Durvalumab 50 mg/ml intravenous 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.
$86.27 with United vs $2,854.49 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 |
|---|---|---|---|
| United | KSMGMCD | $86.27 | — |
| Home State Health Plan | MCD | $87.22 | — |
| HealthyBlue | MGMCD | $88.00 | — |
| Sunflower State Health Plan | MCD | $88.86 | — |
| Amerigroup | MGMCD | $89.72 | — |
| Unicare | MGMCD | $89.72 | — |
| Aetna Better Health | MCD | $89.72 | — |
| United | MOMGMCD | $92.26 | — |
| United | AllPayerAppendix | $142.35 | — |
| Ambetter | Commercial-Exchange | $589.93 | — |
| United | OptionsPPO | $796.09 | — |
| Universal Healthcare | MCR | $824.63 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $824.63 | — |
| Humana | ASO | $1,072.02 | — |
| Humana | HMO | $1,072.02 | — |
| Humana | EPO | $1,072.02 | — |
| BCBS | BlueAccess | $1,205.23 | — |
| BCBS | Preferred-CareBlue(PPO) | $1,205.23 | — |
| BCBS | FreedomNetworkSelect | $1,205.23 | — |
| BCBS | Blue-Care(HMO) | $1,205.23 | — |
| BCBS | FreedomNetwork | $1,300.38 | — |
| Humana | PPO | $1,363.81 | — |
| Humana | POS | $1,363.81 | — |
| BCBS | PC | $1,363.81 | — |
| United | GlobalBenefitPlan | $1,427.25 | — |
| Aetna | IVLHIX | $1,506.54 | — |
| Oscar | HIX | $1,585.83 | — |
| OHA Network | MissouriWCOMP | $1,585.83 | — |
| Aetna | KCCarePlus | $1,671.46 | — |
| Cigna | LocalKC | $1,811.65 | — |
| BCBS | Traditional | $2,029.86 | — |
| BCBS | Participating | $2,029.86 | — |
| Aetna | Local | $2,125.01 | — |
| Cigna | SureFit/LocalPlus | $2,262.98 | — |
| Cigna | Comm | $2,264.57 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $2,378.74 | — |
| Aetna | NAP | $2,404.12 | — |
| Aetna | National | $2,429.49 | — |
| Multiplan | PrimaryNetwork | $2,473.89 | — |
| Coventry | WCOMP | $2,530.98 | — |
| Coventry KC MO | WCOMP | $2,530.98 | — |
| CorVel Corporation | MOWC | $2,695.91 | — |
| CCO, Inc. | WORKERSCOMPPPO | $2,695.91 | — |
| CCO, Inc. | COMM | $2,695.91 | — |
| Aetna | FHMedicalRental | $2,775.20 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,854.49 | — |
Visitor-reported prices
Comments
Durvalumab 50 mg/ml intravenous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $2,767.76 | $1,386.24 – $1,386.24 |
| Mercy Hospital Southeast | Cape Girardeau | $7,161.10 | $56.86 – $3,580.50 |
| Mercy Hospital Stoddard | Dexter | $10,737.75 | $84.51 – $14,918.75 |
| Mercy Orthopedic Hospital Springfield | Ozark | $9,593.23 | $84.63 – $2,213.79 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $14,447.65 | $83.87 – $89.72 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $87.95 – $141.24 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $87.95 – $141.24 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $83.88 – $157.90 |