Mayo muscle-specific kinase (musk) antibody at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$1,404.00
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.
$1,404.00
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.
$15.64 with United vs $1,404.00 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 | $15.64 | ↓ -99% |
| HealthyBlue | MGMCD | $15.95 | ↓ -99% |
| Sunflower State Health Plan | MCD | $16.11 | ↓ -99% |
| Amerigroup | MGMCD | $16.27 | ↓ -99% |
| Home State Health Plan | MCD | $16.27 | ↓ -99% |
| Aetna Better Health | MCD | $16.27 | ↓ -99% |
| Unicare | MGMCD | $16.27 | ↓ -99% |
| United | MOMGMCD | $17.20 | ↓ -99% |
| United | AllPayerAppendix | $18.40 | ↓ -99% |
| Ambetter | Commercial-Exchange | $261.14 | ↓ -81% |
| NHC Advantage | MGMCR | $266.76 | ↓ -81% |
| NHC Advantage | MGMCD | $266.76 | ↓ -81% |
| United | OptionsPPO | $352.40 | ↓ -75% |
| Universal Healthcare | MCR | $365.04 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $365.04 | ↓ -74% |
| Humana | ASO | $474.55 | ↓ -66% |
| Humana | HMO | $474.55 | ↓ -66% |
| Humana | EPO | $474.55 | ↓ -66% |
| BCBS | BlueAccess | $533.52 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $533.52 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $533.52 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $533.52 | ↓ -62% |
| BCBS | FreedomNetwork | $575.64 | ↓ -59% |
| Humana | PPO | $603.72 | ↓ -57% |
| College Park Family Care Center | COMM | $603.72 | ↓ -57% |
| BCBS | PC | $603.72 | ↓ -57% |
| Humana | POS | $603.72 | ↓ -57% |
| United | GlobalBenefitPlan | $631.80 | ↓ -55% |
| Aetna | IVLHIX | $666.90 | ↓ -53% |
| OHA Network | MissouriWCOMP | $702.00 | ↓ -50% |
| Oscar | HIX | $702.00 | ↓ -50% |
| Aetna | KCCarePlus | $739.91 | ↓ -47% |
| Cigna | LocalKC | $801.96 | ↓ -43% |
| BCBS | Traditional | $898.56 | ↓ -36% |
| BCBS | Participating | $898.56 | ↓ -36% |
| Aetna | Local | $940.68 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $1,001.75 | ↓ -29% |
| Cigna | Comm | $1,002.46 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,053.00 | ↓ -25% |
| Aetna | NAP | $1,064.23 | ↓ -24% |
| Aetna | National | $1,075.46 | ↓ -23% |
| Multiplan | PrimaryNetwork | $1,095.12 | ↓ -22% |
| Coventry KC MO | WCOMP | $1,120.39 | ↓ -20% |
| Coventry | WCOMP | $1,120.39 | ↓ -20% |
| CCO, Inc. | COMM | $1,193.40 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $1,193.40 | ↓ -15% |
| CorVel Corporation | MOWC | $1,193.40 | ↓ -15% |
| Aetna | FHMedicalRental | $1,228.50 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,263.60 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $1,404.00 | ↑ +0% |
| BCBS | MCRPPO | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Mayo muscle-specific kinase (musk) antibody at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $22.00 | $18.03 – $18.95 |
| Mercy Hospital Lincoln | Troy | $417.30 | $18.40 – $25.50 |
| Mercy Hospital Carthage | Carthage | $403.65 | $15.64 – $68.14 |
| Mercy Hospital Southeast | Cape Girardeau | $726.05 | $16.56 – $66.09 |
| Mercy Hospital Stoddard | Dexter | $726.05 | $16.56 – $64.40 |
| Mercy Orthopedic Hospital Springfield | Ozark | $288.60 | $14.02 – $35.33 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $16.56 – $33.12 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $18.40 – $18.77 |