Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) 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.
$1.42 with United vs $405.00 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 | $1.42 | — |
| HealthyBlue | MGMCD | $1.45 | — |
| Sunflower State Health Plan | MCD | $1.46 | — |
| Aetna Better Health | MCD | $1.48 | — |
| Home State Health Plan | MCD | $1.48 | — |
| Amerigroup | MGMCD | $1.48 | — |
| Unicare | MGMCD | $1.48 | — |
| United | MOMGMCD | $1.56 | — |
| United | AllPayerAppendix | $3.47 | — |
| Ambetter | Commercial-Exchange | $75.33 | — |
| NHC Advantage | MGMCR | $76.95 | — |
| NHC Advantage | MGMCD | $76.95 | — |
| United | OptionsPPO | $101.66 | — |
| Universal Healthcare | MCR | $105.30 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $105.30 | — |
| Humana | EPO | $136.89 | — |
| Humana | HMO | $136.89 | — |
| Humana | ASO | $136.89 | — |
| BCBS | Preferred-CareBlue(PPO) | $153.90 | — |
| BCBS | Blue-Care(HMO) | $153.90 | — |
| BCBS | BlueAccess | $153.90 | — |
| BCBS | FreedomNetworkSelect | $153.90 | — |
| BCBS | FreedomNetwork | $166.05 | — |
| Humana | POS | $174.15 | — |
| BCBS | PC | $174.15 | — |
| Humana | PPO | $174.15 | — |
| College Park Family Care Center | COMM | $174.15 | — |
| United | GlobalBenefitPlan | $182.25 | — |
| Aetna | IVLHIX | $192.38 | — |
| Oscar | HIX | $202.50 | — |
| OHA Network | MissouriWCOMP | $202.50 | — |
| Aetna | KCCarePlus | $213.44 | — |
| Cigna | LocalKC | $231.34 | — |
| BCBS | Participating | $259.20 | — |
| BCBS | Traditional | $259.20 | — |
| Aetna | Local | $271.35 | — |
| Cigna | SureFit/LocalPlus | $288.97 | — |
| Cigna | Comm | $289.17 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $303.75 | — |
| Aetna | NAP | $306.99 | — |
| Aetna | National | $310.23 | — |
| Multiplan | PrimaryNetwork | $315.90 | — |
| Coventry | WCOMP | $323.19 | — |
| Coventry KC MO | WCOMP | $323.19 | — |
| CCO, Inc. | WORKERSCOMPPPO | $344.25 | — |
| CCO, Inc. | COMM | $344.25 | — |
| CorVel Corporation | MOWC | $344.25 | — |
| Aetna | FHMedicalRental | $354.38 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $364.50 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $405.00 | — |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Carthage | Carthage | $263.01 | $56.80 – $82.80 |
| Mercy Hospital Southeast | Cape Girardeau | $202.31 | $96.40 – $96.40 |
| Mercy Orthopedic Hospital Springfield | Ozark | $188.16 | $56.80 – $122.00 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $206.71 | $1.45 – $2.06 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $1.36 – $1.36 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $1.36 – $1.36 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $3.05 – $3.05 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $1.36 – $1.36 |