Knee MRI (with 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.
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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.
$415.56 with United vs $6,052.45 with Anthem MissouriCare — 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 | $415.56 | — |
| HealthyBlue | MGMCD | $423.87 | — |
| Sunflower State Health Plan | MCD | $428.03 | — |
| Amerigroup | MGMCD | $432.18 | — |
| Aetna Better Health | MCD | $432.18 | — |
| Unicare | MGMCD | $432.18 | — |
| Home State Health Plan | MCD | $432.18 | — |
| United | MOMGMCD | $457.12 | — |
| CorVel Corporation | KSWC | $481.81 | — |
| OHA Network | KansasWCOMP | $486.72 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $634.80 | — |
| Ambetter | Commercial-Exchange | $1,125.76 | — |
| NHC Advantage | MGMCD | $1,149.97 | — |
| NHC Advantage | MGMCR | $1,149.97 | — |
| United | OptionsPPO | $1,519.16 | — |
| Universal Healthcare | MCR | $1,573.64 | — |
| United | AllPayerAppendix | $1,609.16 | — |
| Humana | ASO | $2,045.73 | — |
| Humana | HMO | $2,045.73 | — |
| Humana | EPO | $2,045.73 | — |
| BCBS | FreedomNetworkSelect | $2,299.93 | — |
| BCBS | Blue-Care(HMO) | $2,299.93 | — |
| BCBS | BlueAccess | $2,299.93 | — |
| BCBS | Preferred-CareBlue(PPO) | $2,299.93 | — |
| BCBS | FreedomNetwork | $2,481.50 | — |
| Humana | PPO | $2,602.55 | — |
| BCBS | PC | $2,602.55 | — |
| Humana | POS | $2,602.55 | — |
| College Park Family Care Center | COMM | $2,602.55 | — |
| United | GlobalBenefitPlan | $2,723.60 | — |
| Aetna | IVLHIX | $2,874.91 | — |
| OHA Network | MissouriWCOMP | $3,026.22 | — |
| Oscar | HIX | $3,026.22 | — |
| Aetna | KCCarePlus | $3,189.64 | — |
| Cigna | LocalKC | $3,457.16 | — |
| BCBS | Participating | $3,873.57 | — |
| BCBS | Traditional | $3,873.57 | — |
| Aetna | Local | $4,055.14 | — |
| Cigna | SureFit/LocalPlus | $4,318.42 | — |
| Cigna | Comm | $4,321.45 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $4,539.34 | — |
| Aetna | NAP | $4,587.76 | — |
| Aetna | National | $4,636.18 | — |
| Multiplan | PrimaryNetwork | $4,720.91 | — |
| Coventry KC MO | WCOMP | $4,829.86 | — |
| Coventry | WCOMP | $4,829.86 | — |
| CorVel Corporation | MOWC | $5,144.58 | — |
| CCO, Inc. | WORKERSCOMPPPO | $5,144.58 | — |
| CCO, Inc. | COMM | $5,144.58 | — |
| Aetna | FHMedicalRental | $5,295.89 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,447.20 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $6,052.45 | — |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,921.70 | $299.98 – $1,417.70 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,921.70 | $299.98 – $1,417.70 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,666.50 | $344.44 – $1,367.80 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,921.70 | $299.98 – $1,430.36 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,921.70 | $299.98 – $1,417.70 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,921.70 | $299.98 – $1,417.70 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,366.20 | $597.58 – $1,413.34 |
| Mercy Hospital Aurora | Aurora | $2,332.85 | $415.56 – $1,037.21 |