Urinalysis qual/semiquant excpt ia 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.
$1.84 with United vs $84.97 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 |
|---|---|---|---|
| United | KSMGMCD | $1.84 | — |
| HealthyBlue | MGMCD | $1.88 | — |
| Sunflower State Health Plan | MCD | $1.90 | — |
| Aetna Better Health | MCD | $1.91 | — |
| Home State Health Plan | MCD | $1.91 | — |
| Amerigroup | MGMCD | $1.91 | — |
| Unicare | MGMCD | $1.91 | — |
| United | MOMGMCD | $2.02 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $2.05 | — |
| United | AllPayerAppendix | $2.17 | — |
| CorVel Corporation | KSWC | $4.45 | — |
| OHA Network | KansasWCOMP | $4.49 | — |
| Ambetter | Commercial-Exchange | $15.80 | — |
| NHC Advantage | MGMCR | $16.14 | — |
| NHC Advantage | MGMCD | $16.14 | — |
| United | OptionsPPO | $21.33 | — |
| Universal Healthcare | MCR | $22.09 | — |
| Humana | EPO | $28.72 | — |
| Humana | HMO | $28.72 | — |
| Humana | ASO | $28.72 | — |
| BCBS | BlueAccess | $32.29 | — |
| BCBS | Preferred-CareBlue(PPO) | $32.29 | — |
| BCBS | FreedomNetworkSelect | $32.29 | — |
| BCBS | Blue-Care(HMO) | $32.29 | — |
| BCBS | FreedomNetwork | $34.84 | — |
| Humana | POS | $36.54 | — |
| Humana | PPO | $36.54 | — |
| College Park Family Care Center | COMM | $36.54 | — |
| BCBS | PC | $36.54 | — |
| United | GlobalBenefitPlan | $38.24 | — |
| Aetna | IVLHIX | $40.36 | — |
| Oscar | HIX | $42.48 | — |
| OHA Network | MissouriWCOMP | $42.48 | — |
| Aetna | KCCarePlus | $44.78 | — |
| Cigna | LocalKC | $48.53 | — |
| BCBS | Traditional | $54.38 | — |
| BCBS | Participating | $54.38 | — |
| Aetna | Local | $56.93 | — |
| Cigna | SureFit/LocalPlus | $60.63 | — |
| Cigna | Comm | $60.67 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $63.73 | — |
| Aetna | NAP | $64.41 | — |
| Aetna | National | $65.09 | — |
| Multiplan | PrimaryNetwork | $66.28 | — |
| Coventry KC MO | WCOMP | $67.81 | — |
| Coventry | WCOMP | $67.81 | — |
| CCO, Inc. | COMM | $72.22 | — |
| CCO, Inc. | WORKERSCOMPPPO | $72.22 | — |
| CorVel Corporation | MOWC | $72.22 | — |
| Aetna | FHMedicalRental | $74.35 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $76.47 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $84.97 | — |
| Celtic | MCR | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
Visitor-reported prices
Comments
Urinalysis qual/semiquant excpt ia at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $58.75 | $1.10 – $5.30 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $2.17 – $8.92 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $2.17 – $8.92 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $2.13 – $4.62 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $2.17 – $8.92 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $2.17 – $8.92 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $2.17 – $8.92 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $1.95 – $3.91 |