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 |
|---|---|---|---|---|
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $12.84 – $47.84 | 11 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $20.26 – $21.07 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.19 – $43.88 | 7 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $692.11 – $2,938.37 | 4 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $101.68 – $105.75 | 7 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $189.08 – $196.64 | 7 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $189.08 – $196.64 | 7 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,218.90 – $3,347.66 | 7 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $801,444.80 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $621.09 | $621.09 | $18.95 – $44.32 | 10 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.24 – $12.85 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $109.01 – $254.39 | 10 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $116.45 – $129.47 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $233.61 – $259.72 | 8 |
| Aflibercept injection HCPCS J0178 | not published | not published | $763.90 – $827.69 | 7 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $18.24 – $18.97 | 7 |
| After cataract laser surgery CPT 66821 | not published | not published | $514.80 – $966.12 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $230.32 – $239.53 | 7 |
| Ag detect nos ia single CPT 87450 | not published | not published | $20.98 – $21.20 | 2 |
| Air conduction bilat CPT 92552 | not published | not published | $41.38 – $43.04 | 7 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $211.53 – $219.99 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $134.43 | $134.43 | $6.61 – $14.14 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $87.58 – $87.58 | 1 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $35.03 – $35.03 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $87.58 – $87.58 | 1 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $11.04 | 7 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.08 – $74.52 | 10 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $191.57 | $191.57 | $5.25 – $12.85 | 10 |
| Albumin serum plasma or whole blood CPT 82040 | $182.30 | $182.30 | $4.68 – $10.92 | 10 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.15 – $0.16 | 7 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $0.20 | 7 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.43 – $0.43 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.12 – $0.12 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $340.72 | $340.72 | $16.32 – $17.27 | 2 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $15.50 – $16.12 | 7 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $4,683.60 – $4,870.94 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $107.62 – $276.24 | 10 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $43.31 | 7 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,447.10 – $2,544.98 | 7 |
| Alglucerase injection HCPCS J0205 | not published | not published | $42.03 – $43.71 | 7 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $168.13 – $174.86 | 7 |
| Alkaline phosphatase CPT 84075 | not published | not published | $4.89 – $11.56 | 10 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $16.95 – $39.83 | 10 |
| Allergen egg white ige CPT 86003 | $11.38 | $11.38 | $4.94 – $11.56 | 10 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.53 – $17.34 | 4 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $14.70 – $15.29 | 7 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $11.57 – $12.03 | 7 |
| Allergy Skin Testing CPT 95004 | $14.47 | $14.47 | $338.70 – $352.25 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $338.70 – $352.25 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $19,839.55 – $20,042.00 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $283.00 | $283.00 | $209.78 – $209.78 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $209.78 – $209.78 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $209.78 – $209.78 | 1 |
| Alloskin HCPCS Q4115 | not published | not published | $209.78 – $209.78 | 1 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $209.78 – $209.78 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $18.44 – $19.18 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $18.44 – $19.18 | 7 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $8.86 – $8.86 | 1 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $60.87 – $141.98 | 10 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $14.45 – $37.26 | 10 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $14.25 – $37.26 | 10 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.79 – $0.79 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $93.83 – $97.58 | 7 |
| Alt/sgpt CPT 84460 | not published | not published | $5.01 – $11.56 | 10 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.61 – $4.79 | 7 |
| Aluminum - quest CPT 82108 | not published | not published | $21.66 – $55.89 | 10 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Amantadine (symmetrel)-sendout CPT 80375 | $601.01 | $601.01 | $17.88 – $43.05 | 9 |
| Amifostine HCPCS J0207 | not published | not published | $451.95 – $470.03 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.62 – $0.64 | 7 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.66 – $10.92 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.10 – $30.84 | 10 |
| Amino acid single qual CPT 82127 | not published | not published | $13.40 – $30.84 | 10 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $18.13 – $37.26 | 10 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.30 – $1.35 | 7 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $2.95 – $2.95 | 1 |
| Aminolevulinic acid delta CPT 82135 | $724.60 | $724.60 | $15.54 – $35.98 | 10 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $643.22 – $643.22 | 1 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $16.86 | $16.86 | $10.41 – $11.49 | 7 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.59 – $2.69 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.34 – $0.43 | 7 |
| Amitriptyline (elavil) -sendout CPT 80335 | $1,898.81 | $1,898.81 | $23.71 – $43.05 | 9 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.27 – $2.36 | 7 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.37 – $23.46 | 7 |
| Ammonia CPT 82140 | $466.60 | $466.60 | $12.38 – $32.13 | 10 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $209.78 – $209.78 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $260.43 – $1,139.61 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $257.40 – $531.29 | 9 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $209.78 – $209.78 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $209.78 – $209.78 | 1 |
| Amniotic fluid scan CPT 82143 | not published | not published | $8.83 – $16.70 | 4 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $209.78 – $209.78 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $19.29 – $190.59 | 7 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | $190.04 | $190.04 | $10.48 – $43.05 | 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.