Lexington, NE
27
In-network payers
114
Disclosed rate categories
25
Beds
Lexington Regional Health Center is a 25-bed government - hospital district or authority hospital in Lexington, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 114 disclosed rate categories.
CCN (Medicare provider number)
281361
NPI
1467417352
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Lexington Regional Health Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$2,721 - $4,371
from 4 insurers · median $4,152
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,440 - $2,011
from 4 insurers · median $1,962
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,252 - $3,601
from 4 insurers · median $2,794
Typical for a hospital with this service line
CT imaging
CPT 71275
$3,288 - $3,323
from 4 insurers · median $3,305
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,061 - $2,161
from 4 insurers · median $2,150
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,947 - $3,989
from 4 insurers · median $3,968
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$3,444 - $6,612
from 4 insurers · median $6,577
Hospital reports pet scan services to CMS
Digestive procedures
CPT 43239
$1,612 - $2,316
from 4 insurers · median $2,304
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,292 - $3,461
from 4 insurers · median $3,443
Typical for a hospital with this service line
Mammography
CPT 77067
$240 - $346
from 4 insurers · median $345
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,419 - $4,601
from 4 insurers · median $4,512
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$133 - $445
from 4 insurers · median $338
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,749 - $3,358
from 4 insurers · median $2,656
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,612 - $1,950
from 4 insurers · median $1,940
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,612 - $1,950
from 4 insurers · median $1,940
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,522 - $2,550
from 4 insurers · median $2,536
Typical for a hospital with this service line
Ultrasound
CPT 76705
$666 - $673
from 4 insurers · median $669
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$963 - $1,027
from 4 insurers · median $1,022
Typical for a hospital with this service line
Ultrasound
CPT 76856
$413 - $792
from 4 insurers · median $788
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$129 - $138
from 3 insurers · median $129
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$733 - $1,407
from 4 insurers · median $1,400
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,180 - $4,186
from 4 insurers · median $4,164
Typical for a hospital with this service line
Ultrasound
CPT 76830
$550 - $564
from 4 insurers · median $561
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$825 - $1,583
from 4 insurers · median $1,575
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 640% | 0 | 0 |
| Insurer B* | 24 | 640% | 21 | 1 |
| Insurer C* | 24 | 624% | 2 | 8 |
| Insurer D* | 23 | 500% | 16 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lexington Regional Health Center.
1201 North Erie Street, Lexington, NE 68850
(308) 324-5651
The nearest hospitals of similar type and size. Their rates are compared with Lexington Regional Health Center for the same insurers and services above.
Cozad Community Hospital
▼ Rates typically 31% lower than Lexington Regional Health Center (23 services)
Gothenburg Memorial Hospital
▼ Rates typically 26% lower than Lexington Regional Health Center (23 services)
Phelps Memorial Health Center
Rates about the same as Lexington Regional Health Center (24 services)
Callaway District Hospital
Rates about the same as Lexington Regional Health Center (22 services)
Tri Valley Health System
▼ Rates typically 6% lower than Lexington Regional Health Center (24 services)
Jennie M. Melham Memorial Med Center
▼ Rates typically 47% lower than Lexington Regional Health Center (23 services)
Kimball Health Services Clinic
Harlan County Health System
Community Hospital Assocociation
Thayer County Health Services
About Lexington Regional Health Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lexington Regional Health Center range from $3,947 to $3,989 across 4 insurers. UnitedHealthcare's rate is $3,989. The median at nearby comparable hospitals is $3,050. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lexington Regional Health Center range from $2,721 to $4,371 across 4 insurers. Aetna's rate is $3,934. The median at nearby comparable hospitals is $2,721. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lexington Regional Health Center range from $1,612 to $1,950 across 4 insurers. Aetna's rate is $1,612. The median at nearby comparable hospitals is $1,592. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lexington Regional Health Center range from $240 to $346 across 4 insurers. Aetna's rate is $343. The median at nearby comparable hospitals is $238. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lexington Regional Health Center has 25 beds. Facility type: Critical Access Hospital.
Lexington Regional Health Center is located at 1201 North Erie Street, Lexington, NE 68850. Its main phone number is (308) 324-5651.
Lexington Regional Health Center's CMS Certification Number (CCN), also called its Medicare provider number, is 281361.
The National Provider Identifier (NPI) on file for Lexington Regional Health Center is 1467417352.
Lexington Regional Health Center lists 27 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
114 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers