Crotalidae poly immune fab at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$10,352.41
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.
$10,352.41
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.
$1,826.04 with Home State Health Plan vs $9,317.17 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 →
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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 |
|---|---|---|---|
| Home State Health Plan | MCD | $1,826.04 | ↓ -82% |
| United | KSMGMCD | $1,826.52 | ↓ -82% |
| HealthyBlue | MGMCD | $1,863.05 | ↓ -82% |
| Sunflower State Health Plan | MCD | $1,881.32 | ↓ -82% |
| Unicare | MGMCD | $1,899.58 | ↓ -82% |
| Aetna Better Health | MCD | $1,899.58 | ↓ -82% |
| Amerigroup | MGMCD | $1,899.58 | ↓ -82% |
| Ambetter | Commercial-Exchange | $1,925.55 | ↓ -81% |
| United | MOMGMCD | $1,931.39 | ↓ -81% |
| United | OptionsPPO | $2,598.45 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $2,691.63 | ↓ -74% |
| Universal Healthcare | MCR | $2,691.63 | ↓ -74% |
| United | AllPayerAppendix | $3,013.76 | ↓ -71% |
| Humana | ASO | $3,499.11 | ↓ -66% |
| Humana | HMO | $3,499.11 | ↓ -66% |
| Humana | EPO | $3,499.11 | ↓ -66% |
| BCBS | BlueAccess | $3,933.92 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $3,933.92 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $3,933.92 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $3,933.92 | ↓ -62% |
| BCBS | FreedomNetwork | $4,244.49 | ↓ -59% |
| Humana | PPO | $4,451.54 | ↓ -57% |
| Humana | POS | $4,451.54 | ↓ -57% |
| BCBS | PC | $4,451.54 | ↓ -57% |
| United | GlobalBenefitPlan | $4,658.58 | ↓ -55% |
| Aetna | IVLHIX | $4,917.39 | ↓ -53% |
| Oscar | HIX | $5,176.20 | ↓ -50% |
| OHA Network | MissouriWCOMP | $5,176.20 | ↓ -50% |
| Aetna | KCCarePlus | $5,455.72 | ↓ -47% |
| Cigna | LocalKC | $5,913.30 | ↓ -43% |
| BCBS | Traditional | $6,625.54 | ↓ -36% |
| BCBS | Participating | $6,625.54 | ↓ -36% |
| Aetna | Local | $6,936.11 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $7,386.44 | ↓ -29% |
| Cigna | Comm | $7,391.62 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $7,764.31 | ↓ -25% |
| Aetna | NAP | $7,847.13 | ↓ -24% |
| Aetna | National | $7,929.95 | ↓ -23% |
| Multiplan | PrimaryNetwork | $8,074.88 | ↓ -22% |
| Coventry | WCOMP | $8,261.22 | ↓ -20% |
| Coventry KC MO | WCOMP | $8,261.22 | ↓ -20% |
| CorVel Corporation | MOWC | $8,799.55 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $8,799.55 | ↓ -15% |
| CCO, Inc. | COMM | $8,799.55 | ↓ -15% |
| Aetna | FHMedicalRental | $9,058.36 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $9,317.17 | ↓ -10% |
Visitor-reported prices
Comments
Crotalidae poly immune fab at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $7,795.12 | $2,445.71 – $2,445.71 |
| Mercy Hospital Carthage | Carthage | $7,275.45 | $1,779.64 – $2,717.25 |
| Mercy Hospital Southeast | Cape Girardeau | $6,236.10 | $1,215.07 – $6,513.96 |
| Mercy Hospital Stoddard | Dexter | $6,236.10 | $1,806.04 – $6,513.96 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $10,352.41 | $1,755.81 – $1,899.58 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $7,327.18 | $1,755.81 – $2,545.92 |
| CENTERPOINT MEDICAL CENTER | Independence | $10,352.41 | $1,755.81 – $1,899.58 |
| RESEARCH MEDICAL CENTER | Kansas City | $10,350.80 | $1,755.81 – $2,124.53 |