Chromogenic substrate assay at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$440.33
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.
?
What you pay up front if you don't use insurance.
$440.33
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.23 with Aetna Coventry vs $440.33 with Anthem MissouriCare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna Coventry | FamilyHealthPlanMCD | $11.23 | ↓ -97% |
| United | AllPayerAppendix | $11.89 | ↓ -97% |
| CorVel Corporation | KSWC | $26.07 | ↓ -94% |
| OHA Network | KansasWCOMP | $26.33 | ↓ -94% |
| Ambetter | Commercial-Exchange | $81.90 | ↓ -81% |
| NHC Advantage | MGMCR | $83.66 | ↓ -81% |
| NHC Advantage | MGMCD | $83.66 | ↓ -81% |
| HealthyBlue | MGMCD | $88.07 | ↓ -80% |
| United | OptionsPPO | $110.52 | ↓ -75% |
| Universal Healthcare | MCR | $114.49 | ↓ -74% |
| Aetna Better Health | MCD | $132.10 | ↓ -70% |
| Humana | ASO | $148.83 | ↓ -66% |
| Humana | HMO | $148.83 | ↓ -66% |
| Humana | EPO | $148.83 | ↓ -66% |
| BCBS | FreedomNetworkSelect | $167.33 | ↓ -62% |
| BCBS | BlueAccess | $167.33 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $167.33 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $167.33 | ↓ -62% |
| BCBS | FreedomNetwork | $180.54 | ↓ -59% |
| College Park Family Care Center | COMM | $189.34 | ↓ -57% |
| Humana | PPO | $189.34 | ↓ -57% |
| Humana | POS | $189.34 | ↓ -57% |
| BCBS | PC | $189.34 | ↓ -57% |
| United | GlobalBenefitPlan | $198.15 | ↓ -55% |
| Aetna | IVLHIX | $209.16 | ↓ -52% |
| Oscar | HIX | $220.16 | ↓ -50% |
| OHA Network | MissouriWCOMP | $220.16 | ↓ -50% |
| Aetna | KCCarePlus | $232.05 | ↓ -47% |
| Cigna | LocalKC | $251.52 | ↓ -43% |
| BCBS | Participating | $281.81 | ↓ -36% |
| BCBS | Traditional | $281.81 | ↓ -36% |
| Aetna | Local | $295.02 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $314.18 | ↓ -29% |
| Cigna | Comm | $314.40 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $330.25 | ↓ -25% |
| Aetna | NAP | $333.77 | ↓ -24% |
| Aetna | National | $337.29 | ↓ -23% |
| Multiplan | PrimaryNetwork | $343.46 | ↓ -22% |
| Coventry | WCOMP | $351.38 | ↓ -20% |
| Coventry KC MO | WCOMP | $351.38 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $374.28 | ↓ -15% |
| CCO, Inc. | COMM | $374.28 | ↓ -15% |
| CorVel Corporation | MOWC | $374.28 | ↓ -15% |
| Aetna | FHMedicalRental | $385.29 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $396.30 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $440.33 | ↑ +0% |
| BCBS | MCRPPO | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
Visitor-reported prices
Comments
Chromogenic substrate assay at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $177.45 | $8.90 – $16.48 |
| Mercy Hospital Lincoln | Troy | $202.80 | $11.89 – $16.85 |
| Mercy Hospital Carthage | Carthage | $196.30 | $10.58 – $44.03 |
| Mercy Orthopedic Hospital Springfield | Ozark | $408.20 | $8.90 – $69.57 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $318.55 | $6.03 – $26.33 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $360.50 | $6.03 – $29.11 |
| CENTERPOINT MEDICAL CENTER | Independence | $759.20 | $6.03 – $26.33 |
| RESEARCH MEDICAL CENTER | Kansas City | $782.64 | $6.03 – $26.33 |