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 |
|---|---|---|---|---|
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.20 – $76.90 | 7 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.80 – $77.92 | 7 |
| Talymed HCPCS Q4127 | not published | not published | $209.78 – $209.78 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $717.76 – $1,355.49 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,210.88 – $5,209.95 | 10 |
| Target gsa panel organ neop CPT 81445 | $12,051.00 | $12,051.00 | $565.03 – $1,067.04 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,566.59 – $1,633.60 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $956.81 – $966.58 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.38 | 7 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $116.45 – $129.47 | 8 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $93.44 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $71.77 – $185.87 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $71.77 – $185.87 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $1,237.56 | $1,237.56 | $85.00 – $178.59 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $106.08 | $106.08 | $58.57 – $136.84 | 10 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $867.45 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,138.32 – $2,138.32 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1,279.61 – $1,279.61 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $1,321.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $101.95 – $101.95 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,541.31 – $1,541.31 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $5,683.20 | $5,683.20 | $1,530.72 – $1,530.72 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $542.19 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $53.67 | $53.67 | $179.67 – $179.67 | 1 |
| Tc-99m maa HCPCS A9540 | $737.01 | $737.01 | $50.14 – $50.14 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $586.73 | $586.73 | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | $447.22 | $447.22 | $106.36 – $106.36 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $1,308.90 – $1,308.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $85.98 – $85.98 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $370.29 | $370.29 | $47.39 – $47.39 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $579.60 | $579.60 | $34.72 – $34.72 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $450.79 | $450.79 | $19.83 – $19.83 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $65.59 – $65.59 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,323.76 | $1,323.76 | $743.46 – $743.46 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,088.88 – $1,088.88 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $350.61 | $350.61 | $1,239.81 – $1,239.81 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $192.89 – $192.89 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $314.60 – $966.58 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $127.07 – $132.15 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $130.40 – $135.62 | 7 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $735.10 – $742.60 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $1,103.13 | $1,103.13 | $39.93 – $103.43 | 10 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $25.31 – $59.10 | 10 |
| T cells total count CPT 86359 | not published | not published | $32.07 – $82.87 | 10 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $222.21 – $231.10 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.37 – $7.66 | 7 |
| Telehealth original site facility fee HCPCS Q3014 | $155.04 | $155.04 | $22.88 – $60.38 | 16 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $201.24 – $300.47 | 10 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $126.40 – $300.47 | 10 |
| Temozolomide HCPCS J8700 | not published | not published | $0.89 – $0.89 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $10.83 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $30,125.08 – $30,432.48 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $5,728.45 | $5,728.45 | $20.32 – $31.53 | 7 |
| Tendon lengthening CPT 26476 | not published | not published | $1,048.57 – $2,672.68 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $168.96 – $194.45 | 7 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,495.95 – $2,595.79 | 7 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $10,987.82 – $11,099.94 | 2 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $520.65 – $2,672.68 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $312.00 – $324.48 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,048.57 – $5,237.18 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $520.65 – $2,672.68 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $67.50 | $67.50 | $1.47 – $2.57 | 7 |
| Teriparatide injection HCPCS J3110 | not published | not published | $129.36 – $129.36 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $157.42 – $175.01 | 8 |
| Test for chlorohydrocarbons CPT 82441 | $512.94 | $512.94 | $5.68 – $13.49 | 10 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.50 – $10.28 | 10 |
| Test for urine cystines CPT 82615 | not published | not published | $8.12 – $17.99 | 10 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $218.05 – $334.48 | 10 |
| Testosterone response panel CPT 80414 | not published | not published | $48.80 – $113.71 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $2.15 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $33.84 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | not published | not published | $101.68 – $105.75 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $5.82 – $19.92 | 10 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.36 – $23.77 | 10 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.74 – $7.71 | 10 |
| Tetanus ig im CPT 90389 | not published | not published | $108.00 – $112.32 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $1,651.82 | $1,651.82 | $588.54 – $612.08 | 7 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.82 – $18.53 | 7 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $116.45 – $129.47 | 8 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $645.60 – $671.42 | 7 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,481.66 – $2,580.93 | 7 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $508.22 – $528.55 | 7 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $138.95 – $149.16 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $138.95 – $149.16 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $138.95 – $149.16 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $46.29 – $49.76 | 2 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $735.10 – $742.60 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $341.44 | $341.44 | $13.37 – $31.48 | 10 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $101.17 – $172.36 | 10 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $24.42 – $25.40 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $171.77 – $271.42 | 9 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $115.53 – $175.22 | 9 |
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.