Therapy nutrition individual initial f2f w/patient each 15 minutes at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$100.53
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.
$100.53
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.
$18.70 with Ambetter vs $100.53 with Anthem MissouriCare — 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 |
|---|---|---|---|
| Ambetter | Commercial-Exchange | $18.70 | ↓ -81% |
| NHC Advantage | MGMCR | $19.10 | ↓ -81% |
| NHC Advantage | MGMCD | $19.10 | ↓ -81% |
| HealthyBlue | MGMCD | $20.11 | ↓ -80% |
| United | OptionsPPO | $24.53 | ↓ -76% |
| Universal Healthcare | MCR | $26.14 | ↓ -74% |
| Aetna Coventry | FamilyHealthPlanMCD | $26.14 | ↓ -74% |
| Humana | MCR | $29.03 | ↓ -71% |
| Aetna Better Health | MCD | $30.16 | ↓ -70% |
| Humana | HMO | $33.68 | ↓ -66% |
| BCBS | Blue-Care(HMO) | $38.20 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $38.20 | ↓ -62% |
| BCBS | FreedomNetworkSelect | $38.20 | ↓ -62% |
| BCBS | BlueAccess | $38.20 | ↓ -62% |
| BCBS | FreedomNetwork | $41.22 | ↓ -59% |
| College Park Family Care Center | COMM | $43.23 | ↓ -57% |
| BCBS | PC | $43.23 | ↓ -57% |
| United | GlobalBenefitPlan | $45.24 | ↓ -55% |
| Aetna | IVLHIX | $47.75 | ↓ -53% |
| OHA Network | MissouriWCOMP | $50.27 | ↓ -50% |
| Oscar | HIX | $50.27 | ↓ -50% |
| Humana | PPO | $52.18 | ↓ -48% |
| Aetna | KCCarePlus | $52.98 | ↓ -47% |
| Cigna | LocalKC | $57.20 | ↓ -43% |
| BCBS | Participating | $64.34 | ↓ -36% |
| BCBS | Traditional | $64.34 | ↓ -36% |
| Aetna | Local | $67.36 | ↓ -33% |
| Cigna | Comm | $71.51 | ↓ -29% |
| Cigna | SureFit/LocalPlus | $71.73 | ↓ -29% |
| Aetna | NAP | $76.20 | ↓ -24% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $76.40 | ↓ -24% |
| Aetna | National | $77.01 | ↓ -23% |
| Multiplan | PrimaryNetwork | $78.41 | ↓ -22% |
| Coventry KC MO | WCOMP | $80.22 | ↓ -20% |
| Coventry | WCOMP | $80.22 | ↓ -20% |
| CorVel Corporation | MOWC | $85.45 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $85.45 | ↓ -15% |
| CCO, Inc. | COMM | $85.45 | ↓ -15% |
| Aetna | FHMedicalRental | $87.96 | ↓ -13% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $90.48 | ↓ -10% |
| Anthem MissouriCare | MissouriCareMGMCD | $100.53 | ↑ +0% |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $37.40 | $25.23 – $30.28 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $37.40 | $25.23 – $30.28 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $37.40 | $33.92 – $33.92 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $37.40 | $25.23 – $30.28 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $37.40 | $25.23 – $30.28 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $59.40 | $25.09 – $45.41 |
| Mercy Hospital Aurora | Aurora | $36.40 | $26.14 – $26.14 |
| Mercy Hospital Carthage | Carthage | $43.55 | $26.14 – $32.05 |