Myelography neck spine at LAFAYETTE REGIONAL HEALTH CENTER

1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 17, 2026

$4,609.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4,609.43

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$83.89 with CorVel Corporation vs $4,609.43 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 →

Payer
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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
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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
CorVel Corporation KSWC $83.89 ↓ -98%
OHA Network KansasWCOMP $84.74 ↓ -98%
United KSMGMCD $415.56 ↓ -91%
HealthyBlue MGMCD $423.87 ↓ -91%
Sunflower State Health Plan MCD $428.03 ↓ -91%
Aetna Better Health MCD $432.18 ↓ -91%
Unicare MGMCD $432.18 ↓ -91%
Home State Health Plan MCD $432.18 ↓ -91%
Amerigroup MGMCD $432.18 ↓ -91%
United MOMGMCD $457.12 ↓ -90%
Aetna Coventry FamilyHealthPlanMCD $634.80 ↓ -86%
Ambetter Commercial-Exchange $857.35 ↓ -81%
NHC Advantage MGMCD $875.79 ↓ -81%
NHC Advantage MGMCR $875.79 ↓ -81%
United OptionsPPO $1,156.97 ↓ -75%
Universal Healthcare MCR $1,198.45 ↓ -74%
Humana ASO $1,557.99 ↓ -66%
Humana HMO $1,557.99 ↓ -66%
Humana EPO $1,557.99 ↓ -66%
United AllPayerAppendix $1,609.16 ↓ -65%
BCBS Blue-Care(HMO) $1,751.58 ↓ -62%
BCBS BlueAccess $1,751.58 ↓ -62%
BCBS FreedomNetworkSelect $1,751.58 ↓ -62%
BCBS Preferred-CareBlue(PPO) $1,751.58 ↓ -62%
BCBS FreedomNetwork $1,889.87 ↓ -59%
Humana PPO $1,982.05 ↓ -57%
BCBS PC $1,982.05 ↓ -57%
Humana POS $1,982.05 ↓ -57%
College Park Family Care Center COMM $1,982.05 ↓ -57%
United GlobalBenefitPlan $2,074.24 ↓ -55%
Aetna IVLHIX $2,189.48 ↓ -52%
OHA Network MissouriWCOMP $2,304.72 ↓ -50%
Oscar HIX $2,304.72 ↓ -50%
Aetna KCCarePlus $2,429.17 ↓ -47%
Cigna LocalKC $2,632.91 ↓ -43%
BCBS Participating $2,950.04 ↓ -36%
BCBS Traditional $2,950.04 ↓ -36%
Aetna Local $3,088.32 ↓ -33%
Cigna SureFit/LocalPlus $3,288.83 ↓ -29%
Cigna Comm $3,291.13 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $3,457.07 ↓ -25%
Aetna NAP $3,493.95 ↓ -24%
Aetna National $3,530.82 ↓ -23%
Multiplan PrimaryNetwork $3,595.36 ↓ -22%
Coventry KC MO WCOMP $3,678.33 ↓ -20%
Coventry WCOMP $3,678.33 ↓ -20%
CorVel Corporation MOWC $3,918.02 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $3,918.02 ↓ -15%
CCO, Inc. COMM $3,918.02 ↓ -15%
Aetna FHMedicalRental $4,033.25 ↓ -13%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $4,148.49 ↓ -10%
Anthem MissouriCare MissouriCareMGMCD $4,609.43 ↑ +0%

Visitor-reported prices

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Myelography neck spine at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $943.80 $51.99 – $942.22
SSM Health DePaul Hospital - St. Louis Bridgeton $943.80 $51.99 – $942.22
SSM Health Saint Louis University Hospital Saint Louis $1,739.65 $59.69 – $942.22
SSM Health St. Joseph Hospital- Wentzville Wentzville $943.80 $51.99 – $1,430.36
SSM Health St. Joseph Hospital - St. Charles Saint Charles $943.80 $51.99 – $942.22
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $943.80 $51.99 – $942.22
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $938.52 $141.37 – $1,413.34
Mercy Hospital Carthage Carthage $1,127.75 $146.68 – $1,037.21

All Missouri hospitals for this procedure →