Procainamide 100 mg/ml injection (wrapper) at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$223.80
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.
$223.80
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.
$41.63 with Ambetter vs $568.47 with United — 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 | $41.63 | ↓ -81% |
| United | OptionsPPO | $56.17 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $58.19 | ↓ -74% |
| Universal Healthcare | MCR | $58.19 | ↓ -74% |
| Humana | ASO | $75.64 | ↓ -66% |
| Humana | EPO | $75.64 | ↓ -66% |
| Humana | HMO | $75.64 | ↓ -66% |
| BCBS | Blue-Care(HMO) | $85.04 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $85.04 | ↓ -62% |
| BCBS | BlueAccess | $85.04 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $85.04 | ↓ -62% |
| BCBS | FreedomNetwork | $91.76 | ↓ -59% |
| Humana | POS | $96.23 | ↓ -57% |
| Humana | PPO | $96.23 | ↓ -57% |
| BCBS | PC | $96.23 | ↓ -57% |
| United | GlobalBenefitPlan | $100.71 | ↓ -55% |
| Aetna | IVLHIX | $106.31 | ↓ -52% |
| OHA Network | MissouriWCOMP | $111.90 | ↓ -50% |
| Oscar | HIX | $111.90 | ↓ -50% |
| Aetna | KCCarePlus | $117.94 | ↓ -47% |
| Cigna | LocalKC | $127.83 | ↓ -43% |
| BCBS | Traditional | $143.23 | ↓ -36% |
| BCBS | Participating | $143.23 | ↓ -36% |
| Aetna | Local | $149.95 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $159.68 | ↓ -29% |
| Cigna | Comm | $159.79 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $167.85 | ↓ -25% |
| Aetna | NAP | $169.64 | ↓ -24% |
| Aetna | National | $171.43 | ↓ -23% |
| Multiplan | PrimaryNetwork | $174.56 | ↓ -22% |
| Coventry KC MO | WCOMP | $178.59 | ↓ -20% |
| Coventry | WCOMP | $178.59 | ↓ -20% |
| CorVel Corporation | MOWC | $190.23 | ↓ -15% |
| CCO, Inc. | COMM | $190.23 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $190.23 | ↓ -15% |
| Aetna | FHMedicalRental | $195.82 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $201.42 | ↓ -10% |
| Home State Health Plan | MCD | $295.71 | ↑ +32% |
| United | MOMGMCD | $312.77 | ↑ +40% |
| United | KSMGMCD | $344.53 | ↑ +54% |
| HealthyBlue | MGMCD | $351.42 | ↑ +57% |
| Sunflower State Health Plan | MCD | $354.87 | ↑ +59% |
| Aetna Better Health | MCD | $358.31 | ↑ +60% |
| Amerigroup | MGMCD | $358.31 | ↑ +60% |
| Unicare | MGMCD | $358.31 | ↑ +60% |
| United | AllPayerAppendix | $568.47 | ↑ +154% |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $680.06 | $32.26 – $355.21 |
| Mercy Hospital Lincoln | Troy | $1,950.00 | $461.33 – $461.33 |
| Mercy Hospital Stoddard | Dexter | $528.12 | $210.73 – $680.12 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,238.71 | $32.26 – $654.61 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $144.95 | $284.34 – $358.31 |
| CENTERPOINT MEDICAL CENTER | Independence | $171.34 | $284.34 – $358.31 |
| RESEARCH MEDICAL CENTER | Kansas City | $143.38 | $284.34 – $358.31 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $226.38 – $324.90 |