Clsd tx/shoulder dislo/manip/anest 23655 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

$1,518.00

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.

$1,518.00

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.

$282.35 with Ambetter vs $3,041.00 with United — 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
Ambetter Commercial-Exchange $282.35 ↓ -81%
United OptionsPPO $381.02 ↓ -75%
Aetna Coventry FamilyHealthPlanMCD $394.68 ↓ -74%
Universal Healthcare MCR $394.68 ↓ -74%
Humana ASO $513.08 ↓ -66%
Humana HMO $513.08 ↓ -66%
Humana EPO $513.08 ↓ -66%
United KSMGMCD $520.65 ↓ -66%
HealthyBlue MGMCD $531.06 ↓ -65%
Sunflower State Health Plan MCD $536.27 ↓ -65%
Home State Health Plan MCD $541.48 ↓ -64%
Aetna Better Health MCD $541.48 ↓ -64%
Amerigroup MGMCD $541.48 ↓ -64%
Unicare MGMCD $541.48 ↓ -64%
United MOMGMCD $572.72 ↓ -62%
BCBS BlueAccess $576.84 ↓ -62%
BCBS FreedomNetworkSelect $576.84 ↓ -62%
BCBS Blue-Care(HMO) $576.84 ↓ -62%
BCBS Preferred-CareBlue(PPO) $576.84 ↓ -62%
BCBS FreedomNetwork $622.38 ↓ -59%
College Park Family Care Center COMM $652.74 ↓ -57%
Humana PPO $652.74 ↓ -57%
Humana POS $652.74 ↓ -57%
BCBS PC $652.74 ↓ -57%
United GlobalBenefitPlan $683.10 ↓ -55%
Aetna IVLHIX $721.05 ↓ -53%
OHA Network MissouriWCOMP $759.00 ↓ -50%
Oscar HIX $759.00 ↓ -50%
Aetna KCCarePlus $799.99 ↓ -47%
Cigna LocalKC $867.08 ↓ -43%
BCBS Participating $971.52 ↓ -36%
BCBS Traditional $971.52 ↓ -36%
Aetna Local $1,017.06 ↓ -33%
Cigna SureFit/LocalPlus $1,083.09 ↓ -29%
Cigna Comm $1,083.85 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $1,138.50 ↓ -25%
Aetna NAP $1,150.64 ↓ -24%
Aetna National $1,162.79 ↓ -23%
Multiplan PrimaryNetwork $1,184.04 ↓ -22%
Coventry KC MO WCOMP $1,211.36 ↓ -20%
Coventry WCOMP $1,211.36 ↓ -20%
CCO, Inc. COMM $1,290.30 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $1,290.30 ↓ -15%
CorVel Corporation MOWC $1,290.30 ↓ -15%
Aetna FHMedicalRental $1,328.25 ↓ -13%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $1,366.20 ↓ -10%
Anthem MissouriCare MissouriCareMGMCD $1,518.00 ↑ +0%
NHC Advantage MGMCD $2,550.00 ↑ +68%
NHC Advantage MGMCR $2,550.00 ↑ +68%
CorVel Corporation KSWC $2,645.69 ↑ +74%
OHA Network KansasWCOMP $2,672.68 ↑ +76%
United AllPayerAppendix $3,041.00 ↑ +100%

Visitor-reported prices

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Clsd tx/shoulder dislo/manip/anest 23655 at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $2,423.85 $422.27 – $2,167.00
SSM Health DePaul Hospital - St. Louis Bridgeton $2,423.85 $422.27 – $2,167.00
SSM Health Saint Louis University Hospital Saint Louis $5,133.70 $484.87 – $2,544.00
SSM Health St. Joseph Hospital- Wentzville Wentzville $2,423.85 $422.27 – $3,886.00
SSM Health St. Joseph Hospital - St. Charles Saint Charles $2,423.85 $422.27 – $2,167.00
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $2,423.85 $422.27 – $2,167.00
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $3,878.16 $1,325.00 – $2,899.06
Mercy Hospital Aurora Aurora $1,072.50 $429.14 – $2,101.05

All Missouri hospitals for this procedure →