Pembrolizumab 25 mg/ml intravenous solution at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$19,069.96
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.
$19,069.96
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.
$59.73 with United vs $17,162.96 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 |
|---|---|---|---|
| United | KSMGMCD | $59.73 | ↓ -100% |
| HealthyBlue | MGMCD | $60.92 | ↓ -100% |
| Sunflower State Health Plan | MCD | $61.52 | ↓ -100% |
| Home State Health Plan | MCD | $61.72 | ↓ -100% |
| Amerigroup | MGMCD | $62.12 | ↓ -100% |
| Unicare | MGMCD | $62.12 | ↓ -100% |
| Aetna Better Health | MCD | $62.12 | ↓ -100% |
| United | MOMGMCD | $65.29 | ↓ -100% |
| United | AllPayerAppendix | $98.55 | ↓ -99% |
| Ambetter | Commercial-Exchange | $3,547.01 | ↓ -81% |
| United | OptionsPPO | $4,786.56 | ↓ -75% |
| Universal Healthcare | MCR | $4,958.19 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $4,958.19 | ↓ -74% |
| Humana | ASO | $6,445.65 | ↓ -66% |
| Humana | HMO | $6,445.65 | ↓ -66% |
| Humana | EPO | $6,445.65 | ↓ -66% |
| BCBS | BlueAccess | $7,246.58 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $7,246.58 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $7,246.58 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $7,246.58 | ↓ -62% |
| BCBS | FreedomNetwork | $7,818.68 | ↓ -59% |
| Humana | PPO | $8,200.08 | ↓ -57% |
| Humana | POS | $8,200.08 | ↓ -57% |
| BCBS | PC | $8,200.08 | ↓ -57% |
| United | GlobalBenefitPlan | $8,581.48 | ↓ -55% |
| Aetna | IVLHIX | $9,058.23 | ↓ -53% |
| Oscar | HIX | $9,534.98 | ↓ -50% |
| OHA Network | MissouriWCOMP | $9,534.98 | ↓ -50% |
| Aetna | KCCarePlus | $10,049.87 | ↓ -47% |
| Cigna | LocalKC | $10,892.76 | ↓ -43% |
| BCBS | Traditional | $12,204.77 | ↓ -36% |
| BCBS | Participating | $12,204.77 | ↓ -36% |
| Aetna | Local | $12,776.87 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $13,606.42 | ↓ -29% |
| Cigna | Comm | $13,615.95 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $14,302.47 | ↓ -25% |
| Aetna | NAP | $14,455.03 | ↓ -24% |
| Aetna | National | $14,607.59 | ↓ -23% |
| Multiplan | PrimaryNetwork | $14,874.57 | ↓ -22% |
| Coventry | WCOMP | $15,217.83 | ↓ -20% |
| Coventry KC MO | WCOMP | $15,217.83 | ↓ -20% |
| CorVel Corporation | MOWC | $16,209.47 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $16,209.47 | ↓ -15% |
| CCO, Inc. | COMM | $16,209.47 | ↓ -15% |
| Aetna | FHMedicalRental | $16,686.22 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $17,162.96 | ↓ -10% |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $16,040.52 | $7,998.00 – $7,998.00 |
| Mercy Hospital Southeast | Cape Girardeau | $9,978.80 | $40.43 – $20,496.00 |
| Mercy Hospital Stoddard | Dexter | $14,964.30 | $60.09 – $20,496.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $13,368.94 | $58.59 – $13,116.06 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $19,069.96 | $59.35 – $62.32 |
| CENTERPOINT MEDICAL CENTER | Independence | $19,069.96 | $59.35 – $62.32 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $60.64 – $97.54 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $60.64 – $97.54 |