Injection, daratumumab 10 mg 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.
$39.76 with Ambetter vs $192.38 with FOCUS Healthcare Mgmt, Inc — 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 | $39.76 | — |
| United | OptionsPPO | $53.65 | — |
| Universal Healthcare | MCR | $55.58 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $55.58 | — |
| Home State Health Plan | MCD | $70.34 | — |
| United | KSMGMCD | $70.79 | — |
| HealthyBlue | MGMCD | $72.21 | — |
| Humana | EPO | $72.25 | — |
| Humana | HMO | $72.25 | — |
| Humana | ASO | $72.25 | — |
| Sunflower State Health Plan | MCD | $72.91 | — |
| Unicare | MGMCD | $73.62 | — |
| Aetna Better Health | MCD | $73.62 | — |
| Amerigroup | MGMCD | $73.62 | — |
| United | MOMGMCD | $74.39 | — |
| BCBS | BlueAccess | $81.23 | — |
| BCBS | Preferred-CareBlue(PPO) | $81.23 | — |
| BCBS | FreedomNetworkSelect | $81.23 | — |
| BCBS | Blue-Care(HMO) | $81.23 | — |
| BCBS | FreedomNetwork | $87.64 | — |
| Humana | PPO | $91.92 | — |
| Humana | POS | $91.92 | — |
| BCBS | PC | $91.92 | — |
| United | GlobalBenefitPlan | $96.19 | — |
| Aetna | IVLHIX | $101.54 | — |
| Oscar | HIX | $106.88 | — |
| OHA Network | MissouriWCOMP | $106.88 | — |
| Aetna | KCCarePlus | $112.65 | — |
| United | AllPayerAppendix | $116.80 | — |
| Cigna | LocalKC | $122.10 | — |
| BCBS | Traditional | $136.81 | — |
| BCBS | Participating | $136.81 | — |
| Aetna | Local | $143.22 | — |
| Cigna | SureFit/LocalPlus | $152.52 | — |
| Cigna | Comm | $152.62 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $160.32 | — |
| Aetna | NAP | $162.03 | — |
| Aetna | National | $163.74 | — |
| Multiplan | PrimaryNetwork | $166.73 | — |
| Coventry | WCOMP | $170.58 | — |
| Coventry KC MO | WCOMP | $170.58 | — |
| CCO, Inc. | WORKERSCOMPPPO | $181.70 | — |
| CCO, Inc. | COMM | $181.70 | — |
| CorVel Corporation | MOWC | $181.70 | — |
| Aetna | FHMedicalRental | $187.04 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $192.38 | — |
Visitor-reported prices
Comments
Injection, daratumumab 10 mg at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $2,161.54 | $947.90 – $947.90 |
| Mercy Hospital Southeast | Cape Girardeau | $5,366.95 | $46.71 – $2,444.40 |
| Mercy Hospital Stoddard | Dexter | $8,046.53 | $69.43 – $9,777.60 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $73.77 – $107.98 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $73.77 – $107.98 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $65.32 – $132.39 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $81.36 – $107.98 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $73.77 – $107.98 |