Ghs sp train/fitting sp device - kx at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$762.44
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.
$762.44
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.
$95.34 with Humana vs $762.44 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 | $95.34 | ↓ -87% |
| Ambetter | Commercial-Exchange | $141.81 | ↓ -81% |
| NHC Advantage | MGMCR | $144.86 | ↓ -81% |
| NHC Advantage | MGMCD | $144.86 | ↓ -81% |
| HealthyBlue | MGMCD | $152.49 | ↓ -80% |
| United | OptionsPPO | $186.04 | ↓ -76% |
| Universal Healthcare | MCR | $198.23 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $198.23 | ↓ -74% |
| Aetna Better Health | MCD | $228.73 | ↓ -70% |
| Humana | HMO | $255.42 | ↓ -66% |
| BCBS | Blue-Care(HMO) | $289.73 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $289.73 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $289.73 | ↓ -62% |
| BCBS | BlueAccess | $289.73 | ↓ -62% |
| BCBS | FreedomNetwork | $312.60 | ↓ -59% |
| College Park Family Care Center | COMM | $327.85 | ↓ -57% |
| BCBS | PC | $327.85 | ↓ -57% |
| United | GlobalBenefitPlan | $343.10 | ↓ -55% |
| Aetna | IVLHIX | $362.16 | ↓ -52% |
| OHA Network | MissouriWCOMP | $381.22 | ↓ -50% |
| Oscar | HIX | $381.22 | ↓ -50% |
| Humana | PPO | $395.71 | ↓ -48% |
| Aetna | KCCarePlus | $401.81 | ↓ -47% |
| Cigna | LocalKC | $433.83 | ↓ -43% |
| BCBS | Participating | $487.96 | ↓ -36% |
| BCBS | Traditional | $487.96 | ↓ -36% |
| Aetna | Local | $510.83 | ↓ -33% |
| Cigna | Comm | $542.32 | ↓ -29% |
| Cigna | SureFit/LocalPlus | $544.00 | ↓ -29% |
| Aetna | NAP | $577.93 | ↓ -24% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $579.45 | ↓ -24% |
| Aetna | National | $584.03 | ↓ -23% |
| Multiplan | PrimaryNetwork | $594.70 | ↓ -22% |
| Coventry KC MO | WCOMP | $608.43 | ↓ -20% |
| Coventry | WCOMP | $608.43 | ↓ -20% |
| CorVel Corporation | MOWC | $648.07 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $648.07 | ↓ -15% |
| CCO, Inc. | COMM | $648.07 | ↓ -15% |
| Aetna | FHMedicalRental | $667.13 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $686.20 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $762.44 | ↑ +0% |
Visitor-reported prices
Comments
Ghs sp train/fitting sp device - kx at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $114.84 | $98.04 – $120.05 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $202.99 | $99.49 – $180.07 |
| Mercy Hospital Aurora | Aurora | $234.65 | $98.79 – $136.46 |
| Mercy Hospital Carthage | Carthage | $261.95 | $91.09 – $136.46 |
| Mercy Orthopedic Hospital Springfield | Ozark | $328.25 | $88.61 – $181.49 |
| CENTERPOINT MEDICAL CENTER | Independence | $1,171.06 | $98.36 – $106.30 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $664.94 | $99.35 – $99.35 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $462.32 | $98.36 – $106.30 |