Injection, fulvestrant at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$245.93
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.
$245.93
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.
$5.72 with United vs $221.34 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 |
|---|---|---|---|
| United | KSMGMCD | $5.72 | ↓ -98% |
| HealthyBlue | MGMCD | $5.83 | ↓ -98% |
| Sunflower State Health Plan | MCD | $5.89 | ↓ -98% |
| Amerigroup | MGMCD | $5.95 | ↓ -98% |
| Unicare | MGMCD | $5.95 | ↓ -98% |
| Aetna Better Health | MCD | $5.95 | ↓ -98% |
| Home State Health Plan | MCD | $7.18 | ↓ -97% |
| United | MOMGMCD | $7.59 | ↓ -97% |
| United | AllPayerAppendix | $9.44 | ↓ -96% |
| Ambetter | Commercial-Exchange | $45.74 | ↓ -81% |
| United | OptionsPPO | $61.73 | ↓ -75% |
| Universal Healthcare | MCR | $63.94 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $63.94 | ↓ -74% |
| Humana | ASO | $83.12 | ↓ -66% |
| Humana | HMO | $83.12 | ↓ -66% |
| Humana | EPO | $83.12 | ↓ -66% |
| BCBS | BlueAccess | $93.45 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $93.45 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $93.45 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $93.45 | ↓ -62% |
| BCBS | FreedomNetwork | $100.83 | ↓ -59% |
| Humana | PPO | $105.75 | ↓ -57% |
| Humana | POS | $105.75 | ↓ -57% |
| BCBS | PC | $105.75 | ↓ -57% |
| United | GlobalBenefitPlan | $110.67 | ↓ -55% |
| Aetna | IVLHIX | $116.82 | ↓ -52% |
| Oscar | HIX | $122.97 | ↓ -50% |
| OHA Network | MissouriWCOMP | $122.97 | ↓ -50% |
| Aetna | KCCarePlus | $129.61 | ↓ -47% |
| Cigna | LocalKC | $140.48 | ↓ -43% |
| BCBS | Traditional | $157.40 | ↓ -36% |
| BCBS | Participating | $157.40 | ↓ -36% |
| Aetna | Local | $164.77 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $175.47 | ↓ -29% |
| Cigna | Comm | $175.59 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $184.45 | ↓ -25% |
| Aetna | NAP | $186.41 | ↓ -24% |
| Aetna | National | $188.38 | ↓ -23% |
| Multiplan | PrimaryNetwork | $191.83 | ↓ -22% |
| Coventry | WCOMP | $196.25 | ↓ -20% |
| Coventry KC MO | WCOMP | $196.25 | ↓ -20% |
| CorVel Corporation | MOWC | $209.04 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $209.04 | ↓ -15% |
| CCO, Inc. | COMM | $209.04 | ↓ -15% |
| Aetna | FHMedicalRental | $215.19 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $221.34 | ↓ -10% |
Visitor-reported prices
Comments
Injection, fulvestrant at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $268.45 | $153.20 – $153.20 |
| Mercy Hospital Southeast | Cape Girardeau | $332.80 | $237.40 – $488.60 |
| Mercy Hospital Stoddard | Dexter | $251.55 | $237.32 – $488.60 |
| Mercy Orthopedic Hospital Springfield | Ozark | $225.55 | $114.40 – $266.20 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $6,319.07 | $5.72 – $7.25 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $2,901.82 | $5.83 – $10.01 |
| CENTERPOINT MEDICAL CENTER | Independence | $294.62 | $5.72 – $7.25 |
| RESEARCH MEDICAL CENTER | Kansas City | $245.93 | $5.72 – $8.35 |