Physical Therapy Re-Evaluation 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.
$50.29 with Ambetter vs $270.37 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 →
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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 | $50.29 | — |
| NHC Advantage | MGMCD | $51.37 | — |
| NHC Advantage | MGMCR | $51.37 | — |
| United | KSMGMCD | $53.19 | — |
| HealthyBlue | MGMCD | $54.25 | — |
| Sunflower State Health Plan | MCD | $54.79 | — |
| Humana | MCR | $55.11 | — |
| Amerigroup | MGMCD | $55.32 | — |
| Aetna Better Health | MCD | $55.32 | — |
| Unicare | MGMCD | $55.32 | — |
| United | OptionsPPO | $65.97 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $70.30 | — |
| Universal Healthcare | MCR | $70.30 | — |
| CorVel Corporation | KSWC | $74.85 | — |
| OHA Network | KansasWCOMP | $75.62 | — |
| Humana | HMO | $90.57 | — |
| BCBS | Preferred-CareBlue(PPO) | $102.74 | — |
| BCBS | BlueAccess | $102.74 | — |
| BCBS | Blue-Care(HMO) | $102.74 | — |
| BCBS | FreedomNetworkSelect | $102.74 | — |
| BCBS | FreedomNetwork | $110.85 | — |
| BCBS | PC | $116.26 | — |
| College Park Family Care Center | COMM | $116.26 | — |
| United | GlobalBenefitPlan | $121.67 | — |
| Aetna | IVLHIX | $128.43 | — |
| OHA Network | MissouriWCOMP | $135.19 | — |
| Oscar | HIX | $135.19 | — |
| Humana | PPO | $140.32 | — |
| Aetna | KCCarePlus | $142.48 | — |
| Cigna | LocalKC | $153.84 | — |
| BCBS | Participating | $173.04 | — |
| BCBS | Traditional | $173.04 | — |
| Aetna | Local | $181.15 | — |
| Cigna | Comm | $192.31 | — |
| Cigna | SureFit/LocalPlus | $192.91 | — |
| Aetna | NAP | $204.94 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $205.48 | — |
| Aetna | National | $207.10 | — |
| Multiplan | PrimaryNetwork | $210.89 | — |
| Coventry KC MO | WCOMP | $215.76 | — |
| Coventry | WCOMP | $215.76 | — |
| CCO, Inc. | WORKERSCOMPPPO | $229.81 | — |
| CCO, Inc. | COMM | $229.81 | — |
| CorVel Corporation | MOWC | $229.81 | — |
| Aetna | FHMedicalRental | $236.57 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $243.33 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $270.37 | — |
Visitor-reported prices
Comments
Physical Therapy Re-Evaluation at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $254.65 | $57.02 – $75.14 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $254.65 | $57.02 – $75.14 |
| SSM Health Saint Louis University Hospital | Saint Louis | $176.00 | $61.37 – $75.14 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $254.65 | $57.02 – $57.02 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $254.65 | $57.02 – $75.14 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $254.65 | $57.02 – $75.14 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $144.65 | $62.28 – $112.72 |
| Mercy Hospital Aurora | Aurora | $241.80 | $53.19 – $91.31 |