MRA without cont, abd at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$5,738.91
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.
$5,738.91
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.
$517.79 with United vs $5,738.91 with Anthem MissouriCare — 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 |
|---|---|---|---|
| United | AllPayerAppendix | $517.79 | ↓ -91% |
| Ambetter | Commercial-Exchange | $1,067.44 | ↓ -81% |
| NHC Advantage | MGMCD | $1,090.39 | ↓ -81% |
| NHC Advantage | MGMCR | $1,090.39 | ↓ -81% |
| HealthyBlue | MGMCD | $1,147.78 | ↓ -80% |
| United | OptionsPPO | $1,440.47 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $1,492.12 | ↓ -74% |
| Universal Healthcare | MCR | $1,492.12 | ↓ -74% |
| Aetna Better Health | MCD | $1,721.67 | ↓ -70% |
| Humana | HMO | $1,939.75 | ↓ -66% |
| Humana | EPO | $1,939.75 | ↓ -66% |
| Humana | ASO | $1,939.75 | ↓ -66% |
| BCBS | BlueAccess | $2,180.79 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $2,180.79 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $2,180.79 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $2,180.79 | ↓ -62% |
| BCBS | FreedomNetwork | $2,352.95 | ↓ -59% |
| Humana | POS | $2,467.73 | ↓ -57% |
| Humana | PPO | $2,467.73 | ↓ -57% |
| College Park Family Care Center | COMM | $2,467.73 | ↓ -57% |
| BCBS | PC | $2,467.73 | ↓ -57% |
| United | GlobalBenefitPlan | $2,582.51 | ↓ -55% |
| Aetna | IVLHIX | $2,725.98 | ↓ -53% |
| Oscar | HIX | $2,869.45 | ↓ -50% |
| OHA Network | MissouriWCOMP | $2,869.45 | ↓ -50% |
| Aetna | KCCarePlus | $3,024.41 | ↓ -47% |
| Cigna | LocalKC | $3,278.07 | ↓ -43% |
| BCBS | Traditional | $3,672.90 | ↓ -36% |
| BCBS | Participating | $3,672.90 | ↓ -36% |
| Aetna | Local | $3,845.07 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $4,094.71 | ↓ -29% |
| Cigna | Comm | $4,097.58 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $4,304.18 | ↓ -25% |
| Aetna | NAP | $4,350.09 | ↓ -24% |
| Aetna | National | $4,396.01 | ↓ -23% |
| Multiplan | PrimaryNetwork | $4,476.35 | ↓ -22% |
| Coventry KC MO | WCOMP | $4,579.65 | ↓ -20% |
| Coventry | WCOMP | $4,579.65 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $4,878.07 | ↓ -15% |
| CCO, Inc. | COMM | $4,878.07 | ↓ -15% |
| CorVel Corporation | MOWC | $4,878.07 | ↓ -15% |
| Aetna | FHMedicalRental | $5,021.55 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,165.02 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $5,738.91 | ↑ +0% |
Visitor-reported prices
Comments
MRA without cont, abd at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,045.00 | $238.99 – $1,122.06 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,045.00 | $238.99 – $1,122.06 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,720.40 | $234.21 – $1,082.56 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,045.00 | $285.66 – $1,122.06 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,045.00 | $238.99 – $1,122.06 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,045.00 | $238.99 – $1,122.06 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $453.42 | $237.67 – $430.18 |
| Mercy Hospital Aurora | Aurora | $2,016.30 | $246.40 – $317.33 |