Octreotide,microspheres ER 20 mg intramuscular susp, extended release 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.
$121.76 with Ambetter vs $589.18 with FOCUS Healthcare Mgmt, Inc — 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 | $121.76 | — |
| United | OptionsPPO | $164.31 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $170.21 | — |
| Universal Healthcare | MCR | $170.21 | — |
| United | KSMGMCD | $199.17 | — |
| HealthyBlue | MGMCD | $203.15 | — |
| Sunflower State Health Plan | MCD | $205.15 | — |
| Aetna Better Health | MCD | $207.14 | — |
| Amerigroup | MGMCD | $207.14 | — |
| Unicare | MGMCD | $207.14 | — |
| Home State Health Plan | MCD | $212.77 | — |
| Humana | EPO | $221.27 | — |
| Humana | HMO | $221.27 | — |
| Humana | ASO | $221.27 | — |
| United | MOMGMCD | $225.05 | — |
| BCBS | BlueAccess | $248.76 | — |
| BCBS | Preferred-CareBlue(PPO) | $248.76 | — |
| BCBS | FreedomNetworkSelect | $248.76 | — |
| BCBS | Blue-Care(HMO) | $248.76 | — |
| BCBS | FreedomNetwork | $268.40 | — |
| Humana | PPO | $281.50 | — |
| Humana | POS | $281.50 | — |
| BCBS | PC | $281.50 | — |
| United | GlobalBenefitPlan | $294.59 | — |
| Aetna | IVLHIX | $310.95 | — |
| Oscar | HIX | $327.32 | — |
| OHA Network | MissouriWCOMP | $327.32 | — |
| United | AllPayerAppendix | $328.63 | — |
| Aetna | KCCarePlus | $345.00 | — |
| Cigna | LocalKC | $373.93 | — |
| BCBS | Traditional | $418.97 | — |
| BCBS | Participating | $418.97 | — |
| Aetna | Local | $438.61 | — |
| Cigna | SureFit/LocalPlus | $467.09 | — |
| Cigna | Comm | $467.41 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $490.98 | — |
| Aetna | NAP | $496.22 | — |
| Aetna | National | $501.45 | — |
| Multiplan | PrimaryNetwork | $510.62 | — |
| Coventry | WCOMP | $522.40 | — |
| Coventry KC MO | WCOMP | $522.40 | — |
| CCO, Inc. | WORKERSCOMPPPO | $556.44 | — |
| CCO, Inc. | COMM | $556.44 | — |
| CorVel Corporation | MOWC | $556.44 | — |
| Aetna | FHMedicalRental | $572.81 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $589.18 | — |
Visitor-reported prices
Comments
Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $18,069.67 | $5,333.80 – $5,333.80 |
| Mercy Hospital Carthage | Carthage | $14,251.13 | $205.34 – $6,196.20 |
| Mercy Hospital Southeast | Cape Girardeau | $7,509.29 | $124.31 – $7,427.00 |
| Mercy Hospital Stoddard | Dexter | $16,857.16 | $184.77 – $7,427.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $15,059.90 | $195.39 – $13,102.20 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $8,463.00 | $203.15 – $296.66 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $208.10 – $368.96 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $208.10 – $368.96 |