Cytopathology fluids/washings/brushings smears with interpretation 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

$512.94

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.

$512.94

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.

$30.47 with United vs $512.94 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 →

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
United KSMGMCD $30.47 ↓ -94%
HealthyBlue MGMCD $31.08 ↓ -94%
Sunflower State Health Plan MCD $31.38 ↓ -94%
Aetna Coventry FamilyHealthPlanMCD $31.54 ↓ -94%
Unicare MGMCD $31.69 ↓ -94%
Aetna Better Health MCD $31.69 ↓ -94%
Amerigroup MGMCD $31.69 ↓ -94%
Home State Health Plan MCD $31.69 ↓ -94%
United MOMGMCD $33.52 ↓ -93%
United AllPayerAppendix $33.84 ↓ -93%
CorVel Corporation KSWC $78.21 ↓ -85%
OHA Network KansasWCOMP $79.01 ↓ -85%
Ambetter Commercial-Exchange $95.41 ↓ -81%
NHC Advantage MGMCR $97.46 ↓ -81%
NHC Advantage MGMCD $97.46 ↓ -81%
United OptionsPPO $128.75 ↓ -75%
Universal Healthcare MCR $133.36 ↓ -74%
Humana HMO $173.37 ↓ -66%
Humana ASO $173.37 ↓ -66%
Humana EPO $173.37 ↓ -66%
BCBS FreedomNetworkSelect $194.92 ↓ -62%
BCBS Preferred-CareBlue(PPO) $194.92 ↓ -62%
BCBS Blue-Care(HMO) $194.92 ↓ -62%
BCBS BlueAccess $194.92 ↓ -62%
BCBS FreedomNetwork $210.31 ↓ -59%
Humana PPO $220.56 ↓ -57%
BCBS PC $220.56 ↓ -57%
Humana POS $220.56 ↓ -57%
College Park Family Care Center COMM $220.56 ↓ -57%
United GlobalBenefitPlan $230.82 ↓ -55%
Aetna IVLHIX $243.65 ↓ -52%
Oscar HIX $256.47 ↓ -50%
OHA Network MissouriWCOMP $256.47 ↓ -50%
Aetna KCCarePlus $270.32 ↓ -47%
Cigna LocalKC $292.99 ↓ -43%
BCBS Participating $328.28 ↓ -36%
BCBS Traditional $328.28 ↓ -36%
Aetna Local $343.67 ↓ -33%
Cigna SureFit/LocalPlus $365.98 ↓ -29%
Cigna Comm $366.24 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $384.71 ↓ -25%
Aetna NAP $388.81 ↓ -24%
Aetna National $392.91 ↓ -23%
Multiplan PrimaryNetwork $400.09 ↓ -22%
Coventry KC MO WCOMP $409.33 ↓ -20%
Coventry WCOMP $409.33 ↓ -20%
CorVel Corporation MOWC $436.00 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $436.00 ↓ -15%
CCO, Inc. COMM $436.00 ↓ -15%
Aetna FHMedicalRental $448.82 ↓ -13%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $461.65 ↓ -10%
Anthem MissouriCare MissouriCareMGMCD $512.94 ↑ +0%

Visitor-reported prices

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Cytopathology fluids/washings/brushings smears with interpretation at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $67.65 $33.84 – $141.95
SSM Health DePaul Hospital - St. Louis Bridgeton $67.65 $33.84 – $141.95
SSM Health Saint Louis University Hospital Saint Louis $190.85 $33.84 – $73.53
SSM Health St. Joseph Hospital- Wentzville Wentzville $67.65 $33.84 – $141.95
SSM Health St. Joseph Hospital - St. Charles Saint Charles $67.65 $33.84 – $141.95
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $67.65 $33.84 – $141.95
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $151.25 $30.46 – $67.34
Mercy Hospital Aurora Aurora $91.65 $11.00 – $51.53

All Missouri hospitals for this procedure →