Romiplostim 125 mcg subcutaneous 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.94 with Home State Health Plan vs $8,672.03 with FOCUS Healthcare Mgmt, Inc — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.94 | — |
| United | KSMGMCD | $11.05 | — |
| HealthyBlue | MGMCD | $11.27 | — |
| Sunflower State Health Plan | MCD | $11.38 | — |
| Amerigroup | MGMCD | $11.49 | — |
| Unicare | MGMCD | $11.49 | — |
| Aetna Better Health | MCD | $11.49 | — |
| United | MOMGMCD | $11.57 | — |
| United | AllPayerAppendix | $18.23 | — |
| Ambetter | Commercial-Exchange | $1,792.22 | — |
| United | OptionsPPO | $2,418.53 | — |
| Universal Healthcare | MCR | $2,505.25 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $2,505.25 | — |
| Humana | ASO | $3,256.83 | — |
| Humana | HMO | $3,256.83 | — |
| Humana | EPO | $3,256.83 | — |
| BCBS | BlueAccess | $3,661.52 | — |
| BCBS | Preferred-CareBlue(PPO) | $3,661.52 | — |
| BCBS | FreedomNetworkSelect | $3,661.52 | — |
| BCBS | Blue-Care(HMO) | $3,661.52 | — |
| BCBS | FreedomNetwork | $3,950.59 | — |
| Humana | PPO | $4,143.30 | — |
| Humana | POS | $4,143.30 | — |
| BCBS | PC | $4,143.30 | — |
| United | GlobalBenefitPlan | $4,336.02 | — |
| Aetna | IVLHIX | $4,576.91 | — |
| Oscar | HIX | $4,817.80 | — |
| OHA Network | MissouriWCOMP | $4,817.80 | — |
| Aetna | KCCarePlus | $5,077.96 | — |
| Cigna | LocalKC | $5,503.85 | — |
| BCBS | Traditional | $6,166.78 | — |
| BCBS | Participating | $6,166.78 | — |
| Aetna | Local | $6,455.85 | — |
| Cigna | SureFit/LocalPlus | $6,874.99 | — |
| Cigna | Comm | $6,879.81 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $7,226.69 | — |
| Aetna | NAP | $7,303.78 | — |
| Aetna | National | $7,380.86 | — |
| Multiplan | PrimaryNetwork | $7,515.76 | — |
| Coventry | WCOMP | $7,689.20 | — |
| Coventry KC MO | WCOMP | $7,689.20 | — |
| CorVel Corporation | MOWC | $8,190.25 | — |
| CCO, Inc. | WORKERSCOMPPPO | $8,190.25 | — |
| CCO, Inc. | COMM | $8,190.25 | — |
| Aetna | FHMedicalRental | $8,431.14 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $8,672.03 | — |
Visitor-reported prices
Comments
Romiplostim 125 mcg subcutaneous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $7,046.01 | $1,850.00 – $1,850.00 |
| Mercy Hospital Carthage | Carthage | $6,576.28 | $11.39 – $4,015.00 |
| Mercy Hospital Southeast | Cape Girardeau | $5,636.81 | $7.33 – $9,625.00 |
| Mercy Hospital Stoddard | Dexter | $11,273.57 | $10.90 – $4,812.50 |
| Mercy Orthopedic Hospital Springfield | Ozark | $11,311.16 | $10.84 – $2,973.70 |
| CENTERPOINT MEDICAL CENTER | Independence | $9,634.59 | $10.52 – $11.49 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $11.62 – $12.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $11.62 – $12.78 |