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 |
|---|---|---|---|---|
| Unlisted px med radj physics CPT 77399 | $723.14 | $964.18 | $432.83 – $1,928.36 | 11 |
| Unlisted resp px dx nuc med CPT 78599 | $1,457.13 | $1,942.84 | $1,309.97 – $3,885.68 | 11 |
| Unlisted surgical path px CPT 88399 | $68.76 | $91.68 | $45.13 – $90.26 | 10 |
| Unlisted transfusion med px CPT 86999 | $1,138.52 | $1,518.03 | $0.01 – $609.04 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $1,336.12 | $1,781.49 | $287.04 – $2,513.76 | 11 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,683.96 | $2,245.28 | $2,245.28 – $4,490.56 | 10 |
| Upgrade pm system CPT 33214 | $72,805.03 | $97,073.37 | $15,795.00 – $194,146.74 | 11 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,507.36 | $6,009.81 | $543.00 – $12,019.62 | 21 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,258.04 | $4,344.05 | $543.00 – $8,688.10 | 21 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,225.02 | $4,300.03 | $543.00 – $8,600.06 | 21 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $465.92 | $621.23 | $429.48 – $858.96 | 10 |
| Urea nitrogen CPT 84520 | $46.61 | $62.14 | $3.35 – $124.28 | 23 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.15 | $76.20 | $4.04 – $152.40 | 23 |
| Ureteral reflux study CPT 78740 | $1,879.76 | $2,506.34 | $576.82 – $5,012.68 | 11 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $954.82 | $1,273.09 | $162.38 – $2,546.18 | 12 |
| Urethrocystography void s&i CPT 74455 | $2,184.91 | $2,913.21 | $272.05 – $5,826.42 | 12 |
| Uric acid blood CPT 84550 | $55.98 | $74.64 | $3.84 – $149.28 | 23 |
| Uric acid urine CPT 84560 | $58.32 | $77.76 | $4.04 – $155.52 | 23 |
| Urinalysis microscopic only CPT 81015 | $35.00 | $46.67 | $2.59 – $93.34 | 23 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $52.47 | $69.96 | $1.84 – $37.18 | 23 |
| Urinalysis (with microscopy) CPT 81001 | $39.60 | $52.80 | $2.69 – $105.60 | 23 |
| Urinalysis (without microscopy) CPT 81003 | $28.00 | $37.33 | $1.91 – $71.54 | 23 |
| Urinary bldr retent nuc study CPT 78730 | $479.41 | $639.21 | $185.59 – $1,278.42 | 11 |
| Urine Culture Test CPT 87086 | $100.26 | $133.68 | $6.86 – $267.36 | 23 |
| Urine pregnancy test CPT 81025 | $15.11 | $20.15 | $1.02 – $40.30 | 23 |
| Urography, antegrade CPT 74425 | $2,083.16 | $2,777.54 | $345.89 – $2,777.54 | 12 |
| Use 1st target lesion CPT 76982 | $942.66 | $1,256.88 | $203.52 – $2,513.76 | 11 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,748.88 | $7,665.17 | $13.71 – $375.48 | 17 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $154,889.53 | $206,519.37 | $183.83 – $2,241.46 | 16 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $276.53 | $368.70 | $170.56 – $737.40 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $334.80 | $446.40 | $164.49 – $892.80 | 16 |
| Vaccine dtap-ipv/hib im CPT 90698 | $1,065.23 | $1,420.30 | $144.41 – $2,840.60 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $291.05 | $388.07 | $36.79 – $776.14 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $115.37 | $153.82 | $15.84 – $219.66 | 16 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $693.19 | $924.25 | $97.81 – $1,848.50 | 16 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $301.11 | $401.48 | $46.73 – $802.96 | 16 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $481.00 | $641.33 | $82.76 – $1,247.58 | 17 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $1,417.81 | $1,890.41 | $187.34 – $3,780.82 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $218.30 | $291.06 | $33.58 – $379.02 | 17 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $3,162.56 | $4,216.75 | $370.00 – $8,008.60 | 16 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $669.65 | $892.86 | $88.61 – $1,462.80 | 17 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $155.18 | $206.90 | $23.31 – $80.00 | 17 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $634.66 | $846.21 | $82.10 – $1,692.42 | 16 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $205.07 | $273.42 | $26.25 – $366.56 | 16 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,694.69 | $2,259.59 | $285.23 – $979.52 | 16 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $1,508.46 | $2,011.28 | $206.85 – $4,022.56 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $1,139.54 | $1,519.38 | $159.97 – $688.76 | 16 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $1,109.05 | $1,478.73 | $150.15 – $2,939.26 | 17 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $2,631.03 | $3,508.04 | $330.30 – $6,249.60 | 17 |
| Vaccine rabies im CPT 90675 | $4,287.26 | $5,716.35 | $497.86 – $6,331.24 | 17 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,156.09 | $2,874.79 | $583.73 – $5,749.58 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $492.05 | $656.07 | $58.64 – $904.20 | 16 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $426.72 | $568.96 | $23.57 – $178.94 | 16 |
| Vaginal bx CPT 58999 | $904.22 | $1,205.63 | $1,205.63 – $2,411.26 | 10 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $48.27 | $64.36 | $25.12 – $50.24 | 10 |
| Valproic acid total therapeutic drug level CPT 80164 | $39.60 | $52.80 | $11.51 – $105.60 | 23 |
| Valrubicin injection HCPCS J9357 | $57,090.00 | $76,120.00 | $1,498.26 – $152,240.00 | 16 |
| Valvuloplasty aortic CPT 92986 | $41,237.97 | $54,983.96 | $15,795.00 – $109,967.92 | 11 |
| Valvuloplasty mitral CPT 92987 | $41,237.97 | $54,983.96 | $15,795.00 – $109,967.92 | 11 |
| Valvuloplasty pulmonary CPT 92990 | $35,549.19 | $47,398.92 | $15,795.00 – $94,797.84 | 11 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $2,698.80 | $3,598.40 | $0.04 – $2.10 | 16 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $2.06 | $2.74 | $0.11 – $2.10 | 16 |
| Vancomycin peak therapeutic drug level CPT 80202 | $168.90 | $225.20 | $11.51 – $425.70 | 23 |
| Varicella zoster antibody igg CPT 86787 | $163.16 | $217.55 | $10.95 – $435.10 | 23 |
| Varicella-zoster immue globin im CPT 90396 | $22,655.07 | $30,206.76 | $1,540.55 – $60,413.52 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $259.61 | $346.14 | $0.63 – $14.94 | 16 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $308.90 | $411.87 | $24.74 – $799.64 | 17 |
| Veeg cont 2-12 hrs CPT 95713 | $5,908.59 | $7,878.12 | $7,878.12 – $15,756.24 | 10 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $5,908.59 | $7,878.12 | $7,878.12 – $15,756.24 | 10 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $5,908.59 | $7,878.12 | $7,878.12 – $15,756.24 | 10 |
| Veeg unmon 12-26 hrs CPT 95714 | $5,908.59 | $7,878.12 | $7,878.12 – $15,756.24 | 10 |
| Veeg unmon 2-12 hrs CPT 95711 | $5,908.59 | $7,878.12 | $7,878.12 – $15,756.24 | 10 |
| Vein x-ray adrenal gland CPT 75840 | $7,906.71 | $10,542.28 | $235.14 – $21,084.56 | 12 |
| Vein x-ray eye socket CPT 75880 | $4,417.56 | $5,890.08 | $235.14 – $11,780.16 | 12 |
| Vein x-ray kidney CPT 75831 | $11,062.28 | $14,749.71 | $218.29 – $29,499.42 | 12 |
| Vein x-ray liver CPT 75891 | $15,813.32 | $21,084.43 | $229.90 – $42,168.86 | 12 |
| Vein x-ray liver w/hemodynam CPT 75885 | $15,813.32 | $21,084.43 | $229.90 – $42,168.86 | 12 |
| Vein x-ray liver w/hemodynam CPT 75889 | $15,826.55 | $21,102.06 | $228.82 – $42,204.12 | 12 |
| Vein x-ray liver without hemodyn CPT 75887 | $5,351.96 | $7,135.94 | $229.90 – $14,271.88 | 12 |
| Vein x-ray skull CPT 75870 | $5,657.24 | $7,542.98 | $330.04 – $15,085.96 | 12 |
| Vein x-ray skull epidural CPT 75872 | $5,352.04 | $7,136.05 | $235.14 – $14,272.10 | 12 |
| Vein x-ray spleen/liver CPT 75810 | $15,813.32 | $21,084.43 | $514.00 – $42,168.86 | 12 |
| Ven-artl shunt det mbubb njx CPT 93898 | $883.31 | $1,177.75 | $1,177.75 – $2,355.50 | 10 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $188.79 | $251.72 | $18.52 – $503.44 | 11 |
| Venogram ext bil s&i CPT 75822 | $6,899.24 | $9,198.98 | $204.57 – $18,397.96 | 12 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $3,449.61 | $4,599.48 | $183.47 – $9,198.96 | 12 |
| Venous m-thrombectomy add-on CPT 37188 | $5,649.82 | $7,533.09 | $7,533.09 – $15,066.18 | 10 |
| Venous sampling s&i CPT 75893 | $10,823.85 | $14,431.80 | $254.15 – $28,863.60 | 12 |
| Ventilator each subsequent day CPT 94003 | $1,368.84 | $1,825.12 | $221.00 – $3,650.24 | 11 |
| Ventilator initial day CPT 94002 | $1,368.84 | $1,825.12 | $221.00 – $2,912.96 | 11 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $4,134.11 | $5,512.14 | $5,512.14 – $11,024.28 | 10 |
| Version cephalic external CPT 59412 | $9,740.43 | $12,987.24 | $12,987.24 – $25,974.48 | 10 |
| Very long chain fatty acids CPT 82726 | $270.32 | $360.42 | $15.34 – $720.84 | 23 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $49.67 | $66.23 | $6.08 – $132.46 | 16 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $392.99 | $523.98 | $9.56 – $210.44 | 16 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $432.33 | $576.44 | $5.86 – $208.98 | 16 |
| Virus isolation addl studies ea CPT 87253 | $442.82 | $590.43 | $17.17 – $1,180.86 | 23 |
| Visit esketamine, > 56m HCPCS G2083 | $3,554.57 | $4,739.42 | $1,710.70 – $9,478.84 | 15 |
| Visit esketamine 56m or less HCPCS G2082 | $2,432.66 | $3,243.54 | $1,218.71 – $6,487.08 | 15 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $593.21 | $790.95 | $18.60 – $37.20 | 10 |
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.