Inj crotalidae im f(ab')2 eq at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$2,530.12
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.
$2,530.12
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.
$470.60 with Ambetter vs $8,126.51 with United — 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $470.60 | ↓ -81% |
| United | OptionsPPO | $635.06 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $657.83 | ↓ -74% |
| Universal Healthcare | MCR | $657.83 | ↓ -74% |
| Humana | EPO | $855.18 | ↓ -66% |
| Humana | HMO | $855.18 | ↓ -66% |
| Humana | ASO | $855.18 | ↓ -66% |
| BCBS | FreedomNetworkSelect | $961.45 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $961.45 | ↓ -62% |
| BCBS | BlueAccess | $961.45 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $961.45 | ↓ -62% |
| BCBS | FreedomNetwork | $1,037.35 | ↓ -59% |
| Home State Health Plan | MCD | $1,085.29 | ↓ -57% |
| BCBS | PC | $1,087.95 | ↓ -57% |
| Humana | PPO | $1,087.95 | ↓ -57% |
| Humana | POS | $1,087.95 | ↓ -57% |
| United | GlobalBenefitPlan | $1,138.55 | ↓ -55% |
| United | MOMGMCD | $1,147.90 | ↓ -55% |
| Aetna | IVLHIX | $1,201.81 | ↓ -52% |
| OHA Network | MissouriWCOMP | $1,265.06 | ↓ -50% |
| Oscar | HIX | $1,265.06 | ↓ -50% |
| Aetna | KCCarePlus | $1,333.37 | ↓ -47% |
| Cigna | LocalKC | $1,445.20 | ↓ -43% |
| BCBS | Participating | $1,619.28 | ↓ -36% |
| BCBS | Traditional | $1,619.28 | ↓ -36% |
| Aetna | Local | $1,695.18 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $1,805.24 | ↓ -29% |
| Cigna | Comm | $1,806.51 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,897.59 | ↓ -25% |
| Aetna | NAP | $1,917.83 | ↓ -24% |
| Aetna | National | $1,938.07 | ↓ -23% |
| Multiplan | PrimaryNetwork | $1,973.49 | ↓ -22% |
| Coventry KC MO | WCOMP | $2,019.04 | ↓ -20% |
| Coventry | WCOMP | $2,019.04 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $2,150.60 | ↓ -15% |
| CorVel Corporation | MOWC | $2,150.60 | ↓ -15% |
| CCO, Inc. | COMM | $2,150.60 | ↓ -15% |
| Aetna | FHMedicalRental | $2,213.86 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,277.11 | ↓ -10% |
| United | KSMGMCD | $4,925.16 | ↑ +95% |
| HealthyBlue | MGMCD | $5,023.66 | ↑ +99% |
| Sunflower State Health Plan | MCD | $5,072.91 | ↑ +101% |
| Unicare | MGMCD | $5,122.17 | ↑ +102% |
| Aetna Better Health | MCD | $5,122.17 | ↑ +102% |
| Amerigroup | MGMCD | $5,122.17 | ↑ +102% |
| United | AllPayerAppendix | $8,126.51 | ↑ +221% |
Visitor-reported prices
Comments
Inj crotalidae im f(ab')2 eq at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $3,217.50 | $6,594.79 – $6,594.79 |
| Mercy Hospital Carthage | Carthage | $3,003.00 | $1,027.17 – $5,077.84 |
| Mercy Hospital Southeast | Cape Girardeau | $2,574.00 | $1,775.04 – $3,654.49 |
| Mercy Hospital Stoddard | Dexter | $2,574.00 | $1,775.04 – $3,654.49 |
| Mercy Orthopedic Hospital Springfield | Ozark | $2,582.58 | $1,027.17 – $9,357.80 |
| CENTERPOINT MEDICAL CENTER | Independence | $2,530.92 | $1,043.55 – $5,122.17 |
| RESEARCH MEDICAL CENTER | Kansas City | $2,667.53 | $1,043.55 – $5,122.17 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $1,216.42 – $1,694.83 |