LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $497.49 | $497.49 | $24.89 – $64.24 | 10 |
| 17-hydroxypregnenolone CPT 84143 | $744.68 | $744.68 | $21.56 – $50.10 | 10 |
| 17-ketosteroids CPT 83586 | $330.63 | $330.63 | $12.10 – $28.26 | 10 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $30.53 – $31.75 | 7 |
| 2nd order venous cath CPT 36012 | not published | not published | $416.00 – $432.64 | 7 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $198.11 – $198.11 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $352.04 – $352.04 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $441.56 – $1,120.45 | 10 |
| 3d recon without postprocess indpndt CPT 76376 | $3,961.30 | $3,961.30 | $21.54 – $104.49 | 9 |
| 5' nucleotidase - sendout CPT 83915 | $290.46 | $290.46 | $10.54 – $24.41 | 10 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $94.26 | $94.26 | $14.52 – $28.91 | 9 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.77 – $46.56 | 7 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $182.30 | $182.30 | $10.21 – $26.33 | 10 |
| Abciximab injection HCPCS J0130 | not published | not published | $951.77 – $951.77 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $131.51 – $2,540.02 | 10 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $468.00 – $486.72 | 7 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $624.00 – $648.96 | 7 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $624.00 – $648.96 | 7 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $624.00 – $648.96 | 7 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $624.00 – $648.96 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $9,166.68 | $9,166.68 | $101.17 – $310.93 | 10 |
| Abdominal CT scan (with contrast) CPT 74160 | $6,136.96 | $6,136.96 | $101.17 – $270.27 | 10 |
| Abdominal CT scan (without contrast) CPT 74150 | $5,844.28 | $5,844.28 | $59.96 – $145.44 | 10 |
| Abdominal MRI (with and without contrast) CPT 74183 | $7,287.42 | $7,287.42 | $206.69 – $513.63 | 10 |
| Abdominal MRI (with contrast) CPT 74182 | $6,052.45 | $6,052.45 | $206.69 – $479.85 | 10 |
| Abdominal MRI (without contrast) CPT 74181 | $6,052.45 | $6,052.45 | $131.00 – $338.99 | 10 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $260.47 – $1,472.01 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,330.07 | $2,330.07 | $59.96 – $134.00 | 10 |
| Abdominal Ultrasound (limited) CPT 76705 | $2,497.71 | $2,497.71 | $59.96 – $101.36 | 10 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $9,430.62 – $9,526.85 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $260.47 – $1,472.01 | 9 |
| Abl1 gene CPT 81170 | not published | not published | $283.50 – $535.12 | 4 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $192.87 – $200.58 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,542.80 – $11,099.94 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $1,457.67 – $11,099.94 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $2,419.31 – $2,516.08 | 7 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $494.04 – $2,253.44 | 9 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $494.04 – $2,253.44 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $3,034.35 – $3,155.72 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $1,552.42 – $8,886.97 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $83.79 – $87.14 | 7 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,457.14 – $1,836.74 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $3,152.58 – $8,886.97 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $125.74 – $425.48 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,767.74 – $8,886.97 | 9 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $221.08 – $742.60 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $125.74 – $425.48 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $157.06 – $484.47 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $2,869.04 – $2,983.80 | 7 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.80 – $9.40 | 7 |
| Abortion (mpr) CPT 59866 | not published | not published | $525.93 – $531.29 | 2 |
| Abrasion lesion single CPT 15786 | not published | not published | $171.60 – $334.48 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $826.91 – $2,668.92 | 9 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $246.01 – $248.52 | 2 |
| Abscess imaging whole body CPT 78806 | not published | not published | $487.47 – $492.45 | 2 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.05 – $0.06 | 7 |
| Acetaminophen level CPT 80143 | not published | not published | $15.84 – $17.62 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $418.00 | $418.00 | $19.82 – $26.61 | 7 |
| Acetone qualitative CPT 82009 | $214.75 | $214.75 | $3.84 – $10.28 | 10 |
| Acetylcholine receptor modulating antibody CPT 86043 | $203.30 | $203.30 | $10.24 – $10.65 | 7 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.45 – $24.41 | 10 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.37 – $0.47 | 7 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.46 – $8.80 | 7 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $173.63 – $180.58 | 7 |
| Acne surgery 10040 CPT 10040 | not published | not published | $331.10 – $334.48 | 2 |
| Acoustic immitance testing CPT 92570 | not published | not published | $17.02 – $17.70 | 7 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $12.99 – $13.51 | 7 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Acth stimulation panel CPT 80402 | not published | not published | $82.17 – $191.44 | 10 |
| Acth stimulation panel CPT 80406 | not published | not published | $50.15 – $172.17 | 10 |
| Actinotherapy uv light CPT 96900 | not published | not published | $12.99 – $13.51 | 7 |
| Acute hepatitis panel CPT 80074 | $1,640.81 | $1,640.81 | $40.49 – $104.71 | 10 |
| Acute venous thrombus image CPT 78456 | not published | not published | $436.46 – $1,159.50 | 10 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $153.00 | $153.00 | $0.04 – $0.12 | 7 |
| #acylcarnitineprfl CPT 82017 | $417.15 | $417.15 | $15.94 – $37.26 | 10 |
| Acylcarnitines qual CPT 82016 | not published | not published | $15.58 – $30.84 | 10 |
| Adding walker to prev cast CPT 29440 | not published | not published | $57.20 – $268.11 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $6.85 | $6.85 | $0.41 – $0.55 | 7 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.32 – $26.33 | 10 |
| Adenovirus antibody,serum - quest CPT 86603 | $1,211.29 | $1,211.29 | $10.94 – $28.26 | 10 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $18.50 – $38.54 | 10 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $416.00 – $432.64 | 7 |
| Adh-sendout CPT 84588 | $313.64 | $313.64 | $28.85 – $74.52 | 10 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $554.43 – $1,472.01 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $590.76 – $3,105.27 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.13 – $0.14 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $298.13 | $298.13 | $30.00 – $31.20 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $298.13 | $298.13 | $64.56 – $67.14 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $598.80 | $598.80 | $113.77 – $118.32 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $286.61 | $286.61 | $42.83 – $44.54 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $250.78 | $250.78 | $42.83 – $44.54 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $250.78 | $250.78 | $42.83 – $44.54 | 7 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $14.72 – $15.31 | 7 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $14.72 – $15.31 | 7 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $39.34 – $40.91 | 7 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $14.15 – $14.72 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $20.26 – $21.07 | 7 |
| Administration vaccine hepatitis b HCPCS G0010 | $68.92 | $68.92 | $47.84 – $47.84 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $12.84 – $47.84 | 11 |
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.