Morphine 4 mg/ml injection (wrapper)|discarded drug not administered at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$3.03
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.
$3.03
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.
$0.56 with Ambetter vs $11.17 with United — 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 | $0.56 | ↓ -82% |
| United | OptionsPPO | $0.76 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $0.79 | ↓ -74% |
| Universal Healthcare | MCR | $0.79 | ↓ -74% |
| Humana | ASO | $1.02 | ↓ -66% |
| Humana | EPO | $1.02 | ↓ -66% |
| Humana | HMO | $1.02 | ↓ -66% |
| BCBS | Blue-Care(HMO) | $1.15 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $1.15 | ↓ -62% |
| BCBS | BlueAccess | $1.15 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $1.15 | ↓ -62% |
| BCBS | FreedomNetwork | $1.24 | ↓ -59% |
| Humana | POS | $1.30 | ↓ -57% |
| Humana | PPO | $1.30 | ↓ -57% |
| BCBS | PC | $1.30 | ↓ -57% |
| United | GlobalBenefitPlan | $1.36 | ↓ -55% |
| Aetna | IVLHIX | $1.44 | ↓ -52% |
| OHA Network | MissouriWCOMP | $1.51 | ↓ -50% |
| Oscar | HIX | $1.51 | ↓ -50% |
| Aetna | KCCarePlus | $1.60 | ↓ -47% |
| Cigna | LocalKC | $1.73 | ↓ -43% |
| BCBS | Traditional | $1.94 | ↓ -36% |
| BCBS | Participating | $1.94 | ↓ -36% |
| Aetna | Local | $2.03 | ↓ -33% |
| Cigna | Comm | $2.16 | ↓ -29% |
| Cigna | SureFit/LocalPlus | $2.16 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $2.27 | ↓ -25% |
| Aetna | NAP | $2.30 | ↓ -24% |
| Aetna | National | $2.32 | ↓ -23% |
| Multiplan | PrimaryNetwork | $2.36 | ↓ -22% |
| Coventry KC MO | WCOMP | $2.42 | ↓ -20% |
| Coventry | WCOMP | $2.42 | ↓ -20% |
| CorVel Corporation | MOWC | $2.58 | ↓ -15% |
| CCO, Inc. | COMM | $2.58 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $2.58 | ↓ -15% |
| Aetna | FHMedicalRental | $2.65 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2.73 | ↓ -10% |
| United | KSMGMCD | $6.64 | ↑ +119% |
| HealthyBlue | MGMCD | $6.77 | ↑ +123% |
| Sunflower State Health Plan | MCD | $6.84 | ↑ +126% |
| Home State Health Plan | MCD | $6.91 | ↑ +128% |
| Unicare | MGMCD | $6.91 | ↑ +128% |
| Aetna Better Health | MCD | $6.91 | ↑ +128% |
| Amerigroup | MGMCD | $6.91 | ↑ +128% |
| United | MOMGMCD | $7.30 | ↑ +141% |
| United | AllPayerAppendix | $11.17 | ↑ +269% |
Visitor-reported prices
Comments
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $13.00 | $9.07 – $9.07 |
| Mercy Hospital Southeast | Cape Girardeau | $13.00 | $13.82 – $13.82 |
| Mercy Orthopedic Hospital Springfield | Ozark | $19.41 | $4.06 – $17.86 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $9.47 – $13.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $9.47 – $13.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $16.23 – $17.48 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $9.47 – $13.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $9.47 – $13.00 |