Immunofluorescence per specimen each additional single antibody stain 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$68.07 with United vs $449.59 with Anthem MissouriCare — 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 |
|---|---|---|---|
| United | KSMGMCD | $68.07 | — |
| HealthyBlue | MGMCD | $69.43 | — |
| Sunflower State Health Plan | MCD | $70.11 | — |
| Amerigroup | MGMCD | $70.79 | — |
| Aetna Better Health | MCD | $70.79 | — |
| Unicare | MGMCD | $70.79 | — |
| Home State Health Plan | MCD | $70.79 | — |
| United | MOMGMCD | $74.88 | — |
| CorVel Corporation | KSWC | $76.95 | — |
| OHA Network | KansasWCOMP | $77.73 | — |
| United | AllPayerAppendix | $81.30 | — |
| Ambetter | Commercial-Exchange | $83.62 | — |
| NHC Advantage | MGMCR | $85.42 | — |
| NHC Advantage | MGMCD | $85.42 | — |
| United | OptionsPPO | $112.85 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $116.89 | — |
| Universal Healthcare | MCR | $116.89 | — |
| Humana | EPO | $151.96 | — |
| Humana | ASO | $151.96 | — |
| Humana | HMO | $151.96 | — |
| BCBS | Blue-Care(HMO) | $170.84 | — |
| BCBS | BlueAccess | $170.84 | — |
| BCBS | FreedomNetworkSelect | $170.84 | — |
| BCBS | Preferred-CareBlue(PPO) | $170.84 | — |
| BCBS | FreedomNetwork | $184.33 | — |
| BCBS | PC | $193.32 | — |
| College Park Family Care Center | COMM | $193.32 | — |
| Humana | POS | $193.32 | — |
| Humana | PPO | $193.32 | — |
| United | GlobalBenefitPlan | $202.32 | — |
| Aetna | IVLHIX | $213.56 | — |
| OHA Network | MissouriWCOMP | $224.79 | — |
| Oscar | HIX | $224.79 | — |
| Aetna | KCCarePlus | $236.93 | — |
| Cigna | LocalKC | $256.81 | — |
| BCBS | Participating | $287.74 | — |
| BCBS | Traditional | $287.74 | — |
| Aetna | Local | $301.23 | — |
| Cigna | SureFit/LocalPlus | $320.78 | — |
| Cigna | Comm | $321.01 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $337.19 | — |
| Aetna | NAP | $340.79 | — |
| Aetna | National | $344.39 | — |
| Multiplan | PrimaryNetwork | $350.68 | — |
| Coventry KC MO | WCOMP | $358.77 | — |
| Coventry | WCOMP | $358.77 | — |
| CorVel Corporation | MOWC | $382.15 | — |
| CCO, Inc. | WORKERSCOMPPPO | $382.15 | — |
| CCO, Inc. | COMM | $382.15 | — |
| Aetna | FHMedicalRental | $393.39 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $404.63 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $449.59 | — |
Visitor-reported prices
Comments
Immunofluorescence per specimen each additional single antibody stain at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $78.65 | $43.57 – $150.34 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $78.65 | $43.57 – $150.34 |
| SSM Health Saint Louis University Hospital | Saint Louis | $154.00 | $50.03 – $150.34 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $78.65 | $43.57 – $150.34 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $78.65 | $43.57 – $150.34 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $78.65 | $43.57 – $150.34 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $76.45 | $70.32 – $73.17 |
| Mercy Hospital Aurora | Aurora | $170.30 | $40.62 – $68.07 |