Hands-On Manual Therapy (each 15 minutes) 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.
$22.37 with United vs $250.39 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 |
|---|---|---|---|
| United | KSMGMCD | $22.37 | — |
| Humana | MCR | $22.81 | — |
| HealthyBlue | MGMCD | $22.82 | — |
| Sunflower State Health Plan | MCD | $23.04 | — |
| Unicare | MGMCD | $23.26 | — |
| Amerigroup | MGMCD | $23.26 | — |
| Aetna Better Health | MCD | $23.26 | — |
| CorVel Corporation | KSWC | $36.73 | — |
| OHA Network | KansasWCOMP | $37.11 | — |
| Ambetter | Commercial-Exchange | $46.57 | — |
| NHC Advantage | MGMCD | $47.57 | — |
| NHC Advantage | MGMCR | $47.57 | — |
| United | OptionsPPO | $61.10 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $65.10 | — |
| Universal Healthcare | MCR | $65.10 | — |
| Humana | HMO | $83.88 | — |
| BCBS | Preferred-CareBlue(PPO) | $95.15 | — |
| BCBS | BlueAccess | $95.15 | — |
| BCBS | Blue-Care(HMO) | $95.15 | — |
| BCBS | FreedomNetworkSelect | $95.15 | — |
| BCBS | FreedomNetwork | $102.66 | — |
| BCBS | PC | $107.67 | — |
| College Park Family Care Center | COMM | $107.67 | — |
| United | GlobalBenefitPlan | $112.68 | — |
| Aetna | IVLHIX | $118.94 | — |
| OHA Network | MissouriWCOMP | $125.19 | — |
| Oscar | HIX | $125.19 | — |
| Humana | PPO | $129.95 | — |
| Aetna | KCCarePlus | $131.96 | — |
| Cigna | LocalKC | $142.47 | — |
| BCBS | Participating | $160.25 | — |
| BCBS | Traditional | $160.25 | — |
| Aetna | Local | $167.76 | — |
| Cigna | Comm | $178.10 | — |
| Cigna | SureFit/LocalPlus | $178.65 | — |
| Aetna | NAP | $189.80 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $190.30 | — |
| Aetna | National | $191.80 | — |
| Multiplan | PrimaryNetwork | $195.30 | — |
| Coventry KC MO | WCOMP | $199.81 | — |
| Coventry | WCOMP | $199.81 | — |
| CCO, Inc. | WORKERSCOMPPPO | $212.83 | — |
| CCO, Inc. | COMM | $212.83 | — |
| CorVel Corporation | MOWC | $212.83 | — |
| Aetna | FHMedicalRental | $219.09 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $225.35 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $250.39 | — |
Visitor-reported prices
Comments
Hands-On Manual Therapy (each 15 minutes) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $91.85 | $26.92 – $32.30 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $91.85 | $26.92 – $32.30 |
| SSM Health Saint Louis University Hospital | Saint Louis | $71.50 | $26.38 – $32.30 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $91.85 | $30.86 – $30.86 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $91.85 | $26.92 – $32.30 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $91.85 | $26.92 – $32.30 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $65.49 | $26.77 – $48.46 |
| Mercy Hospital Aurora | Aurora | $72.80 | $22.37 – $36.81 |