Golimumab 12.5 mg/ml intravenous solution at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$6,742.93
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.
$6,742.93
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.
$11.20 with Home State Health Plan vs $6,068.64 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 |
|---|---|---|---|
| Home State Health Plan | MCD | $11.20 | ↓ -100% |
| United | KSMGMCD | $11.63 | ↓ -100% |
| United | MOMGMCD | $11.85 | ↓ -100% |
| HealthyBlue | MGMCD | $11.86 | ↓ -100% |
| Sunflower State Health Plan | MCD | $11.98 | ↓ -100% |
| Amerigroup | MGMCD | $12.10 | ↓ -100% |
| Unicare | MGMCD | $12.10 | ↓ -100% |
| Aetna Better Health | MCD | $12.10 | ↓ -100% |
| United | AllPayerAppendix | $19.19 | ↓ -100% |
| Ambetter | Commercial-Exchange | $1,254.18 | ↓ -81% |
| United | OptionsPPO | $1,692.48 | ↓ -75% |
| Universal Healthcare | MCR | $1,753.16 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $1,753.16 | ↓ -74% |
| Humana | ASO | $2,279.11 | ↓ -66% |
| Humana | HMO | $2,279.11 | ↓ -66% |
| Humana | EPO | $2,279.11 | ↓ -66% |
| BCBS | BlueAccess | $2,562.31 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $2,562.31 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $2,562.31 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $2,562.31 | ↓ -62% |
| BCBS | FreedomNetwork | $2,764.60 | ↓ -59% |
| Humana | PPO | $2,899.46 | ↓ -57% |
| Humana | POS | $2,899.46 | ↓ -57% |
| BCBS | PC | $2,899.46 | ↓ -57% |
| United | GlobalBenefitPlan | $3,034.32 | ↓ -55% |
| Aetna | IVLHIX | $3,202.89 | ↓ -53% |
| Oscar | HIX | $3,371.47 | ↓ -50% |
| OHA Network | MissouriWCOMP | $3,371.47 | ↓ -50% |
| Aetna | KCCarePlus | $3,553.52 | ↓ -47% |
| Cigna | LocalKC | $3,851.56 | ↓ -43% |
| BCBS | Traditional | $4,315.48 | ↓ -36% |
| BCBS | Participating | $4,315.48 | ↓ -36% |
| Aetna | Local | $4,517.76 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $4,811.08 | ↓ -29% |
| Cigna | Comm | $4,814.45 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $5,057.20 | ↓ -25% |
| Aetna | NAP | $5,111.14 | ↓ -24% |
| Aetna | National | $5,165.08 | ↓ -23% |
| Multiplan | PrimaryNetwork | $5,259.49 | ↓ -22% |
| Coventry | WCOMP | $5,380.86 | ↓ -20% |
| Coventry KC MO | WCOMP | $5,380.86 | ↓ -20% |
| CorVel Corporation | MOWC | $5,731.49 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $5,731.49 | ↓ -15% |
| CCO, Inc. | COMM | $5,731.49 | ↓ -15% |
| Aetna | FHMedicalRental | $5,900.06 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $6,068.64 | ↓ -10% |
Visitor-reported prices
Comments
Golimumab 12.5 mg/ml intravenous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $5,231.04 | $778.50 – $778.50 |
| Mercy Hospital Carthage | Carthage | $4,127.14 | $11.99 – $805.00 |
| Mercy Hospital Southeast | Cape Girardeau | $3,256.49 | $7.45 – $1,930.25 |
| Mercy Hospital Stoddard | Dexter | $4,880.83 | $11.07 – $1,930.25 |
| Mercy Orthopedic Hospital Springfield | Ozark | $2,689.91 | $11.41 – $1,208.78 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $11.04 – $21.59 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $11.04 – $21.59 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $10.54 – $20.48 |