Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 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.
$9.03 with Ambetter vs $53.55 with Aetna Coventry — 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $9.03 | — |
| NHC Advantage | MGMCD | $9.23 | — |
| NHC Advantage | MGMCR | $9.23 | — |
| United | OptionsPPO | $12.19 | — |
| Universal Healthcare | MCR | $12.63 | — |
| Humana | ASO | $16.41 | — |
| Humana | EPO | $16.41 | — |
| Humana | HMO | $16.41 | — |
| BCBS | FreedomNetworkSelect | $18.45 | — |
| BCBS | Preferred-CareBlue(PPO) | $18.45 | — |
| BCBS | BlueAccess | $18.45 | — |
| BCBS | Blue-Care(HMO) | $18.45 | — |
| BCBS | FreedomNetwork | $19.91 | — |
| Humana | PPO | $20.88 | — |
| BCBS | PC | $20.88 | — |
| Humana | POS | $20.88 | — |
| College Park Family Care Center | COMM | $20.88 | — |
| United | GlobalBenefitPlan | $21.85 | — |
| Aetna | IVLHIX | $23.07 | — |
| Oscar | HIX | $24.28 | — |
| OHA Network | MissouriWCOMP | $24.28 | — |
| Aetna | KCCarePlus | $25.59 | — |
| Cigna | LocalKC | $27.74 | — |
| BCBS | Traditional | $31.08 | — |
| BCBS | Participating | $31.08 | — |
| Aetna | Local | $32.54 | — |
| Cigna | SureFit/LocalPlus | $34.65 | — |
| Cigna | Comm | $34.67 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $36.42 | — |
| Aetna | NAP | $36.81 | — |
| Aetna | National | $37.20 | — |
| Multiplan | PrimaryNetwork | $37.88 | — |
| Coventry | WCOMP | $38.75 | — |
| Coventry KC MO | WCOMP | $38.75 | — |
| CCO, Inc. | COMM | $41.28 | — |
| CorVel Corporation | MOWC | $41.28 | — |
| CCO, Inc. | WORKERSCOMPPPO | $41.28 | — |
| Aetna | FHMedicalRental | $42.49 | — |
| United | KSMGMCD | $43.61 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $43.70 | — |
| HealthyBlue | MGMCD | $44.48 | — |
| Sunflower State Health Plan | MCD | $44.92 | — |
| Home State Health Plan | MCD | $45.35 | — |
| Aetna Better Health | MCD | $45.35 | — |
| Unicare | MGMCD | $45.35 | — |
| Amerigroup | MGMCD | $45.35 | — |
| United | MOMGMCD | $47.97 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $48.56 | — |
| United | AllPayerAppendix | $51.31 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $53.55 | — |
| Humana | PFFS | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $99.55 | $51.31 – $52.18 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $99.55 | $51.31 – $52.18 |
| SSM Health Saint Louis University Hospital | Saint Louis | $104.50 | $50.28 – $52.85 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $99.55 | $51.31 – $53.58 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $99.55 | $51.31 – $52.18 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $99.55 | $51.31 – $52.18 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $85.80 | $46.18 – $92.36 |
| Mercy Hospital Aurora | Aurora | $137.80 | $43.61 – $84.66 |