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 |
|---|---|---|---|---|
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $406.28 – $422.53 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $83.82 – $87.17 | 7 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.96 – $55.23 | 7 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $488.53 – $517.94 | 7 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.02 – $20.82 | 7 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $779.24 – $810.41 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $339.00 | $339.00 | $192.19 – $484.47 | 9 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $160.00 – $166.40 | 7 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $70.34 – $73.62 | 7 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.31 – $0.40 | 7 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $17.47 – $21.23 | 7 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $224.03 – $1,075.81 | 9 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.54 – $0.56 | 7 |
| Injection eye drug CPT 67028 | not published | not published | $228.80 – $589.13 | 9 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $260.00 – $270.40 | 7 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $156.00 – $162.24 | 7 |
| Injection for hip x-ray CPT 27095 | not published | not published | $416.00 – $432.64 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $208.00 – $216.32 | 7 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $69.68 – $72.47 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $20.90 – $21.74 | 7 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $45.23 – $47.04 | 7 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $52.00 – $54.08 | 7 |
| Injection, fulvestrant HCPCS J9395 | $245.93 | $245.93 | $5.72 – $7.18 | 7 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $427.81 – $427.81 | 1 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $384.80 – $400.19 | 7 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.69 – $13.20 | 7 |
| Injection into brain canal CPT 61026 | not published | not published | $343.20 – $1,075.81 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $312.00 – $484.47 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $1,391.46 – $1,405.66 | 2 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,317.37 – $1,330.82 | 2 |
| Injection into vocal cord CPT 31513 | not published | not published | $735.86 – $743.37 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.06 – $1.10 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $13.26 – $13.79 | 7 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.18 – $1.23 | 7 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $18.55 | $18.55 | $5.73 – $5.96 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $494.04 – $2,253.44 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.51 – $6.77 | 7 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $97.70 – $101.61 | 7 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $1.64 | 7 |
| Injection px peyronie ds CPT 54200 | not published | not published | $80.06 – $454.43 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $171.60 – $691.85 | 9 |
| Injection, renflexis HCPCS Q5104 | $1,271.90 | $1,271.90 | $27.75 – $28.96 | 7 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.14 – $38.25 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $224.03 – $1,075.81 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $224.03 – $1,075.81 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $295.27 – $1,330.82 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $92.58 – $96.28 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $260.80 – $1,330.82 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $92.58 – $96.28 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $260.80 – $1,330.82 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $377.15 – $392.24 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $377.15 – $392.24 | 7 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $163.37 – $169.90 | 7 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $339.00 | $339.00 | $192.19 – $484.47 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $192.19 – $484.47 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $192.19 – $484.47 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $24.42 – $25.40 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | $15.60 – $16.22 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $24.42 – $25.40 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $16.83 – $17.50 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $14.10 – $14.66 | 7 |
| Injection treatment of eye CPT 66020 | not published | not published | $754.92 – $3,803.48 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $754.92 – $3,803.48 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $625.47 – $3,188.57 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $3,156.36 – $3,188.57 | 2 |
| Injection treatment of nerve CPT 64681 | not published | not published | $427.73 – $1,330.82 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $901.29 – $910.48 | 2 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $104.00 – $108.16 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $114.40 – $529.95 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $524.59 – $529.95 | 2 |
| Inject/treat eye socket CPT 67515 | not published | not published | $114.40 – $529.95 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $52.26 – $52.26 | 1 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $69.88 – $69.88 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.12 – $35.48 | 7 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.51 – $24.49 | 7 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.13 – $399.50 | 7 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $54.06 – $58.72 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $377.15 – $392.24 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $377.15 – $392.24 | 7 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $256.32 | $256.32 | $2.13 – $2.13 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $25.25 – $25.25 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.80 – $4.30 | 7 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $166.40 | 7 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $205.06 | 7 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $19.24 | 7 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $3,847,800.00 – $3,847,800.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.91 – $10.32 | 7 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.90 – $36.11 | 7 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.66 – $23.74 | 7 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $139.63 – $145.48 | 7 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.14 – $1.28 | 7 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.39 – $7.69 | 7 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $4.34 – $4.34 | 1 |
| Inj for ext venography CPT 36005 | not published | not published | $208.00 – $216.32 | 7 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.06 – $1.26 | 7 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $546.93 – $658.20 | 7 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.36 – $3.49 | 7 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.45 – $28.19 | 7 |
| Inj, fulvestrant (teva) HCPCS J9393 | $282.16 | $282.16 | $20.00 – $20.80 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $5.45 – $5.45 | 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.