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 |
|---|---|---|---|---|
| Full field erg w/i&r CPT 92273 | not published | not published | $140.00 – $145.60 | 7 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $64.62 – $204.16 | 10 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $590.76 – $3,105.27 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $590.76 – $3,105.27 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $590.76 – $3,105.27 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.03 – $0.03 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $557.44 – $579.74 | 7 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $557.44 – $579.74 | 7 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $416.00 – $432.64 | 7 |
| Fuse upper gi structures CPT 47721 | not published | not published | $497.40 – $517.30 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $4,263.54 – $20,042.00 | 9 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $364.00 – $378.56 | 7 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Fusion of finger tendons CPT 26474 | not published | not published | $520.65 – $2,672.68 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $4,263.54 – $20,042.00 | 9 |
| Fusion of foot bones CPT 28735 | not published | not published | $4,263.54 – $20,042.00 | 9 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $3,323.32 – $3,357.23 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $5,285.30 – $5,339.23 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $19,839.55 – $20,042.00 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $780.00 – $811.20 | 7 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $627.12 – $652.20 | 7 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $233.61 – $259.72 | 8 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $116.45 – $129.47 | 8 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $233.61 – $259.72 | 8 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $157.42 – $175.01 | 8 |
| G6pc gene CPT 81250 | not published | not published | $55.27 – $104.07 | 4 |
| G6pd full gene sequence CPT 81249 | not published | not published | $567.00 – $1,070.90 | 4 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $165.20 – $312.22 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $354.62 – $669.39 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $37.47 – $37.47 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $81.89 – $81.89 | 1 |
| Gabapentin non-blood CPT 80355 | not published | not published | $17.88 – $43.05 | 9 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.46 – $0.46 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.41 – $2.41 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.17 – $0.17 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,483.00 | $1,483.00 | $24.34 – $24.34 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $17.91 – $46.25 | 10 |
| Galactokinase - sendout CPT 82759 | not published | not published | $11.86 – $47.54 | 10 |
| Galactose transferase test CPT 82776 | $91.16 | $91.16 | $11.10 – $21.20 | 10 |
| Galectin-3 CPT 82777 | not published | not published | $37.61 – $79.01 | 10 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,869.18 – $8,886.97 | 9 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $5.96 – $5.96 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $599.78 – $599.78 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $907.71 – $907.71 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $789.56 – $789.56 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $598.13 – $598.13 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $504.28 – $534.41 | 7 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $104.52 – $508.40 | 7 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $49.92 – $51.92 | 7 |
| Gammaglobulin iga CPT 82784 | not published | not published | $8.79 – $20.55 | 10 |
| Gammaglobulin ige CPT 82785 | $13.26 | $13.26 | $13.99 – $35.98 | 10 |
| Gamma glutamyltransferase CPT 82977 | $290.46 | $290.46 | $6.80 – $16.06 | 10 |
| Gammagraft HCPCS Q4111 | not published | not published | $209.78 – $209.78 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.78 – $66.49 | 7 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.08 – $51.04 | 7 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $580.73 | $580.73 | $33.37 – $34.86 | 7 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $29.83 – $77.09 | 10 |
| Gardner vag dna quant CPT 87512 | not published | not published | $35.50 – $91.86 | 10 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.34 – $12.21 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $218.05 – $590.94 | 10 |
| Gastric emptying imag study CPT 78266 | not published | not published | $283.02 – $710.61 | 10 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $288.52 – $848.52 | 4 |
| Gastrin test CPT 82938 | not published | not published | $16.72 – $39.18 | 10 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $218.05 – $351.01 | 10 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $65.00 – $67.60 | 7 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,457.14 – $1,472.01 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $218.05 – $368.77 | 10 |
| Gba gene CPT 81251 | not published | not published | $44.65 – $84.16 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $480.15 – $480.15 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $528.05 – $560.02 | 7 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $906.06 | $906.06 | $0.61 – $0.70 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.10 – $3.73 | 7 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $240.17 – $249.78 | 7 |
| General health panel CPT 80050 | $2,074.95 | $2,074.95 | $45.36 – $84.79 | 3 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,081.28 – $2,313.88 | 8 |
| Genioplasty augmentation CPT 21120 | not published | not published | $8,503.44 – $8,590.21 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $8,503.44 – $8,590.21 | 2 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,209.08 – $2,337.65 | 2 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,754.48 – $5,031.20 | 2 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,560.90 – $2,709.95 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $45.52 | $45.52 | $2.17 – $2.57 | 7 |
| Gentamicin peak therapeutic drug level CPT 80170 | $392.43 | $392.43 | $15.48 – $35.98 | 10 |
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.