Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,337.85 | $1,783.80 | $127.60 – $1,789.66 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,588.64 | $4,784.85 | $326.00 – $9,569.70 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $3,046.99 | $4,062.65 | $326.00 – $8,125.30 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $2,842.00 | $3,789.33 | $326.00 – $7,578.66 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $14,670.66 | $19,560.88 | $230.94 – $39,121.76 | 12 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $704.28 | $939.04 | $102.73 – $1,878.08 | 17 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $191.15 | $254.86 | $0.01 – $509.72 | 17 |
| Skin test unlisted antigen ea CPT 86486 | $62.89 | $83.85 | $2.82 – $167.70 | 18 |
| Sleep study attended CPT 95807 | $1,147.20 | $1,529.60 | $1,515.89 – $3,031.78 | 10 |
| Sleep Study (Polysomnography) CPT 95810 | $9,473.05 | $12,630.73 | $12,630.73 – $25,261.46 | 10 |
| Sleep study unattended CPT 95806 | $1,535.60 | $2,047.46 | $2,047.46 – $4,094.92 | 10 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $64.86 | $86.48 | $10.98 – $21.96 | 10 |
| Sling pelv split sam med HCPCS L0621 | $287.01 | $382.68 | $76.50 – $153.00 | 10 |
| Sling suprapubic suburetheral HCPCS C1771 | $74,664.38 | $99,552.51 | $12,149.11 – $24,298.22 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $194.58 | $259.44 | $221.00 – $518.88 | 11 |
| Slp eval non-spch gen comm dev CPT 92605 | $431.97 | $575.96 | $221.00 – $1,151.92 | 11 |
| Slp pure tone screening CPT 92551 | $116.27 | $155.02 | $10.97 – $310.04 | 12 |
| Slp stdy unatnd w/anal CPT 95801 | $810.77 | $1,081.02 | $1,081.02 – $2,162.04 | 10 |
| Sm-153 lexidron ther HCPCS A9604 | $43,032.62 | $57,376.83 | $9,479.40 – $114,753.66 | 17 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $143.36 | $191.14 | $4.57 – $155.52 | 23 |
| Smear gram stain CPT 87205 | $53.64 | $71.52 | $3.63 – $139.92 | 23 |
| Smear nasal eosinophil CPT 89190 | $54.81 | $73.08 | $4.04 – $146.16 | 23 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $75.77 | $101.02 | $5.09 – $177.12 | 23 |
| Smear wet mount CPT 87210 | $45.44 | $60.58 | $3.05 – $121.16 | 23 |
| Smn1 gene full gene sequence CPT 81336 | $961.43 | $1,281.90 | $120.54 – $2,563.80 | 23 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $961.43 | $1,281.90 | $74.08 – $2,563.80 | 23 |
| Smpd1 gene common variants CPT 81330 | $1,664.14 | $2,218.85 | $47.00 – $4,437.70 | 23 |
| Snrpn/ube3a gene CPT 81331 | $1,718.84 | $2,291.78 | $24.61 – $4,583.56 | 23 |
| Sock fracture or equal each HCPCS L3995 | $74.51 | $99.34 | $38.45 – $76.90 | 10 |
| Sodium 24 hour urine CPT 84300 | $97.91 | $130.54 | $4.13 – $261.08 | 23 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $103.80 | $138.40 | $2.58 – $74.86 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $61.38 | $81.84 | $1.60 – $54.98 | 16 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $80.48 | $107.30 | $0.83 – $41.10 | 16 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $330.08 | $440.11 | $2.83 – $42.96 | 16 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $3,003.98 | $4,005.30 | $87.78 – $8,010.60 | 16 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.38 | $79.17 | $4.09 – $158.34 | 23 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $8.34 | $11.12 | $2.64 – $22.24 | 12 |
| So neo gsap dna/dna&rna CPT 81459 | $9,855.00 | $13,140.00 | $239.16 – $26,280.00 | 22 |
| Special physics consult CPT 77370 | $3,125.87 | $4,167.83 | $432.83 – $8,335.66 | 11 |
| Special radiation dosimetry CPT 77331 | $1,682.12 | $2,242.82 | $61.16 – $4,485.64 | 11 |
| Special radiation treatment CPT 77470 | $6,807.38 | $9,076.51 | $123.39 – $18,153.02 | 11 |
| Special teletx port plan CPT 77321 | $4,807.98 | $6,410.64 | $142.36 – $12,821.28 | 11 |
| Specific gravity body fluid CPT 84315 | $115.36 | $153.81 | $2.13 – $307.62 | 23 |
| Specimen fat stain CPT 89125 | $53.64 | $71.52 | $3.67 – $127.44 | 23 |
| Speech evaluation complex CPT 70371 | $504.84 | $673.12 | $221.45 – $1,346.24 | 12 |
| Sperm antibody test CPT 89325 | $124.73 | $166.31 | $9.07 – $332.62 | 23 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $1,115.87 | $1,487.82 | $1,487.82 – $2,975.64 | 10 |
| Spleen imaging CPT 78185 | $2,472.19 | $3,296.25 | $433.38 – $6,592.50 | 11 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $290.60 | $387.46 | $59.39 – $118.78 | 10 |
| Splint finger fold over sm HCPCS L3924 | $232.49 | $309.98 | $97.81 – $195.62 | 10 |
| Splint finger frog med HCPCS L3927 | $65.88 | $87.84 | $39.34 – $78.68 | 10 |
| Splint func pos polyflex ii med HCPCS L3999 | $612.53 | $816.70 | $60.80 – $121.60 | 10 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $226.47 | $301.96 | $97.81 – $195.62 | 10 |
| Split blood or products CPT 86985 | $164.33 | $219.10 | $1.56 – $406.96 | 18 |
| Srs linear based CPT 77372 | $88,309.99 | $117,746.65 | $2,947.30 – $235,493.30 | 11 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $824.80 | $1,099.73 | $71.40 – $2,199.46 | 12 |
| Staph a dna amp probe CPT 87640 | $438.14 | $584.18 | $29.83 – $1,168.36 | 23 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $874.97 | $1,166.62 | $221.00 – $2,333.24 | 11 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $255,127.50 | $340,170.00 | $3,220.86 – $6,441.72 | 10 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,278.50 | $7,038.00 | $656.88 – $1,313.76 | 10 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $140,182.88 | $186,910.51 | $1,489.71 – $2,979.42 | 10 |
| St evaluate speech sound production CPT 92522 | $824.80 | $1,099.73 | $72.20 – $2,199.46 | 12 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $824.80 | $1,099.73 | $147.82 – $2,199.46 | 12 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $949.61 | $1,266.15 | $89.12 – $2,532.30 | 12 |
| St evaluation swallow function CPT 92610 | $745.25 | $993.66 | $221.00 – $1,987.32 | 11 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $379.36 | $505.81 | $221.00 – $1,011.62 | 11 |
| Strapping of chest CPT 29200 | $562.92 | $750.56 | $221.00 – $1,501.12 | 11 |
| Strapping of elbow or wrist 29260 CPT 29260 | $379.36 | $505.81 | $221.00 – $1,011.62 | 11 |
| Strapping of hand or finger CPT 29280 | $103.49 | $137.99 | $137.99 – $275.98 | 11 |
| Strapping of knee CPT 29530 | $379.36 | $505.81 | $221.00 – $1,011.62 | 11 |
| Strep a ag ia CPT 87430 | $143.36 | $191.14 | $9.73 – $382.28 | 23 |
| Strep a dna dir probe CPT 87650 | $195.83 | $261.11 | $16.76 – $522.22 | 23 |
| Strep b assay w/optic CPT 87802 | $466.14 | $621.52 | $9.73 – $1,243.04 | 23 |
| Strep b dna amp probe CPT 87653 | $386.84 | $515.78 | $29.83 – $1,031.56 | 23 |
| Streptomycin injection HCPCS J3000 | $721.91 | $962.54 | $47.48 – $1,925.08 | 16 |
| Stress test pulmonary CPT 94618 | $456.25 | $608.33 | $608.33 – $1,216.66 | 10 |
| Stress tte complete CPT 93351 | $4,658.86 | $6,211.81 | $6,069.29 – $12,138.58 | 10 |
| Str markers specimen anal CPT 81265 | $1,784.48 | $2,379.30 | $182.89 – $3,523.16 | 23 |
| St treatment speech individual CPT 92507 | $643.69 | $858.25 | $49.67 – $1,716.50 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | $540.89 | $721.18 | $83.03 – $1,442.36 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $172.52 | $230.02 | $1.60 – $4.48 | 16 |
| Sugars single quant CPT 84378 | $164.33 | $219.10 | $9.79 – $382.28 | 23 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $204,845.25 | $273,127.00 | $56.48 – $112.96 | 10 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $703.14 | $937.52 | $0.04 – $8.00 | 16 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,865.35 | $2,487.13 | $33.16 – $177.48 | 16 |
| Support clav 29.6-40.5in med HCPCS L3650 | $458.26 | $611.01 | $67.31 – $134.62 | 10 |
| Surgical pathology level 1 gross examination only CPT 88300 | $122.39 | $163.19 | $12.35 – $326.38 | 23 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $224.87 | $299.83 | $25.77 – $599.66 | 23 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $266.06 | $354.74 | $26.66 – $709.48 | 23 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $370.57 | $494.09 | $36.44 – $419.44 | 23 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $581.50 | $775.33 | $81.27 – $1,550.66 | 23 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,506.74 | $2,008.98 | $113.06 – $4,017.96 | 23 |
| Susceptibility agar dilution per agent CPT 87181 | $193.49 | $257.98 | $0.76 – $28.10 | 23 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $76.94 | $102.58 | $0.76 – $24.98 | 23 |
| Susceptibility mic per plate CPT 87186 | $3,512.93 | $4,683.90 | $7.35 – $285.80 | 23 |
| Suscept studies macrobroth dilution ea CPT 87188 | $113.03 | $150.71 | $5.64 – $301.42 | 23 |
| Svc venogram s&i CPT 75827 | $3,449.61 | $4,599.48 | $204.57 – $9,198.96 | 12 |
| Sweat collection by iontophoresis CPT 89230 | $343.75 | $458.33 | $1.40 – $916.66 | 18 |
| Synvisc or synvisc-one HCPCS J7325 | $132.93 | $177.24 | $8.21 – $354.48 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $54.81 | $73.08 | $3.74 – $146.16 | 23 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.