Eval/fit voice prosthesis iii, st at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$1,497.29
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.
$1,497.29
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.
$113.94 with Humana vs $1,497.29 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 |
|---|---|---|---|
| Humana | MCR | $113.94 | ↓ -92% |
| Ambetter | Commercial-Exchange | $278.50 | ↓ -81% |
| NHC Advantage | MGMCR | $284.49 | ↓ -81% |
| NHC Advantage | MGMCD | $284.49 | ↓ -81% |
| HealthyBlue | MGMCD | $299.46 | ↓ -80% |
| United | OptionsPPO | $365.34 | ↓ -76% |
| Universal Healthcare | MCR | $389.30 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $389.30 | ↓ -74% |
| Aetna Better Health | MCD | $449.19 | ↓ -70% |
| Humana | HMO | $501.59 | ↓ -67% |
| BCBS | Blue-Care(HMO) | $568.97 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $568.97 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $568.97 | ↓ -62% |
| BCBS | BlueAccess | $568.97 | ↓ -62% |
| BCBS | FreedomNetwork | $613.89 | ↓ -59% |
| College Park Family Care Center | COMM | $643.83 | ↓ -57% |
| BCBS | PC | $643.83 | ↓ -57% |
| United | GlobalBenefitPlan | $673.78 | ↓ -55% |
| Aetna | IVLHIX | $711.21 | ↓ -53% |
| OHA Network | MissouriWCOMP | $748.64 | ↓ -50% |
| Oscar | HIX | $748.64 | ↓ -50% |
| Humana | PPO | $777.09 | ↓ -48% |
| Aetna | KCCarePlus | $789.07 | ↓ -47% |
| Cigna | LocalKC | $851.96 | ↓ -43% |
| BCBS | Participating | $958.27 | ↓ -36% |
| BCBS | Traditional | $958.27 | ↓ -36% |
| Aetna | Local | $1,003.18 | ↓ -33% |
| Cigna | Comm | $1,065.02 | ↓ -29% |
| Cigna | SureFit/LocalPlus | $1,068.32 | ↓ -29% |
| Aetna | NAP | $1,134.95 | ↓ -24% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,137.94 | ↓ -24% |
| Aetna | National | $1,146.92 | ↓ -23% |
| Multiplan | PrimaryNetwork | $1,167.89 | ↓ -22% |
| Coventry KC MO | WCOMP | $1,194.84 | ↓ -20% |
| Coventry | WCOMP | $1,194.84 | ↓ -20% |
| CorVel Corporation | MOWC | $1,272.70 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $1,272.70 | ↓ -15% |
| CCO, Inc. | COMM | $1,272.70 | ↓ -15% |
| Aetna | FHMedicalRental | $1,310.13 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,347.56 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $1,497.29 | ↑ +0% |
Visitor-reported prices
Comments
Eval/fit voice prosthesis iii, st at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $153.12 | $111.66 – $136.73 |
| Mercy Hospital Aurora | Aurora | $198.25 | $111.38 – $118.06 |
| Mercy Hospital Carthage | Carthage | $232.70 | $109.47 – $118.06 |
| Mercy Orthopedic Hospital Springfield | Ozark | $297.70 | $109.47 – $218.04 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $781.02 | $117.38 – $126.87 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $113.94 – $136.73 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $113.94 – $136.73 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $128.79 – $128.79 |