Dexamethasone 4 mg tablet 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

not published by hospital

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.

not published by hospital

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.

$0.02 with United vs $2.50 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 AllPayerAppendix $0.02
NHC Advantage MGMCD $0.47
Ambetter Commercial-Exchange $0.47
NHC Advantage MGMCR $0.47
HealthyBlue MGMCD $0.50
United OptionsPPO $0.63
Universal Healthcare MCR $0.65
Aetna Coventry FamilyHealthPlanMCD $0.65
Aetna Better Health MCD $0.75
Humana EPO $0.84
Humana ASO $0.84
Humana HMO $0.84
BCBS BlueAccess $0.95
BCBS Preferred-CareBlue(PPO) $0.95
BCBS FreedomNetworkSelect $0.95
BCBS Blue-Care(HMO) $0.95
BCBS FreedomNetwork $1.02
Humana POS $1.07
Humana PPO $1.07
College Park Family Care Center COMM $1.07
BCBS PC $1.07
United GlobalBenefitPlan $1.13
Aetna IVLHIX $1.19
Oscar HIX $1.25
OHA Network MissouriWCOMP $1.25
Aetna KCCarePlus $1.32
Cigna LocalKC $1.43
BCBS Participating $1.60
BCBS Traditional $1.60
Aetna Local $1.68
Cigna SureFit/LocalPlus $1.78
Cigna Comm $1.78
WPPA ProviDrs Care Network UnifiedHealthPlan $1.88
Aetna NAP $1.90
Aetna National $1.92
Multiplan PrimaryNetwork $1.95
Coventry KC MO WCOMP $2.00
Coventry WCOMP $2.00
CCO, Inc. WORKERSCOMPPPO $2.13
CorVel Corporation MOWC $2.13
CCO, Inc. COMM $2.13
Aetna FHMedicalRental $2.19
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $2.25
Anthem MissouriCare MissouriCareMGMCD $2.50

Visitor-reported prices

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Dexamethasone 4 mg tablet at other Missouri hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Lincoln Troy $4.87 $0.16 – $0.16
Mercy Hospital Carthage Carthage $6.12 $0.09 – $0.18
Mercy Hospital Southeast Cape Girardeau $4.87 $0.06 – $0.06
Mercy Orthopedic Hospital Springfield Ozark $33.49 $0.02 – $0.26
Mercy Primary Care - Bernie Bernie $20.64 $0.01 – $0.06
RESEARCH PSYCHIATRIC CENTER Kansas City $1.98 $0.06 – $0.06
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $0.02 – $0.15
SSM Health DePaul Hospital - St. Louis Bridgeton not published $0.02 – $0.15

All Missouri hospitals for this procedure →