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 |
|---|---|---|---|---|
| System cardiomems hosp electronics HCPCS C2624 | $141,277.50 | $188,370.00 | $188,370.00 – $376,740.00 | 10 |
| System pacing micra av HCPCS C1786 | $109,489.85 | $145,986.46 | $27,370.00 – $54,740.00 | 10 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $28,152.00 | $37,536.00 | $28,152.00 – $56,304.00 | 10 |
| T3 (triiodothyronine) free CPT 84481 | $212.10 | $282.80 | $14.40 – $565.60 | 23 |
| T3 (triiodothyronine) total CPT 84480 | $177.10 | $236.13 | $12.05 – $472.26 | 23 |
| T4 (thyroxine) free CPT 84439 | $113.03 | $150.71 | $7.66 – $301.42 | 23 |
| T4 (thyroxine) total CPT 84436 | $87.38 | $116.50 | $5.84 – $233.00 | 23 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,603.90 | $3,471.87 | $306.55 – $6,943.74 | 16 |
| Tacrolimus therapeutic drug level CPT 80197 | $893.85 | $1,191.80 | $11.67 – $2,383.60 | 23 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $14,205.03 | $18,940.04 | $16.70 – $390.76 | 17 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $725.06 | $966.74 | $87.20 – $1,933.48 | 17 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $525.71 | $700.95 | $88.30 – $1,401.90 | 17 |
| Target gsa panel hmtlmph neop CPT 81450 | $6,292.82 | $8,390.42 | $759.53 – $16,780.84 | 23 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $10,874.98 | $14,499.97 | $1,883.31 – $28,999.94 | 23 |
| Target gsa panel organ neop CPT 81445 | $9,972.40 | $13,296.53 | $597.91 – $5,547.08 | 23 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $15,803.55 | $21,071.40 | $1,848.73 – $41,520.00 | 17 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,673.46 | $2,231.28 | $0.29 – $14.80 | 17 |
| Tbp gene detc abnor alleles CPT 81344 | $303.32 | $404.42 | $54.80 – $808.84 | 23 |
| Tbs techl calculation only CPT 77091 | $419.19 | $558.92 | $287.04 – $1,117.84 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $313.20 | $417.60 | $52.67 – $835.20 | 23 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $778.49 | $1,037.98 | $52.67 – $2,075.96 | 23 |
| Tc-99m bicisate HCPCS A9557 | $13,186.86 | $17,582.48 | $2,326.56 – $35,164.96 | 17 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $19,120.50 | $25,494.00 | $2,021.19 – $50,988.00 | 17 |
| Tc-99m labeled rbc HCPCS A9560 | $1,333.86 | $1,778.48 | $117.93 – $3,556.96 | 16 |
| Tc-99m maa HCPCS A9540 | $1,286.58 | $1,715.44 | $35.38 – $3,430.88 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $326.91 | $435.88 | $66.63 – $871.76 | 16 |
| Tc-99m medronate HCPCS A9503 | $403.79 | $538.39 | $15.33 – $534.20 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $3,291.31 | $4,388.41 | $4,388.41 – $8,776.82 | 10 |
| Tc-99m oxidronate HCPCS A9561 | $378.95 | $505.26 | $156.18 – $974.40 | 11 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $740.30 | $987.06 | $62.57 – $1,974.12 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $8.41 | $11.21 | $1.99 – $22.42 | 16 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $649.34 | $865.78 | $75.53 – $1,311.20 | 16 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $384.46 | $512.61 | $397.21 – $1,025.22 | 11 |
| Tc-99m sulfur colloid HCPCS A9541 | $977.99 | $1,303.99 | $315.30 – $2,607.98 | 16 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $354.88 | $473.17 | $100.55 – $946.34 | 16 |
| Tc-99m tilmanocept diag HCPCS A9520 | $5,721.60 | $7,628.80 | $780.15 – $6,078.92 | 16 |
| Tcd emboli detect w/inj CPT 93893 | $876.19 | $1,168.25 | $1,168.25 – $2,336.50 | 10 |
| Tcd emboli detect without inj CPT 93892 | $743.06 | $990.75 | $990.75 – $1,981.50 | 10 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $771.46 | $1,028.61 | $39.93 – $710.18 | 23 |
| T cells absolute cd 4 count CPT 86361 | $336.83 | $449.10 | $22.75 – $898.20 | 23 |
| T cells total count CPT 86359 | $771.46 | $1,028.61 | $32.06 – $2,057.22 | 23 |
| Telavancin injection HCPCS J3095 | $4,717.71 | $6,290.28 | $8.29 – $9,196.68 | 16 |
| Telehealth original site facility fee HCPCS Q3014 | $82.16 | $109.54 | $109.54 – $219.08 | 10 |
| Telethx isodose plan cplx CPT 77307 | $4,853.46 | $6,471.28 | $436.55 – $12,942.56 | 11 |
| Telethx isodose plan simple CPT 77306 | $3,236.09 | $4,314.78 | $240.43 – $8,629.56 | 11 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $20,244.22 | $26,992.29 | $35.48 – $53,984.58 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $57,946.25 | $77,261.66 | $232.84 – $4,381.00 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $382.01 | $509.35 | $3.50 – $32.60 | 16 |
| Tert gene targeted seq alys CPT 81345 | $1,922.87 | $2,563.82 | $74.08 – $5,127.64 | 23 |
| Test for chlorohydrocarbons CPT 82441 | $93.23 | $124.31 | $4.45 – $248.62 | 23 |
| Test for urine cystines CPT 82615 | $45.47 | $60.63 | $6.94 – $121.26 | 23 |
| Testicular imaging w/vasc flow CPT 78761 | $3,268.36 | $4,357.81 | $509.31 – $8,715.62 | 11 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $194.97 | $259.96 | $25.50 – $519.92 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $3,059.42 | $4,079.23 | $4,079.23 – $8,158.46 | 10 |
| Tetanus immune globulin inj HCPCS J1670 | $5,638.95 | $7,518.60 | $658.16 – $14,888.30 | 17 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $242.64 | $323.52 | $20.74 – $478.14 | 17 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $9,855.00 | $13,140.00 | $1,167.84 – $19,246.94 | 22 |
| Theophylline therapeutic drug level CPT 80198 | $172.53 | $230.04 | $12.02 – $460.08 | 23 |
| Therapeutic procd strg endur HCPCS G0237 | $112.82 | $150.42 | $150.42 – $300.84 | 11 |
| Therapy activation ipnss CPT 93150 | $462.38 | $616.50 | $616.50 – $1,233.00 | 10 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $190.40 | $253.86 | $253.86 – $507.72 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $18.90 | $25.20 | $25.20 – $50.40 | 10 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $38.78 | $51.70 | $19.70 – $39.40 | 10 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,425.02 | $1,900.02 | $505.10 – $3,800.04 | 12 |
| Ther/proph/diag inj ia CPT 96373 | $410.00 | $546.67 | $546.67 – $1,093.34 | 10 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $24.71 | $32.95 | $1.84 – $17.64 | 16 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,895.22 | $3,860.29 | $3,860.29 – $7,720.58 | 10 |
| Thrombectmy crnry perq mechanical CPT 92973 | $20,270.20 | $27,026.93 | $15,795.00 – $54,053.86 | 11 |
| Thrombin time CPT 85670 | $68.76 | $91.68 | $4.91 – $183.36 | 23 |
| Thrombin time titer CPT 85675 | $166.55 | $222.07 | $5.82 – $444.14 | 23 |
| Thromboplastin inhibition CPT 85705 | $308.84 | $411.79 | $8.18 – $823.58 | 23 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $172.53 | $230.04 | $5.50 – $211.44 | 23 |
| Thromboxane urine CPT 84431 | $578.21 | $770.94 | $14.28 – $1,541.88 | 23 |
| Thyroglobulin antibody CPT 86800 | $200.41 | $267.21 | $13.52 – $534.42 | 23 |
| Thyroid imaging CPT 78013 | $2,595.89 | $3,461.19 | $478.73 – $6,922.38 | 11 |
| Thyroid met imaging CPT 78015 | $1,068.29 | $1,424.39 | $560.98 – $2,848.78 | 11 |
| Thyroid mets imag whole body CPT 78018 | $3,243.62 | $4,324.82 | $762.42 – $8,649.64 | 11 |
| Thyroid met uptake CPT 78020 | $148.43 | $197.90 | $197.90 – $395.80 | 10 |
| Thyroid (TSH) Test CPT 84443 | $212.10 | $282.80 | $14.28 – $559.38 | 23 |
| Thyroid Ultrasound CPT 76536 | $942.66 | $1,256.88 | $109.00 – $2,513.76 | 17 |
| Thyroid uptake measurement CPT 78012 | $796.17 | $1,061.56 | $228.82 – $2,123.12 | 11 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $21,224.78 | $28,299.71 | $2,506.29 – $56,599.42 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $187.62 | $250.16 | $12.57 – $500.32 | 23 |
| Tigecycline injection HCPCS J3243 | $1,428.19 | $1,904.25 | $0.68 – $4.72 | 16 |
| Tilt table study CPT 93660 | $7,614.83 | $10,153.11 | $10,153.11 – $20,306.22 | 10 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $2,081.19 | $2,774.92 | $3.76 – $136.02 | 16 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $1,920.51 | $2,560.68 | $231.28 – $5,121.36 | 17 |
| Tissue culture placenta CPT 88235 | $1,618.71 | $2,158.28 | $125.14 – $4,316.56 | 23 |
| Tissue culture skin/biopsy CPT 88233 | $1,648.92 | $2,198.56 | $119.60 – $4,397.12 | 23 |
| Tissue culture tumor CPT 88239 | $767.96 | $1,023.94 | $125.37 – $2,047.88 | 23 |
| Tissue exam koh skin/hair/nails CPT 87220 | $289.05 | $385.40 | $3.63 – $143.04 | 23 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $54,232.98 | $72,310.64 | $381.42 – $1,560.10 | 12 |
| Tissue transglutaminase iga CPT 86364 | $743.90 | $991.87 | $4.61 – $214.56 | 22 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $6,762.77 | $9,017.03 | $1,240.37 – $2,480.74 | 10 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $33.80 | $45.07 | $2.35 – $7.03 | 16 |
| Tobramycin peak therapeutic drug level CPT 80200 | $200.41 | $267.21 | $13.70 – $534.42 | 23 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,194.52 | $16,259.36 | $6.53 – $86.14 | 17 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $37.50 | $50.00 | $49.55 – $325.00 | 18 |
| Tomosynthesis breast screen bilateral CPT 77063 | $37.50 | $50.00 | $50.00 – $325.00 | 18 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $1,292.18 | $1,722.91 | $2.49 – $16.46 | 16 |
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.