External profiling gene expression oncology (breast) mrna 21 genes at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$5,382.78
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.
?
What you pay up front if you don't use insurance.
$5,382.78
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,001.20 with Ambetter vs $6,911.06 with OHA Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,001.20 | ↓ -81% |
| NHC Advantage | MGMCD | $1,022.73 | ↓ -81% |
| NHC Advantage | MGMCR | $1,022.73 | ↓ -81% |
| HealthyBlue | MGMCD | $1,076.56 | ↓ -80% |
| United | OptionsPPO | $1,351.08 | ↓ -75% |
| Universal Healthcare | MCR | $1,399.52 | ↓ -74% |
| Aetna Better Health | MCD | $1,614.83 | ↓ -70% |
| Humana | EPO | $1,819.38 | ↓ -66% |
| Humana | HMO | $1,819.38 | ↓ -66% |
| Humana | ASO | $1,819.38 | ↓ -66% |
| BCBS | FreedomNetworkSelect | $2,045.46 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $2,045.46 | ↓ -62% |
| BCBS | BlueAccess | $2,045.46 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $2,045.46 | ↓ -62% |
| BCBS | FreedomNetwork | $2,206.94 | ↓ -59% |
| BCBS | PC | $2,314.60 | ↓ -57% |
| Humana | POS | $2,314.60 | ↓ -57% |
| Humana | PPO | $2,314.60 | ↓ -57% |
| College Park Family Care Center | COMM | $2,314.60 | ↓ -57% |
| United | GlobalBenefitPlan | $2,422.25 | ↓ -55% |
| Aetna | IVLHIX | $2,556.82 | ↓ -53% |
| Oscar | HIX | $2,691.39 | ↓ -50% |
| OHA Network | MissouriWCOMP | $2,691.39 | ↓ -50% |
| Aetna | KCCarePlus | $2,836.73 | ↓ -47% |
| Cigna | LocalKC | $3,074.64 | ↓ -43% |
| BCBS | Participating | $3,444.98 | ↓ -36% |
| BCBS | Traditional | $3,444.98 | ↓ -36% |
| Aetna | Local | $3,606.46 | ↓ -33% |
| Aetna Coventry | FamilyHealthPlanMCD | $3,659.99 | ↓ -32% |
| Cigna | SureFit/LocalPlus | $3,840.61 | ↓ -29% |
| Cigna | Comm | $3,843.30 | ↓ -29% |
| United | AllPayerAppendix | $3,873.00 | ↓ -28% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $4,037.09 | ↓ -25% |
| Aetna | NAP | $4,080.15 | ↓ -24% |
| Aetna | National | $4,123.21 | ↓ -23% |
| Multiplan | PrimaryNetwork | $4,198.57 | ↓ -22% |
| Coventry KC MO | WCOMP | $4,295.46 | ↓ -20% |
| Coventry | WCOMP | $4,295.46 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $4,575.36 | ↓ -15% |
| CCO, Inc. | COMM | $4,575.36 | ↓ -15% |
| CorVel Corporation | MOWC | $4,575.36 | ↓ -15% |
| Aetna | FHMedicalRental | $4,709.93 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,844.50 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $5,382.78 | ↑ +0% |
| CorVel Corporation | KSWC | $6,841.25 | ↑ +27% |
| OHA Network | KansasWCOMP | $6,911.06 | ↑ +28% |
| Pyramid Life | MCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
Visitor-reported prices
Comments
External profiling gene expression oncology (breast) mrna 21 genes at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTERPOINT MEDICAL CENTER | Independence | $8,174.56 | $1,963.61 – $6,911.06 |
| RESEARCH MEDICAL CENTER | Kansas City | $18,849.92 | $1,963.61 – $6,911.06 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $3,570.90 – $12,935.82 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $3,570.90 – $12,935.82 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $3,795.54 – $6,700.29 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $3,570.90 – $12,935.82 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $3,570.90 – $12,935.82 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $3,570.90 – $12,935.82 |