Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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.
$91.26 with Ambetter vs $441.58 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $91.26 | — |
| United | OptionsPPO | $123.15 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $127.57 | — |
| Universal Healthcare | MCR | $127.57 | — |
| Humana | ASO | $165.84 | — |
| Humana | EPO | $165.84 | — |
| Humana | HMO | $165.84 | — |
| Home State Health Plan | MCD | $168.96 | — |
| United | MOMGMCD | $178.71 | — |
| BCBS | Blue-Care(HMO) | $186.45 | — |
| BCBS | Preferred-CareBlue(PPO) | $186.45 | — |
| BCBS | FreedomNetworkSelect | $186.45 | — |
| BCBS | BlueAccess | $186.45 | — |
| United | KSMGMCD | $186.97 | — |
| HealthyBlue | MGMCD | $190.71 | — |
| Sunflower State Health Plan | MCD | $192.58 | — |
| Aetna Better Health | MCD | $194.45 | — |
| Amerigroup | MGMCD | $194.45 | — |
| Unicare | MGMCD | $194.45 | — |
| BCBS | FreedomNetwork | $201.17 | — |
| Humana | PPO | $210.98 | — |
| Humana | POS | $210.98 | — |
| BCBS | PC | $210.98 | — |
| United | GlobalBenefitPlan | $220.79 | — |
| Aetna | IVLHIX | $233.06 | — |
| Oscar | HIX | $245.32 | — |
| OHA Network | MissouriWCOMP | $245.32 | — |
| Aetna | KCCarePlus | $258.57 | — |
| Cigna | LocalKC | $280.26 | — |
| United | AllPayerAppendix | $308.50 | — |
| BCBS | Traditional | $314.02 | — |
| BCBS | Participating | $314.02 | — |
| Aetna | Local | $328.74 | — |
| Cigna | SureFit/LocalPlus | $350.08 | — |
| Cigna | Comm | $350.32 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $367.99 | — |
| Aetna | NAP | $371.91 | — |
| Aetna | National | $375.84 | — |
| Multiplan | PrimaryNetwork | $382.71 | — |
| Coventry | WCOMP | $391.54 | — |
| Coventry KC MO | WCOMP | $391.54 | — |
| CCO, Inc. | WORKERSCOMPPPO | $417.05 | — |
| CCO, Inc. | COMM | $417.05 | — |
| CorVel Corporation | MOWC | $417.05 | — |
| Aetna | FHMedicalRental | $429.32 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $441.58 | — |
Visitor-reported prices
Comments
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $16,233.59 | $192.77 – $9,348.50 |
| Mercy Hospital Lincoln | Troy | $20,224.57 | $12,517.50 – $12,517.50 |
| Mercy Hospital Carthage | Carthage | $18,876.27 | $192.77 – $12,551.50 |
| Mercy Hospital Southeast | Cape Girardeau | $16,665.05 | $130.31 – $15,044.75 |
| Mercy Hospital Stoddard | Dexter | $16,665.05 | $193.69 – $15,044.75 |
| Mercy Orthopedic Hospital Springfield | Ozark | $16,233.59 | $82.12 – $845.67 |
| CENTERPOINT MEDICAL CENTER | Independence | $22,364.51 | $162.46 – $194.45 |
| RESEARCH MEDICAL CENTER | Kansas City | $23,035.43 | $162.46 – $196.58 |