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 |
|---|---|---|---|---|
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $11,868.17 – $11,989.28 | 2 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $19,541.26 – $20,322.91 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,897.10 – $1,972.98 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $407.83 – $444.00 | 7 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $35.76 – $37.19 | 7 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $39.34 – $40.91 | 7 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $8.59 – $93.15 | 9 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx lunate dislocation CPT 25695 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,897.10 – $8,590.21 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,897.10 – $1,972.98 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $19,839.55 – $20,042.00 | 2 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,770.04 – $11,099.94 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $4,263.54 – $20,042.00 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $6,037.14 – $30,432.48 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,317.55 – $5,237.18 | 9 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $19,839.55 – $20,042.00 | 2 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,317.55 – $5,237.18 | 9 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Oral aprepitant HCPCS J8501 | $137.84 | $137.84 | $4.57 – $4.57 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $16.70 – $16.70 | 1 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.95 – $1.95 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $11.98 | 1 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.64 – $20.13 | 7 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.07 – $23.33 | 7 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $627.31 – $627.31 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,129.34 – $5,339.23 | 9 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,120.76 – $5,763.70 | 9 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,120.76 – $5,763.70 | 9 |
| Organic acids total quant ea spec CPT 83918 | $872.91 | $872.91 | $20.06 – $42.40 | 10 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.06 – $44.78 | 7 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.47 – $29.67 | 7 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $494.04 – $4,353.82 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $6.34 | $6.34 | $10.54 – $10.54 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $15.31 – $71.77 | 10 |
| Orthovisc inj per dose HCPCS J7324 | $1,115.65 | $1,115.65 | $111.26 – $130.31 | 7 |
| Osmolality blood CPT 83930 | $245.67 | $245.67 | $6.25 – $14.77 | 10 |
| Osmolality urine CPT 83935 | not published | not published | $6.45 – $14.77 | 10 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $19,839.55 – $20,042.00 | 2 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Osteoplasty humerus CPT 24420 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $812.80 – $845.31 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $416.00 – $432.64 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,317.55 – $11,099.94 | 9 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $55.76 – $120.70 | 9 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $55.76 – $120.70 | 9 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $55.76 – $120.70 | 9 |
| Other bone graft microvasc CPT 20962 | not published | not published | $468.00 – $486.72 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $19.66 – $49.47 | 10 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $32.36 – $64.34 | 9 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $61.84 – $62.47 | 2 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $22.37 – $37.11 | 9 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $19.55 – $20.33 | 7 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $56.56 – $82.19 | 9 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $28.44 – $54.01 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $28.04 – $40.86 | 9 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $27.18 – $46.50 | 9 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $269.28 | $269.28 | $19.46 – $46.03 | 9 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $137.80 – $143.31 | 7 |
| Ovulation tests CPT 84830 | not published | not published | $12.00 – $22.48 | 4 |
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.