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 |
|---|---|---|---|---|
| Leukocyte phagocytosis CPT 86344 | not published | not published | $5.98 – $18.63 | 10 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $170.78 – $179.18 | 7 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $15,971.69 | $15,971.69 | $1,670.30 – $1,737.11 | 7 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,819.82 – $5,012.61 | 7 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $50.41 – $52.58 | 7 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $229.57 – $734.94 | 7 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $54.48 – $59.31 | 7 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $13.71 – $14.26 | 6 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $21.27 – $22.12 | 6 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $39.09 – $40.65 | 6 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $59.84 – $62.23 | 6 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $94.23 – $98.00 | 6 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $0.75 – $0.78 | 7 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.63 – $0.63 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.09 | 7 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.90 | $8.90 | $0.04 – $0.05 | 7 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.04 | $33.04 | $12.53 – $28.91 | 10 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.07 – $2.25 | 7 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $640.40 – $640.40 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.98 – $7.55 | 7 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $1,924.99 – $2,001.99 | 7 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $404.79 | $404.79 | $13.88 – $32.13 | 10 |
| Ligate leg veins open CPT 37761 | not published | not published | $962.45 – $1,946.14 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $321.88 – $4,935.29 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $321.88 – $4,935.29 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $525.22 – $2,668.92 | 9 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $4,885.44 – $4,935.29 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,032.58 – $1,946.14 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $364.00 – $378.56 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $364.00 – $378.56 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,032.58 – $1,946.14 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $4,885.44 – $4,935.29 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,782.31 – $4,935.29 | 9 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,091.09 – $8,444.05 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $4,885.44 – $4,935.29 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Ligation of shunt CPT 49428 | not published | not published | $312.00 – $324.48 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $4,885.44 – $4,935.29 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,032.58 – $4,935.29 | 9 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $931.73 – $969.00 | 7 |
| Limb exercise test CPT 95875 | not published | not published | $50.60 – $52.62 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $199.15 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $176.67 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $19.82 – $20.61 | 7 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.40 – $6.49 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $595.60 | $595.60 | $2.74 – $3.61 | 7 |
| Lipase CPT 83690 | $463.50 | $463.50 | $6.51 – $15.41 | 10 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | $568.55 | $568.55 | $20.80 – $60.39 | 10 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $31.49 – $69.38 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $390.88 | $390.88 | $7.74 – $17.99 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.92 – $21.20 | 10 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $29.80 – $32.31 | 8 |
| Lip surgery procedure CPT 40799 | not published | not published | $96.46 – $353.39 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $537,099.98 – $584,689.29 | 7 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.21 – $28.91 | 10 |
| Lithium therapeutic drug level CPT 80178 | $264.19 | $264.19 | $6.25 – $14.77 | 10 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $223.60 – $232.54 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $176.19 | 1 |
| Liver elastography 91200 CPT 91200 | not published | not published | $68.18 – $70.91 | 7 |
| Liver Function Test CPT 80076 | $962.53 | $962.53 | $7.72 – $17.99 | 10 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $496.55 – $501.61 | 2 |
| Liver imaging CPT 78201 | not published | not published | $280.58 – $434.20 | 10 |
| Liver imaging (3d) CPT 78205 | not published | not published | $296.45 – $299.48 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $283.02 – $434.20 | 10 |
| Liver/spleen imag static only CPT 78215 | $4,103.63 | $4,103.63 | $218.05 – $334.48 | 10 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $165.51 – $334.48 | 10 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $757.00 – $787.28 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.72 – $1.72 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $220.48 – $230.07 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.41 – $1.63 | 7 |
| Loudness balance test CPT 92562 | not published | not published | $27.89 – $29.01 | 7 |
| Low back disk surgery CPT 63030 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $8,584.00 | $8,584.00 | $101.17 – $332.69 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $5,841.62 | $5,841.62 | $206.69 – $326.74 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,902.08 | $4,902.08 | $59.96 – $209.57 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,205.11 | $6,205.11 | $206.69 – $428.89 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,872.30 | $5,872.30 | $206.69 – $376.78 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,892.74 | $6,892.74 | $131.00 – $243.36 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $912.18 | $912.18 | $37.98 – $96.60 | 10 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $56.60 – $178.00 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.00 – $15.60 | 7 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,809.56 – $8,886.97 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,809.56 – $15,037.88 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,809.56 – $15,037.88 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,809.56 – $15,037.88 | 9 |
| L/s ratio fetal lung CPT 83661 | $1,322.52 | $1,322.52 | $20.78 – $48.18 | 10 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $86.16 – $1,558.01 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,037.14 – $20,042.00 | 9 |
| Lumizyme injection HCPCS J0221 | not published | not published | $207.39 – $215.69 | 7 |
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.