Vital capacity test 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

$84.33

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.

$84.33

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.

$15.69 with Ambetter vs $84.33 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 →

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 $15.69 ↓ -81%
NHC Advantage MGMCR $16.02 ↓ -81%
NHC Advantage MGMCD $16.02 ↓ -81%
United OptionsPPO $21.17 ↓ -75%
Aetna Coventry FamilyHealthPlanMCD $21.93 ↓ -74%
Universal Healthcare MCR $21.93 ↓ -74%
Humana HMO $28.50 ↓ -66%
Humana EPO $28.50 ↓ -66%
Humana ASO $28.50 ↓ -66%
BCBS Preferred-CareBlue(PPO) $32.05 ↓ -62%
BCBS Blue-Care(HMO) $32.05 ↓ -62%
BCBS BlueAccess $32.05 ↓ -62%
BCBS FreedomNetworkSelect $32.05 ↓ -62%
BCBS FreedomNetwork $34.58 ↓ -59%
Humana POS $36.26 ↓ -57%
College Park Family Care Center COMM $36.26 ↓ -57%
BCBS PC $36.26 ↓ -57%
Humana PPO $36.26 ↓ -57%
United GlobalBenefitPlan $37.95 ↓ -55%
Aetna IVLHIX $40.06 ↓ -52%
OHA Network MissouriWCOMP $42.16 ↓ -50%
Oscar HIX $42.16 ↓ -50%
Aetna KCCarePlus $44.44 ↓ -47%
Cigna LocalKC $48.17 ↓ -43%
United KSMGMCD $50.60 ↓ -40%
HealthyBlue MGMCD $51.61 ↓ -39%
Sunflower State Health Plan MCD $52.12 ↓ -38%
Unicare MGMCD $52.62 ↓ -38%
Home State Health Plan MCD $52.62 ↓ -38%
Amerigroup MGMCD $52.62 ↓ -38%
Aetna Better Health MCD $52.62 ↓ -38%
BCBS Participating $53.97 ↓ -36%
BCBS Traditional $53.97 ↓ -36%
United MOMGMCD $55.66 ↓ -34%
Aetna Local $56.50 ↓ -33%
Cigna SureFit/LocalPlus $60.17 ↓ -29%
Cigna Comm $60.21 ↓ -29%
WPPA ProviDrs Care Network UnifiedHealthPlan $63.25 ↓ -25%
Aetna NAP $63.92 ↓ -24%
Aetna National $64.60 ↓ -23%
Multiplan PrimaryNetwork $65.78 ↓ -22%
Coventry WCOMP $67.30 ↓ -20%
Coventry KC MO WCOMP $67.30 ↓ -20%
CCO, Inc. WORKERSCOMPPPO $71.68 ↓ -15%
CCO, Inc. COMM $71.68 ↓ -15%
CorVel Corporation MOWC $71.68 ↓ -15%
Aetna FHMedicalRental $73.79 ↓ -12%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $75.90 ↓ -10%
Anthem MissouriCare MissouriCareMGMCD $84.33 ↑ +0%

Visitor-reported prices

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Vital capacity test at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $231.00 $21.89 – $154.66
SSM Health DePaul Hospital - St. Louis Bridgeton $231.00 $21.89 – $154.66
SSM Health Saint Louis University Hospital Saint Louis $164.45 $25.13 – $154.66
SSM Health St. Joseph Hospital- Wentzville Wentzville $231.00 $21.89 – $21.89
SSM Health St. Joseph Hospital - St. Charles Saint Charles $231.00 $21.89 – $154.66
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $231.00 $21.89 – $154.66
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $355.27 $36.39 – $231.99
Mercy Hospital Lincoln Troy $144.30 $71.26 – $205.41

All Missouri hospitals for this procedure →