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 |
|---|---|---|---|---|
| Pelvic MRI (with and without contrast) CPT 72197 | $7,446.95 | $7,446.95 | $206.69 – $511.92 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $6,052.45 | $6,052.45 | $206.69 – $422.59 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $6,052.45 | $6,052.45 | $131.00 – $394.53 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,497.71 | $2,497.71 | $59.96 – $123.68 | 10 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,125.82 | $1,125.82 | $37.98 – $96.60 | 10 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $19,069.96 | $19,069.96 | $59.73 – $62.12 | 7 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.59 – $3.92 | 7 |
| Peng benzathine/procaine inj HCPCS J0558 | $365.25 | $365.25 | $18.06 – $20.30 | 7 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $450.60 | $450.60 | $28.06 – $33.25 | 7 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $42.15 | $42.15 | $0.78 – $0.81 | 7 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $16.53 – $45.12 | 7 |
| Penile injection CPT 54235 | not published | not published | $171.60 – $454.43 | 9 |
| Penile vascular study CPT 93980 | not published | not published | $46.90 – $48.78 | 7 |
| Penile vascular study CPT 93981 | not published | not published | $35.62 – $37.04 | 7 |
| Penile venous occlusion CPT 37790 | not published | not published | $5,285.30 – $5,339.23 | 2 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,129.34 – $5,339.23 | 9 |
| Penis study CPT 54240 | not published | not published | $267.17 – $269.89 | 2 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.40 – $0.40 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $69.73 – $82.68 | 7 |
| Pentazocine injection HCPCS J3070 | $48.75 | $48.75 | $45.19 – $112.73 | 7 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $42.25 – $54.93 | 7 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,537.10 – $2,780.37 | 7 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $185.03 – $15,037.88 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $6,556.92 – $6,819.20 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $14,201.21 – $14,769.26 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $6,556.92 – $6,819.20 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $8,909.54 – $9,265.92 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $6,556.92 – $6,819.20 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $14,201.21 – $14,769.26 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $6,556.92 – $6,819.20 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $8,909.54 – $9,265.92 | 7 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $1,646.85 – $8,886.97 | 9 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,869.18 – $8,886.97 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $157.44 | $157.44 | $66.35 – $66.35 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,060.23 – $1,102.64 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,257.78 – $5,400.75 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $1,780.21 – $8,444.05 | 9 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $57.25 – $428.73 | 10 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $218.05 – $360.75 | 10 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.11 – $1.11 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.43 – $6.69 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $66.41 – $1,134.16 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $66.41 – $1,134.16 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,984.32 – $15,039.55 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $2,984.32 – $15,039.55 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $6,899.95 – $7,175.95 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $11,165.44 – $11,612.06 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $6,899.95 – $7,175.95 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $6,899.95 – $7,175.95 | 7 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,783.92 – $8,886.97 | 9 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,783.92 – $8,886.97 | 9 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,783.92 – $8,886.97 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $150.42 – $156.44 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $2,641.96 – $2,668.92 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $12,751.98 – $13,262.06 | 7 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $10,992.00 – $11,431.68 | 7 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $10,992.00 – $11,431.68 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Perq tx malar fracture CPT 21355 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $8,503.44 – $8,590.21 | 2 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $4,309.84 – $4,353.82 | 2 |
| Pertussis ag if CPT 87265 | not published | not published | $11.32 – $26.33 | 10 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $22,178.38 | $22,178.38 | $16.88 – $17.69 | 7 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $60.96 – $65.51 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $835.53 – $1,419.51 | 10 |
| Pet CT whole body initial CPT 78816 | not published | not published | $835.53 – $1,436.12 | 10 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $847.98 – $1,313.23 | 10 |
| Pet image full body CPT 78813 | not published | not published | $983.67 – $1,313.23 | 10 |
| Pet image ltd area CPT 78811 | not published | not published | $901.83 – $1,159.50 | 10 |
| Pet image skull-thigh CPT 78812 | not published | not published | $835.53 – $1,313.23 | 10 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $983.67 – $1,313.23 | 10 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $120.17 – $121.39 | 2 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Ph body fluid CPT 83986 | $100.42 | $100.42 | $3.38 – $7.71 | 10 |
| Phencyclidine (pcp) CPT 83992 | $154.50 | $154.50 | $16.80 – $77.09 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $29.08 – $30.62 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | $548.46 | $548.46 | $14.46 – $27.62 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $1,239.70 | $1,239.70 | $693.92 – $693.92 | 1 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $9.76 | $9.76 | $0.02 – $0.02 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $118.00 – $122.72 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.54 – $0.62 | 7 |
| Phenytoin total therapeutic drug level CPT 80185 | $332.17 | $332.17 | $12.53 – $28.91 | 10 |
| Phlebotomy therapeutic CPT 99195 | $264.87 | $264.87 | $102.07 – $106.15 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $1,169.78 – $4,935.29 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $1,169.78 – $4,935.29 | 9 |
| Phosphorus CPT 84100 | $156.05 | $156.05 | $4.48 – $10.28 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $182.30 | $182.30 | $5.46 – $11.56 | 10 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $19.82 – $20.61 | 7 |
| Photochemotherapy puva CPT 96912 | not published | not published | $19.82 – $20.61 | 7 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $210.10 – $218.50 | 7 |
| Photo patch test CPT 95052 | not published | not published | $19.82 – $20.61 | 7 |
| Photopheresis CPT 36522 | not published | not published | $1,499.18 – $7,325.70 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $41.38 – $43.04 | 7 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $46.29 – $102.15 | 4 |
| Phys blood bank serv reactj CPT 86078 | $56.96 | $56.96 | $101.74 – $149.16 | 4 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.02 – $102.78 | 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.