Administration immunization each additional vaccine at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$13.35 with Ambetter vs $71.77 with Anthem MissouriCare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $13.35 | — |
| NHC Advantage | MGMCD | $13.64 | — |
| NHC Advantage | MGMCR | $13.64 | — |
| United | KSMGMCD | $14.72 | — |
| HealthyBlue | MGMCD | $15.01 | — |
| Sunflower State Health Plan | MCD | $15.16 | — |
| Home State Health Plan | MCD | $15.31 | — |
| Amerigroup | MGMCD | $15.31 | — |
| Aetna Better Health | MCD | $15.31 | — |
| Unicare | MGMCD | $15.31 | — |
| United | MOMGMCD | $16.19 | — |
| United | OptionsPPO | $18.01 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $18.66 | — |
| Universal Healthcare | MCR | $18.66 | — |
| Humana | ASO | $24.26 | — |
| Humana | EPO | $24.26 | — |
| Humana | HMO | $24.26 | — |
| BCBS | Preferred-CareBlue(PPO) | $27.27 | — |
| BCBS | Blue-Care(HMO) | $27.27 | — |
| BCBS | BlueAccess | $27.27 | — |
| BCBS | FreedomNetworkSelect | $27.27 | — |
| BCBS | FreedomNetwork | $29.43 | — |
| College Park Family Care Center | COMM | $30.86 | — |
| Humana | POS | $30.86 | — |
| BCBS | PC | $30.86 | — |
| Humana | PPO | $30.86 | — |
| United | GlobalBenefitPlan | $32.30 | — |
| Aetna | IVLHIX | $34.09 | — |
| Oscar | HIX | $35.88 | — |
| OHA Network | MissouriWCOMP | $35.88 | — |
| Aetna | KCCarePlus | $37.82 | — |
| Cigna | LocalKC | $41.00 | — |
| BCBS | Participating | $45.93 | — |
| BCBS | Traditional | $45.93 | — |
| Aetna | Local | $48.09 | — |
| Cigna | SureFit/LocalPlus | $51.21 | — |
| Cigna | Comm | $51.24 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $53.83 | — |
| Aetna | NAP | $54.40 | — |
| Aetna | National | $54.98 | — |
| Multiplan | PrimaryNetwork | $55.98 | — |
| Coventry | WCOMP | $57.27 | — |
| Coventry KC MO | WCOMP | $57.27 | — |
| CCO, Inc. | WORKERSCOMPPPO | $61.00 | — |
| CCO, Inc. | COMM | $61.00 | — |
| CorVel Corporation | MOWC | $61.00 | — |
| Aetna | FHMedicalRental | $62.80 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $64.59 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $71.77 | — |
Visitor-reported prices
Comments
Administration immunization each additional vaccine at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $50.60 | $13.18 – $13.18 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $50.60 | $13.18 – $13.18 |
| SSM Health Saint Louis University Hospital | Saint Louis | $33.55 | $15.13 – $29.99 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $50.60 | $13.18 – $13.18 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $50.60 | $13.18 – $13.18 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $50.60 | $13.18 – $13.18 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $26.95 | $21.89 – $21.89 |
| Mercy Hospital Aurora | Aurora | $48.75 | $14.72 – $14.72 |