Injection, renflexis at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$1,271.90
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.
$1,271.90
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.
$27.75 with United vs $1,144.71 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 | $27.75 | ↓ -98% |
| HealthyBlue | MGMCD | $28.30 | ↓ -98% |
| Sunflower State Health Plan | MCD | $28.58 | ↓ -98% |
| Amerigroup | MGMCD | $28.86 | ↓ -98% |
| Unicare | MGMCD | $28.86 | ↓ -98% |
| Aetna Better Health | MCD | $28.86 | ↓ -98% |
| Home State Health Plan | MCD | $28.96 | ↓ -98% |
| United | MOMGMCD | $30.64 | ↓ -98% |
| United | AllPayerAppendix | $45.79 | ↓ -96% |
| Ambetter | Commercial-Exchange | $236.57 | ↓ -81% |
| United | OptionsPPO | $319.25 | ↓ -75% |
| Universal Healthcare | MCR | $330.69 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $330.69 | ↓ -74% |
| Humana | ASO | $429.90 | ↓ -66% |
| Humana | HMO | $429.90 | ↓ -66% |
| Humana | EPO | $429.90 | ↓ -66% |
| BCBS | BlueAccess | $483.32 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $483.32 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $483.32 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $483.32 | ↓ -62% |
| BCBS | FreedomNetwork | $521.48 | ↓ -59% |
| Humana | PPO | $546.92 | ↓ -57% |
| Humana | POS | $546.92 | ↓ -57% |
| BCBS | PC | $546.92 | ↓ -57% |
| United | GlobalBenefitPlan | $572.36 | ↓ -55% |
| Aetna | IVLHIX | $604.15 | ↓ -53% |
| Oscar | HIX | $635.95 | ↓ -50% |
| OHA Network | MissouriWCOMP | $635.95 | ↓ -50% |
| Aetna | KCCarePlus | $670.29 | ↓ -47% |
| Cigna | LocalKC | $726.51 | ↓ -43% |
| BCBS | Traditional | $814.02 | ↓ -36% |
| BCBS | Participating | $814.02 | ↓ -36% |
| Aetna | Local | $852.17 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $907.50 | ↓ -29% |
| Cigna | Comm | $908.14 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $953.92 | ↓ -25% |
| Aetna | NAP | $964.10 | ↓ -24% |
| Aetna | National | $974.28 | ↓ -23% |
| Multiplan | PrimaryNetwork | $992.08 | ↓ -22% |
| Coventry | WCOMP | $1,014.98 | ↓ -20% |
| Coventry KC MO | WCOMP | $1,014.98 | ↓ -20% |
| CorVel Corporation | MOWC | $1,081.12 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $1,081.12 | ↓ -15% |
| CCO, Inc. | COMM | $1,081.12 | ↓ -15% |
| Aetna | FHMedicalRental | $1,112.91 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,144.71 | ↓ -10% |
Visitor-reported prices
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Injection, renflexis at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $1,648.31 | $28.61 – $277.50 |
| Mercy Hospital Lincoln | Troy | $1,975.76 | $371.60 – $371.60 |
| Mercy Hospital Carthage | Carthage | $1,560.16 | $28.61 – $365.70 |
| Mercy Hospital Southeast | Cape Girardeau | $1,232.06 | $17.69 – $876.75 |
| Mercy Hospital Stoddard | Dexter | $1,844.19 | $26.29 – $876.75 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,648.31 | $27.23 – $555.24 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $1,503.00 | $27.75 – $29.24 |
| CENTERPOINT MEDICAL CENTER | Independence | $1,271.90 | $27.75 – $29.24 |