Vaccine hepatitis b (hepb) adult 3 dose im at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
$71.88
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.
$71.88
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.
$13.37 with Ambetter vs $124.00 with United — 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 | $13.37 | ↓ -81% |
| United | OptionsPPO | $18.04 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $18.69 | ↓ -74% |
| Humana | EPO | $24.30 | ↓ -66% |
| Humana | HMO | $24.30 | ↓ -66% |
| Humana | ASO | $24.30 | ↓ -66% |
| BCBS | FreedomNetworkSelect | $27.31 | ↓ -62% |
| BCBS | Preferred-CareBlue(PPO) | $27.31 | ↓ -62% |
| BCBS | BlueAccess | $27.31 | ↓ -62% |
| BCBS | Blue-Care(HMO) | $27.31 | ↓ -62% |
| BCBS | FreedomNetwork | $29.47 | ↓ -59% |
| Humana | PPO | $30.91 | ↓ -57% |
| BCBS | PC | $30.91 | ↓ -57% |
| Humana | POS | $30.91 | ↓ -57% |
| United | GlobalBenefitPlan | $32.35 | ↓ -55% |
| Aetna | IVLHIX | $34.14 | ↓ -53% |
| Oscar | HIX | $35.94 | ↓ -50% |
| OHA Network | MissouriWCOMP | $35.94 | ↓ -50% |
| Aetna | KCCarePlus | $37.88 | ↓ -47% |
| Cigna | LocalKC | $41.06 | ↓ -43% |
| BCBS | Participating | $46.00 | ↓ -36% |
| BCBS | Traditional | $46.00 | ↓ -36% |
| Aetna | Local | $48.16 | ↓ -33% |
| Cigna | SureFit/LocalPlus | $51.29 | ↓ -29% |
| Cigna | Comm | $51.32 | ↓ -29% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $53.91 | ↓ -25% |
| Aetna | NAP | $54.49 | ↓ -24% |
| Aetna | National | $55.06 | ↓ -23% |
| Multiplan | PrimaryNetwork | $56.07 | ↓ -22% |
| Coventry KC MO | WCOMP | $57.36 | ↓ -20% |
| Coventry | WCOMP | $57.36 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $61.10 | ↓ -15% |
| CCO, Inc. | COMM | $61.10 | ↓ -15% |
| CorVel Corporation | MOWC | $61.10 | ↓ -15% |
| Aetna | FHMedicalRental | $62.90 | ↓ -12% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $64.69 | ↓ -10% |
| Home State Health Plan | MCD | $73.20 | ↑ +2% |
| United | KSMGMCD | $75.15 | ↑ +5% |
| HealthyBlue | MGMCD | $76.65 | ↑ +7% |
| Sunflower State Health Plan | MCD | $77.40 | ↑ +8% |
| United | MOMGMCD | $77.42 | ↑ +8% |
| Aetna Better Health | MCD | $78.16 | ↑ +9% |
| Amerigroup | MGMCD | $78.16 | ↑ +9% |
| Unicare | MGMCD | $78.16 | ↑ +9% |
| United | AllPayerAppendix | $124.00 | ↑ +73% |
| Pyramid Life | MCR | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| BCBS | MCRHMO | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| United | VACCN | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Universal Healthcare | MCR | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine hepatitis b (hepb) adult 3 dose im at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $241.64 | $100.63 – $100.63 |
| Mercy Hospital Carthage | Carthage | $314.13 | $65.89 – $102.75 |
| Mercy Hospital Southeast | Cape Girardeau | $241.64 | $72.14 – $246.33 |
| Mercy Primary Care - Bernie | Bernie | $63.00 | $71.10 – $82.42 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $353.46 | $70.38 – $78.16 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $813.00 | $70.38 – $102.05 |
| RESEARCH MEDICAL CENTER | Kansas City | $116.94 | $70.38 – $85.16 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $81.99 – $116.13 |