Amitriptyline (elavil) -sendout at LAFAYETTE REGIONAL HEALTH CENTER

1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 17, 2026

$1,898.81

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,898.81

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$23.71 with United vs $1,898.81 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 →

Payer
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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
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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
United KSMGMCD $23.71 ↓ -99%
HealthyBlue MGMCD $24.18 ↓ -99%
Sunflower State Health Plan MCD $24.42 ↓ -99%
Amerigroup MGMCD $24.66 ↓ -99%
Aetna Better Health MCD $24.66 ↓ -99%
Unicare MGMCD $24.66 ↓ -99%
Home State Health Plan MCD $24.66 ↓ -99%
United MOMGMCD $26.08 ↓ -99%
CorVel Corporation KSWC $42.61 ↓ -98%
OHA Network KansasWCOMP $43.05 ↓ -98%
Ambetter Commercial-Exchange $353.18 ↓ -81%
NHC Advantage MGMCR $360.77 ↓ -81%
NHC Advantage MGMCD $360.77 ↓ -81%
United OptionsPPO $476.60 ↓ -75%
Aetna Coventry FamilyHealthPlanMCD $493.69 ↓ -74%
Universal Healthcare MCR $493.69 ↓ -74%
Humana EPO $641.80 ↓ -66%
Humana ASO $641.80 ↓ -66%
Humana HMO $641.80 ↓ -66%
BCBS Blue-Care(HMO) $721.55 ↓ -62%
BCBS BlueAccess $721.55 ↓ -62%
BCBS FreedomNetworkSelect $721.55 ↓ -62%
BCBS Preferred-CareBlue(PPO) $721.55 ↓ -62%
BCBS FreedomNetwork $778.51 ↓ -59%
BCBS PC $816.49 ↓ -57%
College Park Family Care Center COMM $816.49 ↓ -57%
Humana POS $816.49 ↓ -57%
Humana PPO $816.49 ↓ -57%
United GlobalBenefitPlan $854.46 ↓ -55%
Aetna IVLHIX $901.93 ↓ -53%
OHA Network MissouriWCOMP $949.40 ↓ -50%
Oscar HIX $949.40 ↓ -50%
Aetna KCCarePlus $1,000.67 ↓ -47%
Cigna LocalKC $1,084.60 ↓ -43%
BCBS Participating $1,215.24 ↓ -36%
BCBS Traditional $1,215.24 ↓ -36%
Aetna Local $1,272.20 ↓ -33%
Cigna SureFit/LocalPlus $1,354.80 ↓ -29%
Cigna Comm $1,355.75 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $1,424.11 ↓ -25%
Aetna NAP $1,439.30 ↓ -24%
Aetna National $1,454.49 ↓ -23%
Multiplan PrimaryNetwork $1,481.07 ↓ -22%
Coventry KC MO WCOMP $1,515.25 ↓ -20%
Coventry WCOMP $1,515.25 ↓ -20%
CorVel Corporation MOWC $1,613.99 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $1,613.99 ↓ -15%
CCO, Inc. COMM $1,613.99 ↓ -15%
Aetna FHMedicalRental $1,661.46 ↓ -12%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $1,708.93 ↓ -10%
Anthem MissouriCare MissouriCareMGMCD $1,898.81 ↑ +0%

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $309.10 $16.13 – $40.59
SSM Health DePaul Hospital - St. Louis Bridgeton $309.10 $16.13 – $40.59
SSM Health Saint Louis University Hospital Saint Louis $191.95 $8.36 – $40.59
SSM Health St. Joseph Hospital- Wentzville Wentzville $309.10 $16.13 – $40.59
SSM Health St. Joseph Hospital - St. Charles Saint Charles $309.10 $16.13 – $40.59
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $309.10 $16.13 – $40.59
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $355.85 $9.49 – $9.49
Mercy Hospital Aurora Aurora $99.45 $23.71 – $27.18

All Missouri hospitals for this procedure →