code: `97116`	$250	$25	$33	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$250	$30	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$250	$28	$38	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$1,747	$41	$56	0.7×
X-ray, pelvis CPT Code: `72170`	$717	$61	$110	0.6×
X-ray, lower back CPT Code: `72110`	$1,614	$62	$112	0.6×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$156	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$341	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$185	$15	$15	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$41	$35	$37	0.9×
Blood test, vitamin D CPT Code: `82306`	$56	$27	$31	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$912	$51	$93	0.5×
X-ray, hand CPT Code: `73130`	$1,072	$51	$93	0.5×
X-ray, hip CPT Code: `73502`	$961	$51	$93	0.5×
X-ray, ankle CPT Code: `73610`	$1,072	$51	$93	0.5×
X-ray, chest (single view) CPT Code: `71045`	$510	$50	$92	0.5×
X-ray, shoulder CPT Code: `73030`	$1,444	$50	$92	0.5×
X-ray, foot CPT Code: `73630`	$1,072	$50	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$1,021	$50	$93	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$31	$23	$25	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$43	$128	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$1,043	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,126	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$955	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$324	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$302	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$227	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$215	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$270	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$238	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$255	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$246	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$464	$7	$7	1.0×
Culture, blood CPT Code: `87040`	$493	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$963	$8	$9	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$279	$16	$18	0.9×
Culture, bacterial CPT Code: `87070`	$216	$8	$9	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$7	$8	0.9×
Blood test, potassium CPT Code: `84132`	$215	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$215	$4	$5	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$341	$4	$5	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$153	$11	$14	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$250	$23	$34	0.7×
Blood test, hemoglobin CPT Code: `85018`	$117	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$25	$39	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$269	$20	$38	0.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$120	$18	$38	0.5×
Prosthetic fitting and training CPT Code: `97761`	$255	$21	$45	0.5×
Speech therapy (group session) CPT Code: `92508`	—	$11	$27	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$92	$13	$35	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$420	$22	$64	0.3×
Blood antibody screen CPT Code: `86850`	$161	$9	$46	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$119	$5	$86	0.1×

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Lafayette Regional Health Center (Zero PHI Required)

CMS CCN: 261320

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $8,849

1. Amount on Your Bill or Quote ($) Pre-filled with Lafayette Regional Health Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lafayette Regional Health Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$7,825 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($21,238) is $7,825 above the denoised Fair BaseRate ($13,413) and 1.6× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 481301817

Public IRS & CMS ownership records classify Lafayette Regional Health Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait107 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lafayette Regional Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-05·administrative_or_closure
Met Requirements
Recorded
2023-12-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (132 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lafayette Regional Health Center.

Price Index: 1.24× regional baseline

Quality: 82/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UniCare

-74.4%

Amerigroup

-49.0%

Cigna

+75.0%

Blue Cross Blue Shield

+80.3%

Oscar Health

+96.0%

Median Household Income$79,091U.S. Census ACS

Local Uninsured Share9.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 70/100 · Caution CMS CCN 261320 EIN 481301817

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 261320) ↗ Verify IRS Form 990 (EIN 481301817) ↗ CMS HCRIS Cost Reports ↗

Published MRF File48-1301817_LAFAYETTE-REGIONAL-HEALTH-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 131.33 MB

Validated Rate Rows5,506 (CMS v3.0.0)

File Integrity Digestf4bbd495a6b7bd372b48…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy