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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $32.04 | $32.04 | $22.35 – $23.24 | 7 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.86 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $28.90 | 7 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $46.31 – $48.16 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $38.32 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $11.37 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $305.28 | $305.28 | $165.75 – $172.38 | 7 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $133.62 – $138.96 | 7 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $166.98 – $173.66 | 7 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $186.34 | $186.34 | $121.63 – $126.50 | 7 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $70.92 – $73.76 | 7 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $133.38 – $138.72 | 7 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $138.81 | 7 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $1,169.40 | $1,169.40 | $257.99 – $268.31 | 7 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $269.31 – $280.08 | 7 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $454.94 | $454.94 | $312.90 – $325.42 | 7 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $266.18 | $266.18 | $25.47 – $26.49 | 7 |
| Vaccine rabies im CPT 90675 | not published | not published | $319.75 – $332.54 | 7 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $295.00 – $306.80 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $28.85 – $30.00 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $28.85 – $30.00 | 7 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $280.00 – $291.20 | 7 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $0.01 – $0.01 | 7 |
| Vaccine tdap >=7 years im CPT 90715 | $1,746.62 | $1,746.62 | $39.69 – $41.28 | 7 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $198.68 | $198.68 | $35.32 – $40.53 | 7 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $274.54 – $274.54 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $815.33 | $815.33 | $122.02 – $126.90 | 7 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $507.54 – $507.54 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.02 – $30.00 | 7 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,447.93 – $12,448.10 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $8,058.58 – $8,140.81 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,057.54 – $8,140.81 | 9 |
| Vaginal bx CPT 58999 | not published | not published | $97.41 – $318.17 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,611.29 – $8,140.81 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $4,454.32 – $4,499.77 | 2 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $452.40 – $470.50 | 7 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $452.40 – $470.50 | 7 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.08 – $0.08 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $451.13 | $451.13 | $12.80 – $29.55 | 10 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,303.34 – $1,502.33 | 7 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,851.59 – $1,925.65 | 7 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $3,563.82 – $3,706.37 | 7 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $3,563.82 – $3,706.37 | 7 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.05 – $0.05 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.17 – $0.17 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $390.88 | $390.88 | $12.80 – $29.55 | 10 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.16 – $77.09 | 10 |
| Vantas implant HCPCS J9225 | not published | not published | $5,166.29 – $5,372.94 | 7 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $10.95 – $28.26 | 10 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $3,899.59 – $3,899.59 | 1 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $10,859.75 – $11,294.14 | 7 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $5,184.28 – $5,237.18 | 2 |
| Vasectomy CPT 55250 | not published | not published | $659.82 – $3,357.23 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $0.53 – $1.48 | 7 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,379.97 – $1,435.17 | 7 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $468.00 – $486.72 | 7 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.37 – $22.22 | 7 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $315.65 – $328.28 | 7 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $590.82 – $614.45 | 7 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $164.52 – $171.10 | 7 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $315.65 – $328.28 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $164.52 – $171.10 | 7 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $145.68 – $2,540.02 | 10 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $164.39 – $4,231.22 | 10 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $145.11 – $479.61 | 10 |
| Vein x-ray kidney CPT 75831 | not published | not published | $136.04 – $2,540.02 | 10 |
| Vein x-ray liver CPT 75891 | not published | not published | $142.84 – $2,540.02 | 10 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $141.14 – $2,540.02 | 10 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $142.28 – $2,540.02 | 10 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $141.71 – $2,540.02 | 10 |
| Vein x-ray skull CPT 75870 | not published | not published | $145.68 – $2,540.02 | 10 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $145.68 – $479.61 | 10 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $710.80 – $2,540.02 | 10 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $386.43 – $401.89 | 7 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $90.71 – $94.34 | 7 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $90.71 – $94.34 | 7 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $189.08 – $196.64 | 7 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $209.78 – $209.78 | 1 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $13.52 – $14.06 | 7 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $11.91 – $12.39 | 7 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $133.77 – $1,247.72 | 10 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $2,161.29 | $2,161.29 | $129.24 – $1,247.72 | 10 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $2,297.57 – $10,067.63 | 9 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $1,981.80 – $4,935.29 | 9 |
| Venous sampling s&i CPT 75893 | not published | not published | $149.08 – $4,231.22 | 10 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $257.91 – $434.20 | 10 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $218.05 – $334.48 | 10 |
| Ventilator each subsequent day CPT 94003 | not published | not published | $108.51 – $112.85 | 7 |
| Ventilator initial day CPT 94002 | not published | not published | $108.51 – $112.85 | 7 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $343.20 – $1,330.82 | 9 |
| Version cephalic external CPT 59412 | not published | not published | $1,012.78 – $4,499.77 | 9 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.56 – $12.02 | 7 |
| Very long chain fatty acids CPT 82726 | not published | not published | $16.79 – $39.83 | 10 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $1,042.99 – $4,353.82 | 9 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $22.71 | $22.71 | $5.18 – $5.39 | 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.