Cyto/molecular report 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$26.00 with United vs $60.39 with OHA Network — 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 |
|---|---|---|---|
| United | KSMGMCD | $26.00 | — |
| HealthyBlue | MGMCD | $26.52 | — |
| Sunflower State Health Plan | MCD | $26.78 | — |
| Unicare | MGMCD | $27.04 | — |
| Amerigroup | MGMCD | $27.04 | — |
| Aetna Better Health | MCD | $27.04 | — |
| Home State Health Plan | MCD | $27.04 | — |
| United | MOMGMCD | $28.60 | — |
| United | AllPayerAppendix | $33.85 | — |
| CorVel Corporation | KSWC | $59.78 | — |
| OHA Network | KansasWCOMP | $60.39 | — |
Visitor-reported prices
Comments
Cyto/molecular report at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $191.95 | $32.82 – $111.19 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $191.95 | $32.82 – $111.19 |
| SSM Health Saint Louis University Hospital | Saint Louis | $391.05 | $33.85 – $57.59 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $191.95 | $32.82 – $111.19 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $191.95 | $32.82 – $111.19 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $191.95 | $32.82 – $111.19 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $180.95 | $30.47 – $54.81 |
| Mercy Hospital Southeast | Cape Girardeau | $57.85 | $30.34 – $111.10 |