Avelumab 20 mg/ml intravenous solution 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

$6,578.78

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.

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

$6,578.78

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.

$101.03 with Home State Health Plan vs $5,920.90 with FOCUS Healthcare Mgmt, Inc — 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
Home State Health Plan MCD $101.03 ↓ -98%
United KSMGMCD $104.99 ↓ -98%
United MOMGMCD $106.85 ↓ -98%
HealthyBlue MGMCD $107.09 ↓ -98%
Sunflower State Health Plan MCD $108.14 ↓ -98%
Amerigroup MGMCD $109.19 ↓ -98%
Unicare MGMCD $109.19 ↓ -98%
Aetna Better Health MCD $109.19 ↓ -98%
United AllPayerAppendix $173.23 ↓ -97%
Ambetter Commercial-Exchange $1,223.65 ↓ -81%
United OptionsPPO $1,651.27 ↓ -75%
Universal Healthcare MCR $1,710.48 ↓ -74%
Aetna Coventry FamilyHealthPlanMCD $1,710.48 ↓ -74%
Humana ASO $2,223.63 ↓ -66%
Humana HMO $2,223.63 ↓ -66%
Humana EPO $2,223.63 ↓ -66%
BCBS BlueAccess $2,499.94 ↓ -62%
BCBS Preferred-CareBlue(PPO) $2,499.94 ↓ -62%
BCBS FreedomNetworkSelect $2,499.94 ↓ -62%
BCBS Blue-Care(HMO) $2,499.94 ↓ -62%
BCBS FreedomNetwork $2,697.30 ↓ -59%
Humana PPO $2,828.88 ↓ -57%
Humana POS $2,828.88 ↓ -57%
BCBS PC $2,828.88 ↓ -57%
United GlobalBenefitPlan $2,960.45 ↓ -55%
Aetna IVLHIX $3,124.92 ↓ -53%
Oscar HIX $3,289.39 ↓ -50%
OHA Network MissouriWCOMP $3,289.39 ↓ -50%
Aetna KCCarePlus $3,467.02 ↓ -47%
Cigna LocalKC $3,757.80 ↓ -43%
BCBS Traditional $4,210.42 ↓ -36%
BCBS Participating $4,210.42 ↓ -36%
Aetna Local $4,407.78 ↓ -33%
Cigna SureFit/LocalPlus $4,693.96 ↓ -29%
Cigna Comm $4,697.25 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $4,934.09 ↓ -25%
Aetna NAP $4,986.72 ↓ -24%
Aetna National $5,039.35 ↓ -23%
Multiplan PrimaryNetwork $5,131.45 ↓ -22%
Coventry WCOMP $5,249.87 ↓ -20%
Coventry KC MO WCOMP $5,249.87 ↓ -20%
CorVel Corporation MOWC $5,591.96 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $5,591.96 ↓ -15%
CCO, Inc. COMM $5,591.96 ↓ -15%
Aetna FHMedicalRental $5,756.43 ↓ -13%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $5,920.90 ↓ -10%

Visitor-reported prices

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Avelumab 20 mg/ml intravenous solution at other Missouri hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Lincoln Troy $5,642.97 $2,811.60 – $2,811.60
Mercy Orthopedic Hospital Springfield Ozark $4,704.32 $102.99 – $4,520.48
CENTERPOINT MEDICAL CENTER Independence $5,423.11 $97.14 – $109.19
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $108.64 – $161.64
SSM Health DePaul Hospital - St. Louis Bridgeton not published $108.64 – $161.64
SSM Health Saint Louis University Hospital Saint Louis not published $96.95 – $185.66
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $116.85 – $161.64
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $108.64 – $161.64

All Missouri hospitals for this procedure →