Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution 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.
$28.92 with Home State Health Plan vs $5,278.93 with FOCUS Healthcare Mgmt, Inc — 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 |
|---|---|---|---|
| Home State Health Plan | MCD | $28.92 | — |
| United | KSMGMCD | $29.46 | — |
| HealthyBlue | MGMCD | $30.05 | — |
| Sunflower State Health Plan | MCD | $30.34 | — |
| United | MOMGMCD | $30.59 | — |
| Amerigroup | MGMCD | $30.64 | — |
| Unicare | MGMCD | $30.64 | — |
| Aetna Better Health | MCD | $30.64 | — |
| United | AllPayerAppendix | $48.61 | — |
| Ambetter | Commercial-Exchange | $1,090.98 | — |
| United | OptionsPPO | $1,472.24 | — |
| Universal Healthcare | MCR | $1,525.02 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $1,525.02 | — |
| Humana | ASO | $1,982.53 | — |
| Humana | HMO | $1,982.53 | — |
| Humana | EPO | $1,982.53 | — |
| BCBS | BlueAccess | $2,228.88 | — |
| BCBS | Preferred-CareBlue(PPO) | $2,228.88 | — |
| BCBS | FreedomNetworkSelect | $2,228.88 | — |
| BCBS | Blue-Care(HMO) | $2,228.88 | — |
| BCBS | FreedomNetwork | $2,404.85 | — |
| Humana | PPO | $2,522.16 | — |
| Humana | POS | $2,522.16 | — |
| BCBS | PC | $2,522.16 | — |
| United | GlobalBenefitPlan | $2,639.47 | — |
| Aetna | IVLHIX | $2,786.10 | — |
| Oscar | HIX | $2,932.74 | — |
| OHA Network | MissouriWCOMP | $2,932.74 | — |
| Aetna | KCCarePlus | $3,091.11 | — |
| Cigna | LocalKC | $3,350.36 | — |
| BCBS | Traditional | $3,753.91 | — |
| BCBS | Participating | $3,753.91 | — |
| Aetna | Local | $3,929.87 | — |
| Cigna | SureFit/LocalPlus | $4,185.02 | — |
| Cigna | Comm | $4,187.95 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $4,399.11 | — |
| Aetna | NAP | $4,446.03 | — |
| Aetna | National | $4,492.96 | — |
| Multiplan | PrimaryNetwork | $4,575.07 | — |
| Coventry | WCOMP | $4,680.65 | — |
| Coventry KC MO | WCOMP | $4,680.65 | — |
| CorVel Corporation | MOWC | $4,985.66 | — |
| CCO, Inc. | WORKERSCOMPPPO | $4,985.66 | — |
| CCO, Inc. | COMM | $4,985.66 | — |
| Aetna | FHMedicalRental | $5,132.29 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,278.93 | — |
Visitor-reported prices
Comments
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $4,214.06 | $30.37 – $1,767.60 |
| Mercy Hospital Lincoln | Troy | $9,291.74 | $2,367.00 – $2,367.00 |
| Mercy Hospital Carthage | Carthage | $3,988.05 | $30.37 – $2,561.40 |
| Mercy Hospital Southeast | Cape Girardeau | $5,781.80 | $19.47 – $6,140.40 |
| Mercy Hospital Stoddard | Dexter | $8,668.80 | $28.95 – $6,140.40 |
| Mercy Orthopedic Hospital Springfield | Ozark | $4,780.87 | $28.90 – $3,791.81 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $30.10 – $44.09 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $30.10 – $44.09 |