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 |
|---|---|---|---|---|
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $32.88 – $71.77 | 10 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $33.45 – $96.60 | 10 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $36.28 – $71.77 | 10 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $41.94 – $71.77 | 10 |
| X-ray knee ap standing bilateral CPT 73565 | $1,296.17 | $1,296.17 | $43.08 – $71.77 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $30.61 – $71.77 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,613.97 | $1,613.97 | $47.05 – $96.60 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,613.97 | $1,613.97 | $52.71 – $96.60 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,118.61 | $2,118.61 | $59.96 – $96.60 | 10 |
| X-ray male genital tract CPT 74440 | not published | not published | $99.20 – $204.16 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $1,107.84 | $1,107.84 | $40.25 – $96.60 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $651.77 | $651.77 | $16.75 – $71.77 | 10 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $30.61 – $71.77 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $965.14 | $965.14 | $38.54 – $71.77 | 10 |
| X-ray neck soft tissue CPT 70360 | $769.47 | $769.47 | $31.74 – $71.77 | 10 |
| X-ray nose to rectum for foreign body child CPT 76010 | $716.50 | $716.50 | $27.20 – $71.77 | 10 |
| X-ray of mammary ducts CPT 77054 | $3,820.85 | $3,820.85 | $85.59 – $204.16 | 10 |
| X-ray optic foramina CPT 70190 | not published | not published | $39.11 – $71.77 | 10 |
| X-ray pelvis 1-2 views CPT 72170 | $716.50 | $716.50 | $36.85 – $96.60 | 10 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,199.07 | $1,199.07 | $43.08 – $96.60 | 10 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $280.02 – $282.87 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $319.13 – $322.38 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,605.15 | $1,605.15 | $160.42 – $326.74 | 10 |
| X-ray ribs 2 views left CPT 71100 | $965.14 | $965.14 | $35.14 – $71.77 | 10 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,229.97 | $1,229.97 | $40.25 – $96.60 | 10 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,346.19 | $1,346.19 | $39.11 – $96.60 | 10 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,513.91 | $1,513.91 | $48.75 – $96.60 | 10 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $919.49 | $919.49 | $37.41 – $96.60 | 10 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $716.50 | $716.50 | $31.17 – $71.77 | 10 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $34.01 – $96.60 | 10 |
| X-ray sella turcica CPT 70240 | not published | not published | $33.45 – $71.77 | 10 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $23.80 – $71.77 | 10 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,540.41 | $1,540.41 | $39.68 – $71.77 | 10 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,066.65 | $1,066.65 | $45.91 – $428.73 | 10 |
| X-ray skull < 4 views CPT 70250 | $482.57 | $482.57 | $37.98 – $96.60 | 10 |
| X-ray skull > 4 views complete CPT 70260 | $1,296.17 | $1,296.17 | $44.78 – $96.60 | 10 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $2,215.71 | $2,215.71 | $59.96 – $96.77 | 10 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,613.97 | $1,613.97 | $101.17 – $158.49 | 10 |
| X-ray spine single view CPT 72020 | not published | not published | $23.24 – $71.77 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $1,035.75 | $1,035.75 | $39.68 – $71.77 | 10 |
| X-ray sternum > 2 views CPT 71120 | $720.90 | $720.90 | $31.17 – $71.77 | 10 |
| X-ray surgical specimen CPT 76098 | not published | not published | $14.17 – $428.73 | 10 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,802.28 | $1,802.28 | $101.17 – $165.49 | 10 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,159.35 | $1,159.35 | $48.74 – $71.77 | 10 |
| X-ray thoracic spine 2 views CPT 72070 | $848.90 | $848.90 | $36.28 – $96.60 | 10 |
| X-ray thoracic spine 3 views CPT 72072 | $1,032.81 | $1,032.81 | $37.98 – $96.60 | 10 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,613.97 | $1,613.97 | $35.71 – $71.77 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $482.57 | $482.57 | $40.25 – $71.77 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $642.95 | $642.95 | $59.96 – $96.60 | 10 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $32.31 – $71.77 | 10 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $34.57 – $71.77 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,009.28 | $1,009.28 | $101.17 – $158.49 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $888.64 | $888.64 | $101.17 – $158.49 | 10 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $132.07 – $133.42 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $200.10 – $202.14 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $36.28 – $71.77 | 10 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $1,396.22 | $1,396.22 | $95.80 – $158.49 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $180.18 – $187.39 | 7 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $209.78 – $209.78 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | $406.35 | $406.35 | $12.20 – $26.33 | 10 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.55 – $1.65 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $7.80 – $28.91 | 10 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $93,760.51 – $93,760.51 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $209.78 – $209.78 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $17.44 – $17.44 | 1 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $2.49 – $2.49 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.49 – $113.07 | 4 |
| Zika virus igm antibody CPT 86794 | not published | not published | $15.93 – $37.26 | 4 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $301.62 | $301.62 | $5.39 – $9.52 | 7 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.22 – $8.63 | 7 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.67 – $35.02 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.08 – $9.90 | 7 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $235.88 – $235.88 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $164.26 – $182.63 | 8 |
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.