Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$4,274.03
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.
$4,274.03
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.
$41.72 with Home State Health Plan vs $3,846.63 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 |
|---|---|---|---|
| Home State Health Plan | MCD | $41.72 | ↓ -99% |
| United | MOMGMCD | $44.13 | ↓ -99% |
| United | KSMGMCD | $45.50 | ↓ -99% |
| HealthyBlue | MGMCD | $46.41 | ↓ -99% |
| Sunflower State Health Plan | MCD | $46.87 | ↓ -99% |
| Amerigroup | MGMCD | $47.32 | ↓ -99% |
| Unicare | MGMCD | $47.32 | ↓ -99% |
| Aetna Better Health | MCD | $47.32 | ↓ -99% |
| United | AllPayerAppendix | $75.08 | ↓ -98% |
| Ambetter | Commercial-Exchange | $794.97 | ↓ -81% |
| United | OptionsPPO | $1,072.78 | ↓ -75% |
| Universal Healthcare | MCR | $1,111.25 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $1,111.25 | ↓ -74% |
| Humana | ASO | $1,444.62 | ↓ -66% |
| Humana | HMO | $1,444.62 | ↓ -66% |
| Humana | EPO | $1,444.62 | ↓ -66% |
| BCBS | BlueAccess | $1,624.13 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $1,624.13 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $1,624.13 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $1,624.13 | ↓ -62% |
| BCBS | FreedomNetwork | $1,752.35 | ↓ -59% |
| Humana | PPO | $1,837.83 | ↓ -57% |
| Humana | POS | $1,837.83 | ↓ -57% |
| BCBS | PC | $1,837.83 | ↓ -57% |
| United | GlobalBenefitPlan | $1,923.31 | ↓ -55% |
| Aetna | IVLHIX | $2,030.16 | ↓ -53% |
| Oscar | HIX | $2,137.01 | ↓ -50% |
| OHA Network | MissouriWCOMP | $2,137.01 | ↓ -50% |
| Aetna | KCCarePlus | $2,252.41 | ↓ -47% |
| Cigna | LocalKC | $2,441.33 | ↓ -43% |
| BCBS | Traditional | $2,735.38 | ↓ -36% |
| BCBS | Participating | $2,735.38 | ↓ -36% |
| Aetna | Local | $2,863.60 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $3,049.52 | ↓ -29% |
| Cigna | Comm | $3,051.66 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $3,205.52 | ↓ -25% |
| Aetna | NAP | $3,239.71 | ↓ -24% |
| Aetna | National | $3,273.91 | ↓ -23% |
| Multiplan | PrimaryNetwork | $3,333.74 | ↓ -22% |
| Coventry | WCOMP | $3,410.68 | ↓ -20% |
| Coventry KC MO | WCOMP | $3,410.68 | ↓ -20% |
| CorVel Corporation | MOWC | $3,632.93 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $3,632.93 | ↓ -15% |
| CCO, Inc. | COMM | $3,632.93 | ↓ -15% |
| Aetna | FHMedicalRental | $3,739.78 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,846.63 | ↓ -10% |
Visitor-reported prices
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Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $3,039.95 | $46.91 – $1,365.00 |
| Mercy Hospital Lincoln | Troy | $4,067.13 | $1,827.60 – $1,827.60 |
| Mercy Hospital Carthage | Carthage | $3,534.82 | $46.91 – $888.30 |
| Mercy Hospital Southeast | Cape Girardeau | $2,532.66 | $27.60 – $4,258.80 |
| Mercy Hospital Stoddard | Dexter | $3,795.09 | $41.03 – $4,258.80 |
| Mercy Orthopedic Hospital Springfield | Ozark | $3,391.11 | $44.63 – $2,687.23 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $828.90 | $40.12 – $58.17 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $46.59 – $69.06 |