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 |
|---|---|---|---|---|
| Dicyclomine injection HCPCS J0500 | $213.30 | $213.30 | $11.33 – $13.37 | 7 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.23 – $0.24 | 7 |
| Diffusing capacity CPT 94729 | $505.84 | $505.84 | $42.11 – $43.79 | 7 |
| Digital analysis of eeg CPT 95957 | not published | not published | $4.36 – $4.53 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $39.60 | $39.60 | $5.08 – $9.95 | 7 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $16,130.21 | $16,130.21 | $8,525.53 – $8,525.53 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $366.88 | $366.88 | $12.55 – $29.55 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $106.92 | $106.92 | $57.08 – $89.18 | 7 |
| Dilate esophagus CPT 43453 | not published | not published | $616.42 – $2,826.03 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $293.65 – $1,472.01 | 9 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,115.40 – $1,160.02 | 7 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.16 – $653.38 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $228.80 – $454.43 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $205.86 – $324.48 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,129.34 – $3,357.23 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $312.00 – $454.43 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $208.00 – $269.89 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $382.28 – $1,853.93 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $382.28 – $1,853.93 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $901.29 – $910.48 | 2 |
| Dilation of urethra CPT 53661 | not published | not published | $205.86 – $216.32 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $659.82 – $3,357.23 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $494.04 – $2,253.44 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $343.20 – $1,119.81 | 9 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,130.84 – $1,176.07 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,902.46 – $1,978.56 | 7 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.05 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.92 – $8.68 | 7 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $743.31 – $779.20 | 7 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $2.34 – $2.34 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $37.80 | $37.80 | $0.69 – $0.74 | 7 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $288.38 | $288.38 | $26.15 – $27.20 | 7 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.99 – $8.75 | 7 |
| Direct advanced life support CPT 99288 | not published | not published | $39.14 – $40.71 | 7 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $12.99 – $13.51 | 7 |
| Disaccharidases CPT 82657 | not published | not published | $20.95 – $39.83 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $3,073.91 – $3,105.27 | 2 |
| Disarticulation shoulder CPT 23920 | not published | not published | $312.00 – $324.48 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $83.32 – $1,558.01 | 10 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $109.28 – $113.65 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,279.64 – $8,444.05 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $8,503.44 – $8,590.21 | 2 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $452.40 – $470.50 | 7 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $9.10 – $43.05 | 9 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $263.66 – $497.87 | 4 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $233.61 – $259.72 | 8 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $116.45 – $129.47 | 8 |
| Dna antibody native/double stranded CPT 86225 | $214.75 | $214.75 | $12.99 – $30.20 | 10 |
| Dna gardnerella CPT 87510 | not published | not published | $17.04 – $44.32 | 10 |
| Dna probe chlamydia CPT 87490 | not published | not published | $19.34 – $44.32 | 10 |
| Dna probe gc CPT 87590 | not published | not published | $22.85 – $48.18 | 10 |
| Dna trichomonas CPT 87660 | not published | not published | $18.95 – $44.32 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $12.38 | $12.38 | $8.02 – $8.48 | 7 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.63 – $0.68 | 7 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $82.10 – $82.10 | 1 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.06 – $6.42 | 7 |
| Dolasetron mesylate oral HCPCS Q0180 | $0.13 | $0.13 | $94.25 – $94.25 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $25.68 | $25.68 | $1.32 – $1.32 | 1 |
| Doppler echo complete CPT 93320 | $806.53 | $806.53 | $50.46 – $52.48 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,695.03 – $1,762.83 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $5,589.56 | $5,589.56 | $50.60 – $52.62 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $3,047.34 | $3,047.34 | $46.90 – $48.78 | 7 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.79 – $0.82 | 7 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $91.01 – $91.01 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.44 – $257.34 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.78 – $3.28 | 7 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $104.01 – $156.43 | 7 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $52.05 | $52.05 | $0.12 – $0.12 | 7 |
| Dpyd gene common variants CPT 81232 | not published | not published | $165.20 – $312.22 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $227.92 – $1,134.16 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $343.20 – $1,134.16 | 9 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $525.22 – $2,668.92 | 9 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $343.20 – $1,134.16 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $920.50 – $2,668.92 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $920.50 – $2,668.92 | 9 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $312.00 – $353.39 | 9 |
| Drainage of abdomen CPT 48000 | not published | not published | $468.00 – $486.72 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $525.22 – $2,668.92 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $920.50 – $4,602.91 | 9 |
| Drainage of bone lesion CPT 27303 | not published | not published | $468.00 – $486.72 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $3,765.06 – $3,803.48 | 2 |
| Drainage of eye CPT 65810 | not published | not published | $754.92 – $3,803.48 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $754.92 – $3,803.48 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $2,645.69 – $2,672.68 | 2 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $343.20 – $1,134.16 | 9 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $349.82 – $353.39 | 2 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $2,230.68 – $2,253.44 | 2 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $494.04 – $2,253.44 | 9 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $901.29 – $910.48 | 2 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $901.29 – $910.48 | 2 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $8,503.44 – $8,590.21 | 2 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $2,230.68 – $2,253.44 | 2 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $260.00 – $353.39 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $257.40 – $910.48 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $2,645.69 – $2,672.68 | 2 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,048.57 – $5,237.18 | 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.