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 |
|---|---|---|---|---|
| Giardia lamblia antibody CPT 86674 | not published | not published | $12.51 – $32.13 | 10 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $98.63 – $204.16 | 10 |
| Gi inhouse confirmation CPT 87045 | $469.68 | $469.68 | $8.93 – $20.55 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $91.83 – $848.52 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,317.12 | $1,317.12 | $514.30 – $534.87 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $487.27 – $506.76 | 7 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $442.97 – $460.69 | 7 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $204.56 – $212.74 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $95.56 – $180.52 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $58.14 – $109.85 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $33.08 – $62.31 | 10 |
| Glassia injection HCPCS J0257 | not published | not published | $5.67 – $5.92 | 7 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,317.13 – $7,148.79 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $7,076.58 – $7,148.79 | 2 |
| Glaucoma surgery CPT 66160 | not published | not published | $754.92 – $3,803.48 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $754.92 – $3,803.48 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $306.25 | $306.25 | $164.86 – $198.39 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $303.22 | $303.22 | $143.25 – $156.46 | 7 |
| Glucagon plasma - sendout CPT 82943 | $347.63 | $347.63 | $13.50 – $31.48 | 10 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $43.53 – $101.50 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $47.72 – $111.14 | 4 |
| Glucagon tolerance test CPT 82946 | not published | not published | $16.79 – $33.40 | 10 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.49 – $10.28 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $248.76 | $248.76 | $5.72 – $13.49 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.10 – $5.78 | 10 |
| Glucose blood quantitative CPT 82947 | $254.91 | $254.91 | $3.72 – $8.36 | 10 |
| Glucose body fluid CPT 82945 | not published | not published | $3.72 – $8.36 | 10 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $529.93 | $529.93 | $12.16 – $28.26 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $299.73 | $299.73 | $3.71 – $8.36 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $25.54 | $25.54 | $0.38 – $0.53 | 7 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.59 – $29.59 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $6,742.93 | $6,742.93 | $11.20 – $12.10 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $440.33 | $440.33 | $17.56 – $41.11 | 10 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $140.25 – $326.99 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $407.88 | $407.88 | $17.50 – $41.11 | 10 |
| Goniotomy CPT 65820 | not published | not published | $1,317.13 – $7,148.79 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $733.35 – $808.60 | 7 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $209.78 – $209.78 | 1 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $209.78 – $209.78 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $209.78 – $209.78 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $209.78 – $209.78 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $3,295.88 – $3,295.88 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $209.78 – $209.78 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $209.78 – $209.78 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $209.78 – $209.78 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $209.78 – $209.78 | 1 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $209.78 – $209.78 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $209.78 – $209.78 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $209.78 – $209.78 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $209.78 – $209.78 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $97.43 – $97.43 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.15 – $0.27 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $76.39 – $425.48 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,054.78 – $1,096.97 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,935.24 – $2,012.65 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,935.24 – $2,012.65 | 7 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.88 – $34.69 | 10 |
| Growth hormone panel CPT 80428 | not published | not published | $56.70 – $147.11 | 10 |
| Growth hormone panel CPT 80430 | not published | not published | $105.80 – $230.63 | 10 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $64.26 – $134.91 | 10 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $616.42 – $2,826.03 | 9 |
| G-tube reposition CPT 43761 | not published | not published | $260.00 – $454.43 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $106.57 – $1,588.72 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $107.93 – $1,134.16 | 9 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $64.05 – $102.88 | 9 |
| Gum graft CPT 41870 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $5,346.19 – $5,400.75 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $4.95 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $956.81 – $966.58 | 2 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $609.13 – $615.34 | 2 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $609.13 – $615.34 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $15.68 | $15.68 | $3.94 – $4.79 | 7 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $102.00 | $102.00 | $1.20 – $1.20 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $5.58 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Hand X-ray CPT 73130 | not published | not published | $36.85 – $71.77 | 10 |
| Haptoglobin quantitative CPT 83010 | $205.48 | $205.48 | $11.89 – $27.62 | 10 |
| Harvest auto stem cells CPT 38206 | not published | not published | $497.04 – $2,418.89 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $202.47 – $3,105.27 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $3,549.99 – $3,586.22 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $735.10 – $742.60 | 2 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $567.00 – $1,070.90 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $191.27 – $361.03 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $354.62 – $669.39 | 4 |
| Hbb full gene sequence CPT 81364 | not published | not published | $306.73 – $579.46 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $165.20 – $312.22 | 4 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $191.27 – $361.03 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $354.62 – $669.39 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.18 – $21.20 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $73.85 – $76.80 | 7 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $101.17 – $621.28 | 10 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.45 – $33.40 | 10 |
| Hcg qualitative CPT 84703 | $254.91 | $254.91 | $7.11 – $16.70 | 10 |
| Hcg quantitative CPT 84702 | $387.81 | $387.81 | $12.79 – $33.40 | 10 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $160.92 – $160.92 | 1 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $2,645.69 – $2,672.68 | 2 |
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.