Injection,onabotulinumtoxina 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.
$4.13 with Ambetter vs $19.97 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 | $4.13 | — |
| United | OptionsPPO | $5.57 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $5.77 | — |
| Universal Healthcare | MCR | $5.77 | — |
| United | KSMGMCD | $6.51 | — |
| HealthyBlue | MGMCD | $6.64 | — |
| Sunflower State Health Plan | MCD | $6.71 | — |
| Home State Health Plan | MCD | $6.74 | — |
| Aetna Better Health | MCD | $6.77 | — |
| Amerigroup | MGMCD | $6.77 | — |
| Unicare | MGMCD | $6.77 | — |
| United | MOMGMCD | $7.13 | — |
| Humana | EPO | $7.50 | — |
| Humana | HMO | $7.50 | — |
| Humana | ASO | $7.50 | — |
| BCBS | BlueAccess | $8.43 | — |
| BCBS | Preferred-CareBlue(PPO) | $8.43 | — |
| BCBS | FreedomNetworkSelect | $8.43 | — |
| BCBS | Blue-Care(HMO) | $8.43 | — |
| BCBS | FreedomNetwork | $9.10 | — |
| Humana | PPO | $9.54 | — |
| Humana | POS | $9.54 | — |
| BCBS | PC | $9.54 | — |
| United | GlobalBenefitPlan | $9.99 | — |
| Aetna | IVLHIX | $10.54 | — |
| United | AllPayerAppendix | $10.74 | — |
| Oscar | HIX | $11.10 | — |
| OHA Network | MissouriWCOMP | $11.10 | — |
| Aetna | KCCarePlus | $11.69 | — |
| Cigna | LocalKC | $12.67 | — |
| BCBS | Traditional | $14.20 | — |
| BCBS | Participating | $14.20 | — |
| Aetna | Local | $14.87 | — |
| Cigna | SureFit/LocalPlus | $15.83 | — |
| Cigna | Comm | $15.84 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $16.64 | — |
| Aetna | NAP | $16.82 | — |
| Aetna | National | $17.00 | — |
| Multiplan | PrimaryNetwork | $17.31 | — |
| Coventry | WCOMP | $17.71 | — |
| Coventry KC MO | WCOMP | $17.71 | — |
| CorVel Corporation | MOWC | $18.86 | — |
| CCO, Inc. | WORKERSCOMPPPO | $18.86 | — |
| CCO, Inc. | COMM | $18.86 | — |
| Aetna | FHMedicalRental | $19.42 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $19.97 | — |
Visitor-reported prices
Comments
Injection,onabotulinumtoxina at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Carthage | Carthage | $1,481.02 | $6.71 – $949.00 |
| Mercy Hospital Southeast | Cape Girardeau | $1,269.45 | $4.30 – $2,275.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $2,547.36 | $6.39 – $1,393.78 |
| Mercy Primary Care - Bernie | Bernie | $1,136.18 | $6.26 – $6.67 |
| CENTERPOINT MEDICAL CENTER | Independence | $2,219.00 | $6.48 – $6.80 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $6.51 – $11.07 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $6.51 – $11.07 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $6.38 – $12.05 |