Methylergonovine 0.2 mg/ml (1 ml) injection solution at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$85.58
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.
$85.58
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.
$15.92 with Ambetter vs $77.02 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $15.92 | ↓ -81% |
| United | KSMGMCD | $21.36 | ↓ -75% |
| United | OptionsPPO | $21.48 | ↓ -75% |
| HealthyBlue | MGMCD | $21.79 | ↓ -75% |
| Sunflower State Health Plan | MCD | $22.00 | ↓ -74% |
| Home State Health Plan | MCD | $22.14 | ↓ -74% |
| Amerigroup | MGMCD | $22.21 | ↓ -74% |
| Unicare | MGMCD | $22.21 | ↓ -74% |
| Aetna Better Health | MCD | $22.21 | ↓ -74% |
| Universal Healthcare | MCR | $22.25 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $22.25 | ↓ -74% |
| United | MOMGMCD | $23.42 | ↓ -73% |
| Humana | EPO | $28.93 | ↓ -66% |
| Humana | HMO | $28.93 | ↓ -66% |
| Humana | ASO | $28.93 | ↓ -66% |
| BCBS | BlueAccess | $32.52 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $32.52 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $32.52 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $32.52 | ↓ -62% |
| BCBS | FreedomNetwork | $35.09 | ↓ -59% |
| United | AllPayerAppendix | $35.24 | ↓ -59% |
| Humana | POS | $36.80 | ↓ -57% |
| BCBS | PC | $36.80 | ↓ -57% |
| Humana | PPO | $36.80 | ↓ -57% |
| United | GlobalBenefitPlan | $38.51 | ↓ -55% |
| Aetna | IVLHIX | $40.65 | ↓ -53% |
| Oscar | HIX | $42.79 | ↓ -50% |
| OHA Network | MissouriWCOMP | $42.79 | ↓ -50% |
| Aetna | KCCarePlus | $45.10 | ↓ -47% |
| Cigna | LocalKC | $48.88 | ↓ -43% |
| BCBS | Traditional | $54.77 | ↓ -36% |
| BCBS | Participating | $54.77 | ↓ -36% |
| Aetna | Local | $57.34 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $61.06 | ↓ -29% |
| Cigna | Comm | $61.10 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $64.19 | ↓ -25% |
| Aetna | NAP | $64.87 | ↓ -24% |
| Aetna | National | $65.55 | ↓ -23% |
| Multiplan | PrimaryNetwork | $66.75 | ↓ -22% |
| Coventry | WCOMP | $68.29 | ↓ -20% |
| Coventry KC MO | WCOMP | $68.29 | ↓ -20% |
| CorVel Corporation | MOWC | $72.74 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $72.74 | ↓ -15% |
| CCO, Inc. | COMM | $72.74 | ↓ -15% |
| Aetna | FHMedicalRental | $74.88 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $77.02 | ↓ -10% |
Visitor-reported prices
Comments
Methylergonovine 0.2 mg/ml (1 ml) injection solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $96.00 | $3.76 – $21.36 |
| Mercy Hospital Lincoln | Troy | $64.22 | $28.60 – $28.60 |
| Mercy Hospital Carthage | Carthage | $83.49 | $21.36 – $32.21 |
| Mercy Hospital Southeast | Cape Girardeau | $103.22 | $37.50 – $37.50 |
| Mercy Orthopedic Hospital Springfield | Ozark | $96.00 | $3.76 – $46.29 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $90.50 | $21.29 – $22.35 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $126.75 | $21.29 – $30.87 |
| CENTERPOINT MEDICAL CENTER | Independence | $102.41 | $21.29 – $22.35 |