Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at LAFAYETTE REGIONAL HEALTH CENTER

1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 17, 2026

$186.34

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$186.34

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$34.66 with Ambetter vs $349.64 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 →

Payer
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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
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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 $34.66 ↓ -81%
United OptionsPPO $46.77 ↓ -75%
Aetna Coventry FamilyHealthPlanMCD $48.45 ↓ -74%
Universal Healthcare MCR $48.45 ↓ -74%
Humana ASO $62.98 ↓ -66%
Humana EPO $62.98 ↓ -66%
Humana HMO $62.98 ↓ -66%
BCBS Blue-Care(HMO) $70.81 ↓ -62%
BCBS Preferred-CareBlue(PPO) $70.81 ↓ -62%
BCBS BlueAccess $70.81 ↓ -62%
BCBS FreedomNetworkSelect $70.81 ↓ -62%
BCBS FreedomNetwork $76.40 ↓ -59%
Humana POS $80.13 ↓ -57%
Humana PPO $80.13 ↓ -57%
BCBS PC $80.13 ↓ -57%
United GlobalBenefitPlan $83.85 ↓ -55%
Aetna IVLHIX $88.51 ↓ -53%
OHA Network MissouriWCOMP $93.17 ↓ -50%
Oscar HIX $93.17 ↓ -50%
Aetna KCCarePlus $98.20 ↓ -47%
Cigna LocalKC $106.44 ↓ -43%
BCBS Participating $119.26 ↓ -36%
BCBS Traditional $119.26 ↓ -36%
United KSMGMCD $121.63 ↓ -35%
HealthyBlue MGMCD $124.06 ↓ -33%
Aetna Local $124.85 ↓ -33%
Sunflower State Health Plan MCD $125.28 ↓ -33%
Home State Health Plan MCD $126.50 ↓ -32%
Amerigroup MGMCD $126.50 ↓ -32%
Aetna Better Health MCD $126.50 ↓ -32%
Unicare MGMCD $126.50 ↓ -32%
Cigna SureFit/LocalPlus $132.95 ↓ -29%
Cigna Comm $133.05 ↓ -29%
United MOMGMCD $133.79 ↓ -28%
WPPA ProviDrs Care Network UnifiedHealthPlan $139.75 ↓ -25%
Aetna NAP $141.25 ↓ -24%
Aetna National $142.74 ↓ -23%
Multiplan PrimaryNetwork $145.35 ↓ -22%
Coventry KC MO WCOMP $148.70 ↓ -20%
Coventry WCOMP $148.70 ↓ -20%
CorVel Corporation MOWC $158.39 ↓ -15%
CCO, Inc. COMM $158.39 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $158.39 ↓ -15%
Aetna FHMedicalRental $163.05 ↓ -12%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $167.71 ↓ -10%
United AllPayerAppendix $349.64 ↑ +88%

Visitor-reported prices

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Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im at other Missouri hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Southeast Cape Girardeau $571.86 $283.48 – $283.48
Mercy Primary Care - Bernie Bernie $417.00 $157.35 – $188.67
LEE'S SUMMIT MEDICAL CENTER Lee's Summit $345.32 $121.63 – $179.52
CENTERPOINT MEDICAL CENTER Independence $256.65 $121.63 – $179.52
RESEARCH MEDICAL CENTER Kansas City $177.38 $121.63 – $179.52
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $160.37 – $160.37
SSM Health DePaul Hospital - St. Louis Bridgeton not published $160.37 – $160.37
SSM Health Saint Louis University Hospital Saint Louis not published $358.51 – $358.51

All Missouri hospitals for this procedure →