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 |
|---|---|---|---|---|
| Unlisted px lacrimal system CPT 68899 | not published | not published | $222.07 – $529.95 | 9 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $125.74 – $425.48 | 9 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $84.19 – $454.43 | 9 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $112.59 – $117.90 | 8 |
| Unlisted px middle ear CPT 69799 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $125.74 – $425.48 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $754.92 – $3,803.48 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px small intestine CPT 44799 | not published | not published | $1,457.14 – $1,607.08 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $112.59 – $117.90 | 8 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $96.46 – $353.39 | 9 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $46.29 – $49.76 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $330.38 – $343.60 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $73.22 – $76.15 | 7 |
| Unlisted surgical path px CPT 88399 | not published | not published | $36.69 – $46.29 | 8 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $23.02 – $53.49 | 8 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $48.74 – $71.77 | 8 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $1,200.56 – $1,526.80 | 9 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $330.38 – $343.60 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,975.26 – $8,886.97 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,975.26 – $8,886.97 | 9 |
| Upgrade pm system CPT 33214 | not published | not published | $3,459.21 – $19,299.69 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,446.95 | $7,446.95 | $206.69 – $431.75 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $10,660.89 | $10,660.89 | $206.69 – $380.22 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $6,892.74 | $6,892.74 | $131.00 – $243.94 | 10 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $293.65 – $1,472.01 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $293.65 – $1,472.01 | 9 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $343.20 – $1,472.01 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,869.18 – $8,886.97 | 9 |
| Urea nitrogen CPT 84520 | not published | not published | $3.74 – $8.99 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $163.78 | $163.78 | $5.25 – $10.28 | 10 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.80 – $14.77 | 10 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $1.64 – $8.99 | 10 |
| Ureteral reflux study CPT 78740 | not published | not published | $218.05 – $334.48 | 10 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,323.32 – $3,357.23 | 2 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,676.23 – $7,337.42 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $7,263.31 – $7,337.42 | 2 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,129.34 – $3,357.23 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,676.23 – $7,337.42 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $7,263.31 – $7,337.42 | 2 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $7,263.31 – $7,337.42 | 2 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $7,263.31 – $7,337.42 | 2 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $520.00 – $540.80 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $2,193.65 | $2,193.65 | $88.99 – $204.16 | 10 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $5,285.30 – $5,339.23 | 2 |
| Urethrocystography void s&i CPT 74455 | $2,411.38 | $2,411.38 | $105.43 – $204.16 | 10 |
| Uric acid blood CPT 84550 | $254.91 | $254.91 | $4.27 – $10.28 | 10 |
| Uric acid urine CPT 84560 | $254.91 | $254.91 | $4.80 – $10.28 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.44 – $8.36 | 10 |
| Urinalysis microscopic only CPT 81015 | $134.43 | $134.43 | $2.59 – $6.43 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.84 – $4.49 | 10 |
| Urinalysis (with microscopy) CPT 81001 | $324.46 | $324.46 | $2.99 – $7.07 | 10 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.91 – $5.14 | 10 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $63.97 – $117.96 | 9 |
| Urinary reflex study CPT 51792 | not published | not published | $109.68 – $110.80 | 2 |
| Urine Culture Test CPT 87086 | $386.24 | $386.24 | $7.62 – $17.99 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $41.38 – $207.96 | 9 |
| Urine pregnancy test CPT 81025 | $254.91 | $254.91 | $7.43 – $15.41 | 10 |
| Urine screen for bacteria CPT 81007 | not published | not published | $25.48 – $53.32 | 10 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $3.00 | 1 |
| Urography, antegrade CPT 74425 | $2,851.29 | $2,851.29 | $76.52 – $326.74 | 10 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $101.17 – $158.49 | 10 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $431.82 – $449.09 | 7 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.16 – $9.53 | 7 |
| Use 1st target lesion CPT 76982 | not published | not published | $90.85 – $96.60 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.49 – $13.32 | 7 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $80.98 – $336.87 | 7 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $168.12 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $152.94 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $162.14 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $91.29 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $68.17 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $23.56 – $24.50 | 7 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $95.36 | $95.36 | $0.01 – $0.01 | 7 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $26.12 – $27.16 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $24.34 – $25.31 | 7 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $575.10 | $575.10 | $73.54 – $76.48 | 7 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $101.00 – $105.04 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $31.89 – $33.17 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $78.16 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $71.88 | $71.88 | $73.20 – $78.16 | 7 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $177.56 – $184.66 | 7 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $41.32 | $41.32 | $32.94 – $34.53 | 7 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $204.87 – $213.06 | 7 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $1,751.67 | $1,751.67 | $186.83 – $186.83 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $86.83 | 7 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $86.83 – $102.09 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $66.68 | $66.68 | $21.86 – $22.73 | 7 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $23.24 | 7 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $21.72 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $80.45 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.64 – $22.51 | 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.