CMS Price Transparency Data

Electrical stimulation therapy

Facility: Lafayette Regional Health Center

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $73
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 5.75x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Lafayette Regional Health Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 5.75x the Medicare baseline. Located in 1500 State Street, Lexington, MO.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)
Cash / Self-Pay: $153 (1206%)
Insurance Median: $73 (575%)
Cash: $153 (1206% of Medicare)
Ins. Median: $73 (575% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 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 575% of the Medicare baseline (a markup of 475%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Ambetter / Centene $27 - $30 213%
Nhc Advantage $28 - $30 221%
Healthyblue $30 - $32 236%
United $37 - $72 292%
Universal Healthcare $38 - $41 299%
Aetna $38 - $139 299%
Humana $50 - $68 394%
Blue Cross Blue Shield $56 - $159 441%
College Park Family Care Center $63 - $68 496%
Oscar $74 - $79 583%
Oha Network $74 - $79 583%
Cigna $84 - $114 662%
Wppa Providrs Care Network $111 - $119 875%
Multiplan $115 - $124 906%
Coventry Kc Mo $118 - $127 930%
Coventry $118 - $127 930%
Cco, Inc. $125 - $135 985%
Corvel Corporation $125 - $135 985%
Focus Healthcare Mgmt, Inc $133 - $143 1048%

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