Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm 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.
$118.67 with Ambetter vs $574.20 with FOCUS Healthcare Mgmt, Inc — 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $118.67 | — |
| HealthyBlue | MGMCD | $127.60 | — |
| United | OptionsPPO | $160.14 | — |
| Universal Healthcare | MCR | $165.88 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $165.88 | — |
| Aetna Better Health | MCD | $191.40 | — |
| United | AllPayerAppendix | $209.78 | — |
| Humana | EPO | $215.64 | — |
| Humana | HMO | $215.64 | — |
| Humana | ASO | $215.64 | — |
| BCBS | BlueAccess | $242.44 | — |
| BCBS | Preferred-CareBlue(PPO) | $242.44 | — |
| BCBS | FreedomNetworkSelect | $242.44 | — |
| BCBS | Blue-Care(HMO) | $242.44 | — |
| BCBS | FreedomNetwork | $261.58 | — |
| BCBS | PC | $274.34 | — |
| Humana | POS | $274.34 | — |
| Humana | PPO | $274.34 | — |
| United | GlobalBenefitPlan | $287.10 | — |
| Aetna | IVLHIX | $303.05 | — |
| OHA Network | MissouriWCOMP | $319.00 | — |
| Oscar | HIX | $319.00 | — |
| Aetna | KCCarePlus | $336.23 | — |
| Cigna | LocalKC | $364.43 | — |
| BCBS | Traditional | $408.32 | — |
| BCBS | Participating | $408.32 | — |
| Aetna | Local | $427.46 | — |
| Cigna | SureFit/LocalPlus | $455.21 | — |
| Cigna | Comm | $455.53 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $478.50 | — |
| Aetna | NAP | $483.60 | — |
| Aetna | National | $488.71 | — |
| Multiplan | PrimaryNetwork | $497.64 | — |
| Coventry | WCOMP | $509.12 | — |
| Coventry KC MO | WCOMP | $509.12 | — |
| CorVel Corporation | MOWC | $542.30 | — |
| CCO, Inc. | COMM | $542.30 | — |
| CCO, Inc. | WORKERSCOMPPPO | $542.30 | — |
| Aetna | FHMedicalRental | $558.25 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $574.20 | — |
Visitor-reported prices
Comments
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $338.79 | $124.65 – $629.40 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $338.79 | $124.65 – $629.40 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $338.79 | $629.40 – $651.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $338.79 | $124.65 – $629.40 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $338.79 | $124.65 – $629.40 |
| Mercy Hospital Aurora | Aurora | $482.30 | $131.08 – $131.08 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $338.79 | $124.65 – $629.40 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $122.15 – $380.19 |