Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$512.94
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.
$512.94
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.
$12.68 with Aetna Coventry vs $512.94 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 |
|---|---|---|---|
| Aetna Coventry | FamilyHealthPlanMCD | $12.68 | ↓ -98% |
| United | KSMGMCD | $13.42 | ↓ -97% |
| United | AllPayerAppendix | $13.42 | ↓ -97% |
| HealthyBlue | MGMCD | $13.69 | ↓ -97% |
| Sunflower State Health Plan | MCD | $13.82 | ↓ -97% |
| Amerigroup | MGMCD | $13.96 | ↓ -97% |
| Unicare | MGMCD | $13.96 | ↓ -97% |
| Home State Health Plan | MCD | $13.96 | ↓ -97% |
| Aetna Better Health | MCD | $13.96 | ↓ -97% |
| United | MOMGMCD | $14.76 | ↓ -97% |
| CorVel Corporation | KSWC | $26.07 | ↓ -95% |
| OHA Network | KansasWCOMP | $26.33 | ↓ -95% |
| Ambetter | Commercial-Exchange | $95.41 | ↓ -81% |
| NHC Advantage | MGMCR | $97.46 | ↓ -81% |
| NHC Advantage | MGMCD | $97.46 | ↓ -81% |
| United | OptionsPPO | $128.75 | ↓ -75% |
| Universal Healthcare | MCR | $133.36 | ↓ -74% |
| Humana | EPO | $173.37 | ↓ -66% |
| Humana | HMO | $173.37 | ↓ -66% |
| Humana | ASO | $173.37 | ↓ -66% |
| BCBS | BlueAccess | $194.92 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $194.92 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $194.92 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $194.92 | ↓ -62% |
| BCBS | FreedomNetwork | $210.31 | ↓ -59% |
| Humana | POS | $220.56 | ↓ -57% |
| Humana | PPO | $220.56 | ↓ -57% |
| College Park Family Care Center | COMM | $220.56 | ↓ -57% |
| BCBS | PC | $220.56 | ↓ -57% |
| United | GlobalBenefitPlan | $230.82 | ↓ -55% |
| Aetna | IVLHIX | $243.65 | ↓ -52% |
| Oscar | HIX | $256.47 | ↓ -50% |
| OHA Network | MissouriWCOMP | $256.47 | ↓ -50% |
| Aetna | KCCarePlus | $270.32 | ↓ -47% |
| Cigna | LocalKC | $292.99 | ↓ -43% |
| BCBS | Traditional | $328.28 | ↓ -36% |
| BCBS | Participating | $328.28 | ↓ -36% |
| Aetna | Local | $343.67 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $365.98 | ↓ -29% |
| Cigna | Comm | $366.24 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $384.71 | ↓ -25% |
| Aetna | NAP | $388.81 | ↓ -24% |
| Aetna | National | $392.91 | ↓ -23% |
| Multiplan | PrimaryNetwork | $400.09 | ↓ -22% |
| Coventry KC MO | WCOMP | $409.33 | ↓ -20% |
| Coventry | WCOMP | $409.33 | ↓ -20% |
| CCO, Inc. | COMM | $436.00 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $436.00 | ↓ -15% |
| CorVel Corporation | MOWC | $436.00 | ↓ -15% |
| Aetna | FHMedicalRental | $448.82 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $461.65 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $512.94 | ↑ +0% |
| Celtic | MCR | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $157.85 | $12.08 – $24.16 |
| Mercy Hospital Aurora | Aurora | $79.95 | $12.87 – $18.60 |
| Mercy Hospital Lincoln | Troy | $118.95 | $13.42 – $18.60 |
| Mercy Hospital Carthage | Carthage | $143.00 | $11.94 – $49.69 |
| Mercy Orthopedic Hospital Springfield | Ozark | $252.20 | $10.23 – $70.67 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $451.79 | $6.80 – $26.33 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $432.50 | $6.80 – $29.35 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $13.42 – $49.43 |