Vaccine td preservative free >= 7 years 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

$198.68

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.

$198.68

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.

$35.32 with Home State Health Plan vs $178.81 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 →

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
Home State Health Plan MCD $35.32 ↓ -82%
Ambetter Commercial-Exchange $36.95 ↓ -81%
United MOMGMCD $37.36 ↓ -81%
United KSMGMCD $38.97 ↓ -80%
HealthyBlue MGMCD $39.75 ↓ -80%
Sunflower State Health Plan MCD $40.14 ↓ -80%
Unicare MGMCD $40.53 ↓ -80%
Amerigroup MGMCD $40.53 ↓ -80%
Aetna Better Health MCD $40.53 ↓ -80%
United OptionsPPO $49.87 ↓ -75%
Aetna Coventry FamilyHealthPlanMCD $51.66 ↓ -74%
Universal Healthcare MCR $51.66 ↓ -74%
United AllPayerAppendix $64.30 ↓ -68%
Humana ASO $67.15 ↓ -66%
Humana HMO $67.15 ↓ -66%
Humana EPO $67.15 ↓ -66%
BCBS BlueAccess $75.50 ↓ -62%
BCBS Preferred-CareBlue(PPO) $75.50 ↓ -62%
BCBS FreedomNetworkSelect $75.50 ↓ -62%
BCBS Blue-Care(HMO) $75.50 ↓ -62%
BCBS FreedomNetwork $81.46 ↓ -59%
Humana PPO $85.43 ↓ -57%
Humana POS $85.43 ↓ -57%
BCBS PC $85.43 ↓ -57%
United GlobalBenefitPlan $89.41 ↓ -55%
Aetna IVLHIX $94.37 ↓ -53%
Oscar HIX $99.34 ↓ -50%
OHA Network MissouriWCOMP $99.34 ↓ -50%
Aetna KCCarePlus $104.70 ↓ -47%
Cigna LocalKC $113.49 ↓ -43%
BCBS Traditional $127.16 ↓ -36%
BCBS Participating $127.16 ↓ -36%
Aetna Local $133.12 ↓ -33%
Cigna SureFit/LocalPlus $141.76 ↓ -29%
Cigna Comm $141.86 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $149.01 ↓ -25%
Aetna NAP $150.60 ↓ -24%
Aetna National $152.19 ↓ -23%
Multiplan PrimaryNetwork $154.97 ↓ -22%
Coventry WCOMP $158.55 ↓ -20%
Coventry KC MO WCOMP $158.55 ↓ -20%
CorVel Corporation MOWC $168.88 ↓ -15%
CCO, Inc. WORKERSCOMPPPO $168.88 ↓ -15%
CCO, Inc. COMM $168.88 ↓ -15%
Aetna FHMedicalRental $173.84 ↓ -13%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $178.81 ↓ -10%

Visitor-reported prices

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Vaccine td preservative free >= 7 years im at other Missouri hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Carthage Carthage $187.65 $31.35 – $53.10
Mercy Orthopedic Hospital Springfield Ozark $134.24 $14.00 – $82.97
Mercy Primary Care - Bernie Bernie $50.25 $34.98 – $51.42
LEE'S SUMMIT MEDICAL CENTER Lee's Summit $147.22 $33.96 – $40.53
RESEARCH PSYCHIATRIC CENTER Kansas City $319.08 $33.96 – $49.24
CENTERPOINT MEDICAL CENTER Independence $117.00 $33.96 – $40.53
RESEARCH MEDICAL CENTER Kansas City $319.00 $33.96 – $41.09
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $42.37 – $53.11

All Missouri hospitals for this procedure →