Tc-99m mebrofenin at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$586.73
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.
$586.73
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.
$109.13 with Ambetter vs $586.73 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 | $109.13 | ↓ -81% |
| NHC Advantage | MGMCD | $111.48 | ↓ -81% |
| NHC Advantage | MGMCR | $111.48 | ↓ -81% |
| HealthyBlue | MGMCD | $117.35 | ↓ -80% |
| United | OptionsPPO | $147.27 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $152.55 | ↓ -74% |
| Universal Healthcare | MCR | $152.55 | ↓ -74% |
| Aetna Better Health | MCD | $176.02 | ↓ -70% |
| United | AllPayerAppendix | $187.21 | ↓ -68% |
| Humana | HMO | $198.31 | ↓ -66% |
| Humana | ASO | $198.31 | ↓ -66% |
| Humana | EPO | $198.31 | ↓ -66% |
| BCBS | BlueAccess | $222.96 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $222.96 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $222.96 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $222.96 | ↓ -62% |
| BCBS | FreedomNetwork | $240.56 | ↓ -59% |
| Humana | POS | $252.29 | ↓ -57% |
| Humana | PPO | $252.29 | ↓ -57% |
| College Park Family Care Center | COMM | $252.29 | ↓ -57% |
| BCBS | PC | $252.29 | ↓ -57% |
| United | GlobalBenefitPlan | $264.03 | ↓ -55% |
| Aetna | IVLHIX | $278.70 | ↓ -52% |
| Oscar | HIX | $293.37 | ↓ -50% |
| OHA Network | MissouriWCOMP | $293.37 | ↓ -50% |
| Aetna | KCCarePlus | $309.21 | ↓ -47% |
| Cigna | LocalKC | $335.14 | ↓ -43% |
| BCBS | Traditional | $375.51 | ↓ -36% |
| BCBS | Participating | $375.51 | ↓ -36% |
| Aetna | Local | $393.11 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $418.63 | ↓ -29% |
| Cigna | Comm | $418.93 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $440.05 | ↓ -25% |
| Aetna | NAP | $444.74 | ↓ -24% |
| Aetna | National | $449.44 | ↓ -23% |
| Multiplan | PrimaryNetwork | $457.65 | ↓ -22% |
| Coventry KC MO | WCOMP | $468.21 | ↓ -20% |
| Coventry | WCOMP | $468.21 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $498.72 | ↓ -15% |
| CCO, Inc. | COMM | $498.72 | ↓ -15% |
| CorVel Corporation | MOWC | $498.72 | ↓ -15% |
| Aetna | FHMedicalRental | $513.39 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $528.06 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $586.73 | ↑ +0% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $51.15 | $56.42 – $56.42 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $51.15 | $56.42 – $56.42 |
| SSM Health Saint Louis University Hospital | Saint Louis | $330.33 | $121.48 – $121.48 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $51.15 | $56.42 – $56.42 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $51.15 | $56.42 – $56.42 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $51.15 | $56.42 – $56.42 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $80.46 | not published |
| Mercy Hospital Aurora | Aurora | $190.45 | $38.20 – $38.20 |