Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$203.52
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.
$203.52
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.
$37.85 with Ambetter vs $203.52 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $37.85 | ↓ -81% |
| NHC Advantage | MGMCD | $38.67 | ↓ -81% |
| NHC Advantage | MGMCR | $38.67 | ↓ -81% |
| United | OptionsPPO | $51.08 | ↓ -75% |
| Universal Healthcare | MCR | $52.92 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $52.92 | ↓ -74% |
| Humana | HMO | $68.79 | ↓ -66% |
| Humana | ASO | $68.79 | ↓ -66% |
| Humana | EPO | $68.79 | ↓ -66% |
| United | KSMGMCD | $69.09 | ↓ -66% |
| HealthyBlue | MGMCD | $70.47 | ↓ -65% |
| Sunflower State Health Plan | MCD | $71.16 | ↓ -65% |
| Home State Health Plan | MCD | $71.85 | ↓ -65% |
| Amerigroup | MGMCD | $71.85 | ↓ -65% |
| Aetna Better Health | MCD | $71.85 | ↓ -65% |
| Unicare | MGMCD | $71.85 | ↓ -65% |
| United | MOMGMCD | $76.00 | ↓ -63% |
| BCBS | Preferred-CareBlue(PPO) | $77.34 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $77.34 | ↓ -62% |
| BCBS | BlueAccess | $77.34 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $77.34 | ↓ -62% |
| BCBS | FreedomNetwork | $83.44 | ↓ -59% |
| College Park Family Care Center | COMM | $87.51 | ↓ -57% |
| Humana | POS | $87.51 | ↓ -57% |
| BCBS | PC | $87.51 | ↓ -57% |
| Humana | PPO | $87.51 | ↓ -57% |
| United | GlobalBenefitPlan | $91.58 | ↓ -55% |
| Aetna | IVLHIX | $96.67 | ↓ -53% |
| Oscar | HIX | $101.76 | ↓ -50% |
| OHA Network | MissouriWCOMP | $101.76 | ↓ -50% |
| Aetna | KCCarePlus | $107.26 | ↓ -47% |
| Cigna | LocalKC | $116.25 | ↓ -43% |
| BCBS | Participating | $130.25 | ↓ -36% |
| BCBS | Traditional | $130.25 | ↓ -36% |
| Aetna | Local | $136.36 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $145.21 | ↓ -29% |
| Cigna | Comm | $145.31 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $152.64 | ↓ -25% |
| Aetna | NAP | $154.27 | ↓ -24% |
| Aetna | National | $155.90 | ↓ -23% |
| Multiplan | PrimaryNetwork | $158.75 | ↓ -22% |
| Coventry | WCOMP | $162.41 | ↓ -20% |
| Coventry KC MO | WCOMP | $162.41 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $172.99 | ↓ -15% |
| CCO, Inc. | COMM | $172.99 | ↓ -15% |
| CorVel Corporation | MOWC | $172.99 | ↓ -15% |
| Aetna | FHMedicalRental | $178.08 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $183.17 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $203.52 | ↑ +0% |
Visitor-reported prices
Comments
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $138.60 | $17.59 – $263.20 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $138.60 | $17.59 – $263.20 |
| SSM Health Saint Louis University Hospital | Saint Louis | $198.00 | $20.19 – $263.20 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $138.60 | $17.59 – $17.59 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $138.60 | $17.59 – $263.20 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $138.60 | $17.59 – $263.20 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $99.00 | $30.34 – $394.80 |
| Mercy Hospital Aurora | Aurora | $134.55 | $6.00 – $267.02 |