Knee MRI (with and without contrast) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$206.69 with United vs $7,446.95 with Anthem MissouriCare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $206.69 | — |
| HealthyBlue | MGMCD | $210.82 | — |
| Sunflower State Health Plan | MCD | $212.89 | — |
| Aetna Better Health | MCD | $214.96 | — |
| Amerigroup | MGMCD | $214.96 | — |
| Unicare | MGMCD | $214.96 | — |
| Home State Health Plan | MCD | $214.96 | — |
| United | MOMGMCD | $227.36 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $326.74 | — |
| CorVel Corporation | KSWC | $581.57 | — |
| OHA Network | KansasWCOMP | $587.51 | — |
| United | AllPayerAppendix | $828.27 | — |
| Ambetter | Commercial-Exchange | $1,385.13 | — |
| NHC Advantage | MGMCR | $1,414.92 | — |
| NHC Advantage | MGMCD | $1,414.92 | — |
| United | OptionsPPO | $1,869.18 | — |
| Universal Healthcare | MCR | $1,936.21 | — |
| Humana | ASO | $2,517.07 | — |
| Humana | EPO | $2,517.07 | — |
| Humana | HMO | $2,517.07 | — |
| BCBS | BlueAccess | $2,829.84 | — |
| BCBS | Blue-Care(HMO) | $2,829.84 | — |
| BCBS | Preferred-CareBlue(PPO) | $2,829.84 | — |
| BCBS | FreedomNetworkSelect | $2,829.84 | — |
| BCBS | FreedomNetwork | $3,053.25 | — |
| Humana | PPO | $3,202.19 | — |
| Humana | POS | $3,202.19 | — |
| BCBS | PC | $3,202.19 | — |
| College Park Family Care Center | COMM | $3,202.19 | — |
| United | GlobalBenefitPlan | $3,351.13 | — |
| Aetna | IVLHIX | $3,537.30 | — |
| Oscar | HIX | $3,723.47 | — |
| OHA Network | MissouriWCOMP | $3,723.47 | — |
| Aetna | KCCarePlus | $3,924.54 | — |
| Cigna | LocalKC | $4,253.70 | — |
| BCBS | Participating | $4,766.05 | — |
| BCBS | Traditional | $4,766.05 | — |
| Aetna | Local | $4,989.46 | — |
| Cigna | SureFit/LocalPlus | $5,313.40 | — |
| Cigna | Comm | $5,317.12 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $5,585.21 | — |
| Aetna | NAP | $5,644.79 | — |
| Aetna | National | $5,704.36 | — |
| Multiplan | PrimaryNetwork | $5,808.62 | — |
| Coventry KC MO | WCOMP | $5,942.67 | — |
| Coventry | WCOMP | $5,942.67 | — |
| CorVel Corporation | MOWC | $6,329.91 | — |
| CCO, Inc. | WORKERSCOMPPPO | $6,329.91 | — |
| CCO, Inc. | COMM | $6,329.91 | — |
| Aetna | FHMedicalRental | $6,516.08 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $6,702.26 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $7,446.95 | — |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,882.10 | $349.44 – $1,711.17 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,882.10 | $349.44 – $1,711.17 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,935.45 | $342.45 – $1,650.94 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,882.10 | $363.44 – $1,711.17 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,882.10 | $349.44 – $1,711.17 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,882.10 | $349.44 – $1,711.17 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,552.32 | $347.51 – $628.99 |
| Mercy Hospital Aurora | Aurora | $2,624.05 | $206.69 – $468.85 |