Debridement bone <= 20 sq cm at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$1,392.00
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.
$1,392.00
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.
$258.91 with Ambetter vs $2,675.00 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 →
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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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $258.91 | ↓ -81% |
| United | OptionsPPO | $349.39 | ↓ -75% |
| Universal Healthcare | MCR | $361.92 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $361.92 | ↓ -74% |
| Humana | ASO | $470.50 | ↓ -66% |
| Humana | HMO | $470.50 | ↓ -66% |
| Humana | EPO | $470.50 | ↓ -66% |
| United | KSMGMCD | $525.22 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $528.96 | ↓ -62% |
| BCBS | BlueAccess | $528.96 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $528.96 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $528.96 | ↓ -62% |
| HealthyBlue | MGMCD | $535.72 | ↓ -62% |
| Sunflower State Health Plan | MCD | $540.98 | ↓ -61% |
| Home State Health Plan | MCD | $546.23 | ↓ -61% |
| Aetna Better Health | MCD | $546.23 | ↓ -61% |
| Amerigroup | MGMCD | $546.23 | ↓ -61% |
| Unicare | MGMCD | $546.23 | ↓ -61% |
| BCBS | FreedomNetwork | $570.72 | ↓ -59% |
| United | MOMGMCD | $577.74 | ↓ -58% |
| College Park Family Care Center | COMM | $598.56 | ↓ -57% |
| Humana | POS | $598.56 | ↓ -57% |
| BCBS | PC | $598.56 | ↓ -57% |
| Humana | PPO | $598.56 | ↓ -57% |
| United | GlobalBenefitPlan | $626.40 | ↓ -55% |
| Aetna | IVLHIX | $661.20 | ↓ -53% |
| OHA Network | MissouriWCOMP | $696.00 | ↓ -50% |
| Oscar | HIX | $696.00 | ↓ -50% |
| Aetna | KCCarePlus | $733.58 | ↓ -47% |
| Cigna | LocalKC | $795.11 | ↓ -43% |
| BCBS | Participating | $890.88 | ↓ -36% |
| BCBS | Traditional | $890.88 | ↓ -36% |
| Aetna | Local | $932.64 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $993.19 | ↓ -29% |
| Cigna | Comm | $993.89 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,044.00 | ↓ -25% |
| Aetna | NAP | $1,055.14 | ↓ -24% |
| Aetna | National | $1,066.27 | ↓ -23% |
| Multiplan | PrimaryNetwork | $1,085.76 | ↓ -22% |
| Coventry KC MO | WCOMP | $1,110.82 | ↓ -20% |
| Coventry | WCOMP | $1,110.82 | ↓ -20% |
| CCO, Inc. | COMM | $1,183.20 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $1,183.20 | ↓ -15% |
| CorVel Corporation | MOWC | $1,183.20 | ↓ -15% |
| Aetna | FHMedicalRental | $1,218.00 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,252.80 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $1,392.00 | ↑ +0% |
| NHC Advantage | MGMCD | $2,550.00 | ↑ +83% |
| NHC Advantage | MGMCR | $2,550.00 | ↑ +83% |
| CorVel Corporation | KSWC | $2,641.96 | ↑ +90% |
| OHA Network | KansasWCOMP | $2,668.92 | ↑ +92% |
| United | AllPayerAppendix | $2,675.00 | ↑ +92% |
Visitor-reported prices
Comments
Debridement bone <= 20 sq cm at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $3,949.55 | $248.07 – $2,680.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $3,949.55 | $248.07 – $2,680.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,791.80 | $284.85 – $2,187.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $3,949.55 | $248.07 – $3,886.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $3,949.55 | $248.07 – $2,680.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $3,949.55 | $248.07 – $2,680.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $2,212.98 | $1,645.17 – $2,977.67 |
| Mercy Hospital Aurora | Aurora | $1,815.45 | $257.69 – $2,127.08 |