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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $1,320.00 | $1,320.00 | $312.00 – $425.48 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,023.00 | $2,023.00 | $520.65 – $2,672.68 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $520.65 – $2,672.68 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,083.00 | $1,083.00 | $364.00 – $425.48 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $312.00 – $469.77 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $286.00 – $910.48 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $143.00 – $425.48 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,434.00 | $1,434.00 | $312.00 – $425.48 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,048.57 – $2,672.68 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $364.00 – $425.48 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $421.18 – $425.48 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $520.65 – $2,672.68 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $364.00 – $425.48 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $421.18 – $425.48 | 2 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $148.60 – $154.54 | 7 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $148.60 – $154.54 | 7 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $2,645.69 – $2,672.68 | 2 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $652.00 | $652.00 | $312.00 – $425.48 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $1,134.00 | $1,134.00 | $312.00 – $425.48 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $520.65 – $2,672.68 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $114.40 – $425.48 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,445.00 | $1,445.00 | $520.65 – $2,672.68 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $520.65 – $2,672.68 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,518.00 | $1,518.00 | $520.65 – $2,672.68 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $210.99 – $425.48 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $520.65 – $2,672.68 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $312.00 – $425.48 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $421.18 – $425.48 | 2 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $114.40 – $425.48 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $1,414.00 | $1,414.00 | $260.00 – $425.48 | 9 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $266.07 – $425.48 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $338.00 – $425.48 | 9 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $364.00 – $425.48 | 9 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,497.60 – $1,557.50 | 7 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $312.00 – $425.48 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $520.65 – $2,672.68 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,518.00 | $1,518.00 | $2,645.69 – $2,672.68 | 2 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $416.00 – $432.64 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $520.65 – $2,672.68 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $416.00 – $432.64 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $520.65 – $2,672.68 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $494.04 – $2,253.44 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Cltx post ankle fx CPT 27767 | not published | not published | $76.13 – $425.48 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $76.13 – $2,672.68 | 9 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $520.65 – $2,672.68 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $421.18 – $425.48 | 2 |
| Cltx thigh fx CPT 27267 | not published | not published | $76.13 – $2,672.68 | 9 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $494.04 – $2,253.44 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $66.35 – $69.00 | 7 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $61.48 – $63.94 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $56.86 – $59.13 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $8.61 – $25.06 | 10 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.32 – $17.99 | 10 |
| #cmvcul-virus inoculation shell CPT 87254 | $741.61 | $741.61 | $16.63 – $43.05 | 10 |
| Cmv ig IV CPT 90291 | not published | not published | $3,582.93 – $3,582.93 | 1 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $29.83 – $77.09 | 10 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $116.45 – $129.47 | 8 |
| Co2 monitor per day CPT 94681 | not published | not published | $101.68 – $105.75 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.62 – $2.72 | 7 |
| Coagulation time activated teg CPT 85347 | not published | not published | $3.64 – $9.63 | 10 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.43 – $9.63 | 10 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.28 – $8.36 | 10 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $51.86 – $163.17 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $50.70 | $50.70 | $1.35 – $1.40 | 7 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $209.78 – $209.78 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | $144.85 | $144.85 | $7.50 – $14.77 | 10 |
| Cold agglutinin titer CPT 86157 | not published | not published | $7.50 – $17.99 | 10 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $12.08 – $12.56 | 7 |
| Collagenase, clost hist inj HCPCS J0775 | $13,650.00 | $13,650.00 | $75.75 – $78.78 | 7 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $133.89 | $133.89 | $71.01 – $207.96 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $150.67 | $150.67 | $71.01 – $207.96 | 9 |
| Collection of venous blood by venipuncture CPT 36415 | $47.90 | $47.90 | $3.00 – $5.14 | 3 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $209.78 – $209.78 | 1 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $296.08 – $1,405.66 | 9 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $559.12 – $1,853.93 | 9 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $382.28 – $1,853.93 | 9 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,835.21 – $1,853.93 | 2 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $1,835.21 – $1,853.93 | 2 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $382.28 – $1,853.93 | 9 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $576.01 – $1,853.93 | 9 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $382.28 – $1,853.93 | 9 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $382.28 – $1,853.93 | 9 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $296.08 – $1,405.66 | 9 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $559.12 – $1,853.93 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $382.28 – $1,853.93 | 9 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $559.12 – $1,853.93 | 9 |
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.