Rituximab-pvvr 10 mg/ml intravenous solution 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.
$13.27 with United vs $1,204.81 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 | $13.27 | — |
| HealthyBlue | MGMCD | $13.54 | — |
| Sunflower State Health Plan | MCD | $13.67 | — |
| Aetna Better Health | MCD | $13.80 | — |
| Amerigroup | MGMCD | $13.80 | — |
| Unicare | MGMCD | $13.80 | — |
| United | AllPayerAppendix | $21.90 | — |
| Home State Health Plan | MCD | $25.94 | — |
| United | MOMGMCD | $27.43 | — |
| Ambetter | Commercial-Exchange | $248.99 | — |
| United | OptionsPPO | $336.01 | — |
| Universal Healthcare | MCR | $348.06 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $348.06 | — |
| Humana | ASO | $452.47 | — |
| Humana | EPO | $452.47 | — |
| Humana | HMO | $452.47 | — |
| BCBS | BlueAccess | $508.70 | — |
| BCBS | Preferred-CareBlue(PPO) | $508.70 | — |
| BCBS | FreedomNetworkSelect | $508.70 | — |
| BCBS | Blue-Care(HMO) | $508.70 | — |
| BCBS | FreedomNetwork | $548.86 | — |
| Humana | PPO | $575.63 | — |
| Humana | POS | $575.63 | — |
| BCBS | PC | $575.63 | — |
| United | GlobalBenefitPlan | $602.41 | — |
| Aetna | IVLHIX | $635.87 | — |
| Oscar | HIX | $669.34 | — |
| OHA Network | MissouriWCOMP | $669.34 | — |
| Aetna | KCCarePlus | $705.48 | — |
| Cigna | LocalKC | $764.65 | — |
| BCBS | Traditional | $856.76 | — |
| BCBS | Participating | $856.76 | — |
| Aetna | Local | $896.92 | — |
| Cigna | SureFit/LocalPlus | $955.15 | — |
| Cigna | Comm | $955.82 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,004.01 | — |
| Aetna | NAP | $1,014.72 | — |
| Aetna | National | $1,025.43 | — |
| Multiplan | PrimaryNetwork | $1,044.17 | — |
| Coventry | WCOMP | $1,068.27 | — |
| Coventry KC MO | WCOMP | $1,068.27 | — |
| CorVel Corporation | MOWC | $1,137.88 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,137.88 | — |
| CCO, Inc. | COMM | $1,137.88 | — |
| Aetna | FHMedicalRental | $1,171.35 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,204.81 | — |
Visitor-reported prices
Comments
Rituximab-pvvr 10 mg/ml intravenous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $1,880.15 | $177.70 – $177.70 |
| Mercy Hospital Carthage | Carthage | $1,484.77 | $13.68 – $386.90 |
| Mercy Hospital Southeast | Cape Girardeau | $5,831.80 | $9.03 – $4,637.50 |
| Mercy Hospital Stoddard | Dexter | $8,743.80 | $13.43 – $4,637.50 |
| Mercy Orthopedic Hospital Springfield | Ozark | $7,811.96 | $13.02 – $471.80 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $16.16 – $26.84 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $16.16 – $26.84 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $15.84 – $51.65 |