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 |
|---|---|---|---|---|
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $209.78 – $209.78 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $281.50 – $5,366.39 | 9 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $281.50 – $3,105.27 | 9 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $209.78 – $209.78 | 1 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $209.78 – $209.78 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,533.12 – $1,594.44 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $5,346.19 – $5,400.75 | 2 |
| Design mlc device for imrt CPT 77338 | not published | not published | $201.24 – $475.27 | 10 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $159.39 | $159.39 | $3.41 – $4.67 | 7 |
| Desoxycorticosterone CPT 82633 | not published | not published | $29.27 – $68.09 | 4 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $362.86 – $377.37 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,315.86 – $1,368.49 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $968.92 – $1,007.68 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $343.20 – $615.34 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $343.20 – $615.34 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $312.00 – $334.48 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $312.00 – $334.48 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $353.46 – $3,188.57 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $123.52 – $128.46 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $382.28 – $1,853.93 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $64.86 – $334.48 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $590.76 – $3,105.27 | 9 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $590.76 – $3,105.27 | 9 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $125.63 – $334.48 | 9 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $457.60 – $966.58 | 9 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $379.92 – $615.34 | 9 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $590.76 – $3,105.27 | 9 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $22.88 – $23.80 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $590.76 – $3,105.27 | 9 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $909.58 – $4,584.63 | 9 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $258.26 – $615.34 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $189.79 – $334.48 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $312.49 – $1,330.82 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $353.46 – $367.60 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $609.97 – $3,188.57 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $754.92 – $3,803.48 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $757.00 – $3,586.22 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $757.00 – $3,586.22 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $234.78 – $334.48 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $909.58 – $4,584.63 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $3,549.99 – $3,586.22 | 2 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $343.20 – $615.34 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $343.20 – $615.34 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $343.20 – $615.34 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $343.20 – $615.34 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $286.00 – $615.34 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $590.76 – $3,105.27 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $129.17 – $615.34 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $909.58 – $4,584.63 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $590.76 – $3,105.27 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $25.53 – $53.32 | 10 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $37.12 – $88.65 | 10 |
| Determination venous press CPT 93770 | not published | not published | $3.01 – $3.13 | 7 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $32.76 – $34.07 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $88.37 – $91.90 | 7 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,214.63 – $1,263.22 | 7 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $40.49 – $42.11 | 7 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $27.77 – $182.03 | 4 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $98.66 – $115.11 | 7 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.11 – $1.15 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.02 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.09 – $0.11 | 7 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.54 – $213.45 | 7 |
| Dexamethasone panel CPT 80420 | not published | not published | $81.35 – $289.09 | 10 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.72 – $0.75 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $58.01 – $84.20 | 7 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $45.31 – $70.70 | 7 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $15.10 | 7 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.30 – $1.36 | 7 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $5.25 – $5.46 | 7 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.75 – $1.89 | 7 |
| Dextrose 5 % IV bolus HCPCS J7070 | $81.49 | $81.49 | $2.94 – $3.79 | 7 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $957.90 | $957.90 | $21.01 – $48.83 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $245.67 | $245.67 | $9.18 – $21.20 | 10 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $11.11 – $11.55 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $549.83 – $2,620.75 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,869.18 – $8,886.97 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $205.86 – $216.32 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $234.00 – $1,853.93 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $205.86 – $216.32 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $15.67 – $16.30 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $15.67 – $16.30 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $234.00 – $311.00 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $234.00 – $311.00 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $772.07 | $772.07 | $59.88 – $195.26 | 19 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $48.20 – $152.89 | 19 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $71.77 – $76.80 | 8 |
| Dialysis one evaluation CPT 90945 | not published | not published | $143.48 – $149.22 | 7 |
| Dialysis repeated eval CPT 90947 | not published | not published | $77.66 – $80.77 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $9.30 – $12.95 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.12 – $0.12 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $49.99 | $49.99 | $11.04 – $11.04 | 1 |
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.