Naloxone 0.4 mg/ml 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.12 with United vs $7.31 with FOCUS Healthcare Mgmt, Inc — 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 | $0.12 | — |
| Ambetter | Commercial-Exchange | $1.51 | — |
| HealthyBlue | MGMCD | $1.62 | — |
| United | OptionsPPO | $2.04 | — |
| Universal Healthcare | MCR | $2.11 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $2.11 | — |
| Aetna Better Health | MCD | $2.44 | — |
| Humana | ASO | $2.74 | — |
| Humana | HMO | $2.74 | — |
| Humana | EPO | $2.74 | — |
| BCBS | BlueAccess | $3.09 | — |
| BCBS | Preferred-CareBlue(PPO) | $3.09 | — |
| BCBS | FreedomNetworkSelect | $3.09 | — |
| BCBS | Blue-Care(HMO) | $3.09 | — |
| BCBS | FreedomNetwork | $3.33 | — |
| BCBS | PC | $3.49 | — |
| Humana | POS | $3.49 | — |
| Humana | PPO | $3.49 | — |
| United | GlobalBenefitPlan | $3.65 | — |
| Aetna | IVLHIX | $3.86 | — |
| OHA Network | MissouriWCOMP | $4.06 | — |
| Oscar | HIX | $4.06 | — |
| Aetna | KCCarePlus | $4.28 | — |
| Cigna | LocalKC | $4.64 | — |
| BCBS | Traditional | $5.20 | — |
| BCBS | Participating | $5.20 | — |
| Aetna | Local | $5.44 | — |
| Cigna | SureFit/LocalPlus | $5.79 | — |
| Cigna | Comm | $5.80 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $6.09 | — |
| Aetna | NAP | $6.15 | — |
| Aetna | National | $6.22 | — |
| Multiplan | PrimaryNetwork | $6.33 | — |
| Coventry | WCOMP | $6.48 | — |
| Coventry KC MO | WCOMP | $6.48 | — |
| CorVel Corporation | MOWC | $6.90 | — |
| CCO, Inc. | COMM | $6.90 | — |
| CCO, Inc. | WORKERSCOMPPPO | $6.90 | — |
| Aetna | FHMedicalRental | $7.10 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $7.31 | — |
Visitor-reported prices
Comments
Naloxone 0.4 mg/ml injection (wrapper) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $20.47 | $0.90 – $0.90 |
| Mercy Hospital Carthage | Carthage | $26.62 | $1.00 – $1.00 |
| Mercy Hospital Southeast | Cape Girardeau | $21.45 | $1.20 – $1.20 |
| Mercy Orthopedic Hospital Springfield | Ozark | $50.63 | $1.00 – $1.36 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $0.08 – $0.08 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $0.08 – $0.08 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $0.14 – $0.15 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $0.08 – $0.08 |