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 |
|---|---|---|---|---|
| X-ray abdomen >=3 views CPT 74021 | $1,093.61 | $1,458.14 | $94.90 – $2,916.28 | 12 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $1,377.16 | $1,836.21 | $109.67 – $3,672.42 | 12 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $972.74 | $1,296.99 | $63.28 – $2,593.98 | 12 |
| X-ray ankle 2 views (both sides) CPT 73600 | $1,767.26 | $2,356.35 | $76.97 – $2,356.48 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $4,219.01 | $5,625.34 | $324.79 – $5,625.32 | 12 |
| X-ray bone age studies CPT 77072 | $972.74 | $1,296.99 | $52.71 – $2,593.98 | 12 |
| X-ray bone length studies CPT 77073 | $673.67 | $898.23 | $102.30 – $1,594.46 | 18 |
| X-ray bone survey complete CPT 77075 | $2,201.63 | $2,935.50 | $230.94 – $5,871.00 | 12 |
| X-ray bone survey infant CPT 77076 | $1,080.49 | $1,440.65 | $233.06 – $2,881.30 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | $1,163.00 | $1,550.66 | $91.74 – $3,101.32 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,500.41 | $2,000.55 | $129.72 – $4,001.10 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | $2,306.96 | $3,075.94 | $150.81 – $6,151.88 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | $2,036.49 | $2,715.32 | $78.04 – $2,715.20 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $2,279.42 | $3,039.22 | $323.72 – $6,078.44 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $3,449.61 | $4,599.48 | $493.50 – $9,198.96 | 12 |
| X-ray elbow 2 views (both sides) CPT 73070 | $1,773.27 | $2,364.36 | $67.48 – $2,364.38 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $1,897.73 | $2,530.30 | $76.97 – $2,530.18 | 12 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,555.49 | $2,073.99 | $214.05 – $4,147.98 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $6,301.94 | $8,402.58 | $199.28 – $16,805.16 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | $7,000.85 | $9,334.46 | $247.79 – $18,668.92 | 12 |
| X-ray exam of arm infant CPT 73092 | $1,665.53 | $2,220.70 | $74.88 – $2,220.72 | 12 |
| X-ray exam of eye sockets CPT 70200 | $1,149.87 | $1,533.16 | $108.62 – $3,066.32 | 12 |
| X-ray exam of femur 1 CPT 73551 | $614.99 | $819.98 | $68.56 – $820.00 | 12 |
| X-ray exam of jaw joint CPT 70328 | $151.31 | $201.74 | $81.21 – $514.00 | 12 |
| X-ray exam of sinuses CPT 70210 | $917.77 | $1,223.69 | $75.93 – $2,447.38 | 12 |
| X-ray exam si joints CPT 72200 | $612.59 | $816.78 | $80.13 – $1,633.56 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $1,347.33 | $1,796.44 | $104.39 – $3,592.88 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $966.84 | $1,289.12 | $76.97 – $2,578.24 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $939.31 | $1,252.41 | $108.62 – $2,504.82 | 12 |
| X-ray femur >=2 views (both sides) CPT 73552 | $1,767.26 | $2,356.35 | $85.41 – $2,356.48 | 12 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $1,505.34 | $2,007.12 | $100.18 – $2,007.14 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | $1,929.97 | $2,573.29 | $66.44 – $2,573.28 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | $2,012.57 | $2,683.42 | $68.56 – $2,683.46 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | $1,873.81 | $2,498.41 | $73.81 – $2,498.38 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $1,879.69 | $2,506.25 | $65.36 – $2,506.28 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $954.82 | $1,273.09 | $149.73 – $2,546.18 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,591.43 | $2,121.91 | $97.02 – $4,243.82 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,934.77 | $2,579.69 | $126.55 – $5,159.38 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $2,920.74 | $3,894.32 | $148.69 – $7,788.64 | 12 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $674.87 | $899.83 | $76.97 – $1,799.66 | 12 |
| X-ray humerus >= 2 views left CPT 73060 | $2,046.12 | $2,728.16 | $76.97 – $2,728.06 | 12 |
| X-ray joint survey 1 view CPT 77077 | $819.65 | $1,092.87 | $94.90 – $2,185.74 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $1,749.35 | $2,332.46 | $82.25 – $2,332.32 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | $1,974.34 | $2,632.45 | $100.18 – $2,632.42 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $1,061.36 | $1,415.14 | $100.18 – $2,830.28 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $2,235.16 | $2,980.21 | $74.88 – $2,980.08 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $936.89 | $1,249.19 | $94.90 – $2,498.38 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,836.65 | $2,448.86 | $124.43 – $4,897.72 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,047.22 | $2,729.62 | $147.65 – $5,459.24 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | $966.84 | $1,289.12 | $100.18 – $2,578.24 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $966.84 | $1,289.12 | $94.90 – $2,578.24 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,210.85 | $1,614.47 | $92.78 – $3,228.94 | 12 |
| X-ray neck soft tissue CPT 70360 | $968.04 | $1,290.72 | $71.72 – $2,581.44 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $335.03 | $446.70 | $65.36 – $893.40 | 12 |
| X-ray of mammary ducts CPT 77054 | $1,245.60 | $1,660.80 | $152.89 – $3,321.60 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $869.92 | $1,159.89 | $62.20 – $2,319.78 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,429.82 | $1,906.43 | $94.90 – $3,812.86 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $5,142.78 | $6,857.04 | $169.78 – $6,857.06 | 12 |
| X-ray ribs 2 views left CPT 71100 | $2,537.84 | $3,383.78 | $82.25 – $3,311.98 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,420.31 | $1,893.75 | $94.90 – $3,787.50 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $2,647.88 | $3,530.51 | $92.78 – $3,532.28 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,742.14 | $2,322.85 | $117.03 – $4,645.70 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,079.29 | $1,439.05 | $90.69 – $2,878.10 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,020.60 | $1,360.80 | $76.97 – $2,721.60 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | $2,127.42 | $2,836.56 | $48.51 – $2,836.72 | 12 |
| X-ray sella turcica CPT 70240 | $436.76 | $582.34 | $74.88 – $1,164.68 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $1,301.88 | $1,735.84 | $45.35 – $1,735.82 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $994.27 | $1,325.69 | $86.46 – $2,651.38 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,226.47 | $1,635.29 | $111.79 – $3,270.58 | 12 |
| X-ray skull < 4 views CPT 70250 | $1,259.91 | $1,679.88 | $86.46 – $3,359.76 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $1,817.52 | $2,423.36 | $99.14 – $4,846.72 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $3,301.50 | $4,402.00 | $191.92 – $8,804.00 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,677.54 | $2,236.72 | $259.40 – $4,473.44 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $2,833.43 | $3,777.91 | $514.00 – $7,555.82 | 11 |
| X-ray spine single view CPT 72020 | $599.46 | $799.28 | $52.71 – $1,598.56 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $387.70 | $516.93 | $97.02 – $1,033.86 | 12 |
| X-ray sternum > 2 views CPT 71120 | $987.16 | $1,316.21 | $75.93 – $2,632.42 | 12 |
| X-ray surgical specimen CPT 76098 | $2,078.35 | $2,771.13 | $88.57 – $5,542.26 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,252.79 | $1,670.39 | $305.79 – $3,340.78 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,103.21 | $1,470.95 | $131.80 – $2,941.90 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $1,164.19 | $1,552.25 | $73.81 – $3,104.50 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $1,231.28 | $1,641.71 | $90.69 – $3,283.42 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,007.48 | $1,343.31 | $78.04 – $2,686.62 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $1,799.61 | $2,399.48 | $97.02 – $800.00 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $3,501.08 | $4,668.10 | $175.06 – $9,336.20 | 12 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $1,867.78 | $2,490.37 | $75.93 – $2,490.24 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $1,859.38 | $2,479.17 | $71.72 – $2,479.16 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,134.36 | $1,512.48 | $298.42 – $3,024.96 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $2,474.78 | $3,299.70 | $261.52 – $6,599.40 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | $2,079.56 | $2,772.74 | $81.21 – $2,772.90 | 12 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $844.89 | $1,126.52 | $205.64 – $2,253.04 | 12 |
| Xylose absorption test blood &/or urine CPT 84620 | $431.23 | $574.97 | $7.42 – $1,149.94 | 23 |
| Xyntha inj HCPCS J7185 | $8.82 | $11.76 | $1.76 – $23.52 | 17 |
| Yersinia antibody CPT 86793 | $157.10 | $209.47 | $11.21 – $418.94 | 23 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $43,032.62 | $57,376.83 | $57,376.83 – $240,686.68 | 17 |
| Ziconotide injection HCPCS J2278 | $61,854.94 | $82,473.25 | $1.59 – $36.40 | 17 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $295.42 | $393.89 | $1.79 – $39.40 | 16 |
| Zika virus dna/rna amp probe CPT 87662 | $689.09 | $918.78 | $25.34 – $1,837.56 | 23 |
| Zika virus igm antibody CPT 86794 | $260.74 | $347.65 | $8.32 – $695.30 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $641.02 | $854.69 | $6.93 – $145.44 | 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.