CT 3d report other modality w/workstation at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
not published by hospital
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.
not published by hospital
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.
$49.88 with CorVel Corporation vs $743.06 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 →
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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 |
|---|---|---|---|
| CorVel Corporation | KSWC | $49.88 | — |
| OHA Network | KansasWCOMP | $50.39 | — |
| United | KSMGMCD | $105.89 | — |
| HealthyBlue | MGMCD | $108.01 | — |
| Sunflower State Health Plan | MCD | $109.07 | — |
| Aetna Better Health | MCD | $110.13 | — |
| Unicare | MGMCD | $110.13 | — |
| Home State Health Plan | MCD | $110.13 | — |
| Amerigroup | MGMCD | $110.13 | — |
| United | MOMGMCD | $116.48 | — |
| Ambetter | Commercial-Exchange | $138.21 | — |
| NHC Advantage | MGMCR | $141.18 | — |
| NHC Advantage | MGMCD | $141.18 | — |
| United | OptionsPPO | $186.51 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $193.20 | — |
| Universal Healthcare | MCR | $193.20 | — |
| Humana | EPO | $251.15 | — |
| Humana | ASO | $251.15 | — |
| Humana | HMO | $251.15 | — |
| BCBS | Blue-Care(HMO) | $282.36 | — |
| BCBS | BlueAccess | $282.36 | — |
| BCBS | FreedomNetworkSelect | $282.36 | — |
| BCBS | Preferred-CareBlue(PPO) | $282.36 | — |
| BCBS | FreedomNetwork | $304.65 | — |
| BCBS | PC | $319.52 | — |
| College Park Family Care Center | COMM | $319.52 | — |
| Humana | POS | $319.52 | — |
| Humana | PPO | $319.52 | — |
| United | GlobalBenefitPlan | $334.38 | — |
| Aetna | IVLHIX | $352.95 | — |
| OHA Network | MissouriWCOMP | $371.53 | — |
| Oscar | HIX | $371.53 | — |
| Aetna | KCCarePlus | $391.59 | — |
| Cigna | LocalKC | $424.44 | — |
| BCBS | Participating | $475.56 | — |
| BCBS | Traditional | $475.56 | — |
| Aetna | Local | $497.85 | — |
| Cigna | SureFit/LocalPlus | $530.17 | — |
| Cigna | Comm | $530.54 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $557.29 | — |
| Aetna | NAP | $563.24 | — |
| Aetna | National | $569.18 | — |
| Multiplan | PrimaryNetwork | $579.59 | — |
| Coventry KC MO | WCOMP | $592.96 | — |
| Coventry | WCOMP | $592.96 | — |
| CorVel Corporation | MOWC | $631.60 | — |
| CCO, Inc. | WORKERSCOMPPPO | $631.60 | — |
| CCO, Inc. | COMM | $631.60 | — |
| Aetna | FHMedicalRental | $650.18 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $668.75 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $743.06 | — |
Visitor-reported prices
Comments
CT 3d report other modality w/workstation at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $896.50 | $24.39 – $95.49 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $896.50 | $24.39 – $95.49 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,256.75 | $28.01 – $76.63 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $896.50 | $24.39 – $95.49 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $896.50 | $24.39 – $95.49 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $896.50 | $24.39 – $95.49 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $394.68 | $72.12 – $72.12 |
| Mercy Hospital Carthage | Carthage | $741.65 | $33.83 – $195.54 |