Visits & medical services prices at Lafayette Regional Health Center

Lexington, MO · every code in this section with a posted price and a Medicare benchmark.

130 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $213.06 $213.06 1.0×
Assessment of aphasia (96105) $1,372.36 $1,372.36 14.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,528.60 $1,528.60 4.1×
Canalith Repositioning (95992) $270.91 $270.91 6.6×
Capsule endoscopy (91110) $1,317.12 $1,317.12 1.4×
Cardiac Stress Tst,Tracing Only (93017) $2,145.22 $2,145.22 9.9×
Cardioversion (92960) $1,183.04 $1,183.04 1.8×
Chemo Hormon Antineopl Sq/Im (96402) $250.78 $250.78 3.5×
Chemo IV push addl drug (96411) $289.16 $289.16 4.0×
Chemo Iv Push Sngl Drug (96409) $286.61 $286.61 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $523.22 $523.22 1.6×
Chemother, IV infusion, 1 hr (96413) $598.80 $598.80 1.8×
Chemother, IV infusion, ea add hr (96415) $298.13 $298.13 4.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $250.78 $250.78 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $298.13 $298.13 4.1×
Colon Motility 6 Hr Study (91117) $180 $180 0.8×
Color/duplex Doppler, complete (93975) $2,243.66 $2,243.66 9.4×
Color/duplex Doppler, limited (93976) $1,676.72 $1,676.72 16.0×
Cpap initiation and management (94660) $2,195.95 $2,195.95 10.0×
Cpt initial (94667) $166.63 $166.63 1.3×
Critical care (99291) $8,149.46 $8,149.46 9.8×
Debridement Open Wound 20 Sq Cm< (97597) $575.89 $575.89 2.9×
Demo &/or eval,pt use,aerosol device (94664) $203.52 $203.52 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $5,589.56 $5,589.56 23.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $3,047.34 $3,047.34 29.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $5,116.09 $5,116.09 21.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $3,047.34 $3,047.34 29.1×
Dup-scan xtr veins unilateral/limited study (93971) $3,047.34 $3,047.34 29.1×
Duplex scan extracranial art compl bi study (93880) $2,225.57 $2,225.57 9.3×
Echo Heart Xthoracic,Limited (93308) $806.53 $806.53 3.4×
EEG awake asleep (95819) $2,788.20 $2,788.20 12.9×
EEG awake drowsy (95816) $3,128.05 $3,128.05 14.5×
EKG (93005) $420.41 $420.41 7.1×
Ekg Signal Averaging (93278) $1,132.35 $1,132.35 19.2×
EMG thoracic paraspinal (95869) $1,094.08 $1,094.08 5.1×
EMG three extremities (95863) $784.67 $784.67 6.1×
Er level 1 (99281) $503.93 $503.93 6.0×
Er level ii (99282) $821.40 $821.40 5.3×
Er level iii (99283) $1,548.65 $1,548.65 5.7×
Er level IV (99284) $2,574.98 $2,574.98 6.2×
Er level v (99285) $4,610.93 $4,610.93 7.7×
Evaluation of speech fluency (92521) $1,372.36 $1,372.36 10.3×
Evaluation of speech sound production (92522) $1,372.36 $1,372.36 12.3×
Evaluation of swallowing function (92610) $661.86 $661.86 7.8×
Evaluation with prescription of speech-generating alternative (92607) $1,497.29 $1,497.29 12.2×
External Ecg Scanning Analysis Report (93226) $2,633.55 $2,633.55 44.6×
Filtered Speech Test (92571) $31 $31 0.8×
Group Therapeutic Procedures (97150) $238.46 $238.46 13.2×
Holter Monitor Recording (93225) $325.37 $325.37 2.4×
Immunization Admin (90471) $327.34 $327.34 4.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $107.36 $107.36 1.8×
IV infusion hydration each additional hour (96361) $312.29 $312.29 6.7×
IV infusion hydration initial 31 min-1 hour (96360) $492.30 $492.30 2.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $351.61 $351.61 4.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $474.72 $474.72 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $283.24 $283.24 6.0×
IV push initial (96374) $244.16 $244.16 1.1×
Manual therapy 15 min (97140) $250.39 $250.39 9.0×
Massage 15 min (97124) $193.03 $193.03 6.5×
Mechanical chest wall oscillation (94669) $71.41 $71.41 0.3×
Mechanical traction (97012) $178.43 $178.43 12.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $100.53 $100.53 3.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $100.53 $100.53 2.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $2,477.08 $2,477.08 27.1×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $708.68 $708.68 5.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $2,041.24 $2,041.24 10.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,041.24 $2,041.24 5.0×
Nerve conduction studies 13/> studies (95913) $1,120.79 $1,120.79 3.0×
Nerve Conduction Studies 3-4 Studies (95908) $448.54 $448.54 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $846.99 $846.99 2.3×
Nerve conduction studies; 1-2 studies (95907) $355.05 $355.05 1.6×
Nerve conduction studies; 11-12 studies (95912) $969.42 $969.42 2.6×
Nerve conduction studies; 5-6 studies (95909) $538.69 $538.69 2.5×
Nerve conduction studies; 7-8 studies (95910) $708.98 $708.98 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $3,047.34 $3,047.34 22.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $5,589.56 $5,589.56 25.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $2,155.18 $2,155.18 16.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $283.89 $283.89 6.2×
Osteopathic manipulative tx 1-2 body regions (98925) $110 $110 5.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $254.68 $254.68 7.9×
Ot Contrast Bath Ea 15 Min (97034) $115.16 $115.16 8.2×
Ot eval high complex 60 min (97167) $1,090.47 $1,090.47 10.8×
Ot eval low complex 30 min (97165) $1,090.47 $1,090.47 10.8×
Ot eval mod complex 45 min (97166) $1,090.47 $1,090.47 10.8×
Ot Prosthetic Training, Each 15 Min (97761) $254.68 $254.68 6.3×
Ot re-eval est plan care (97168) $270.37 $270.37 3.9×
Paraffin bath (97018) $113.55 $113.55 18.9×
Percutaneous tests w/allergenic extracts (95004) $14.47 $14.47 0.0×
Plethysmography (94726) $934.23 $934.23 2.5×
Pt Electric Current Therapy (97033) $269.28 $269.28 14.1×
Pt Electrical Stimulation (97032) $167.08 $167.08 11.4×
Pt eval high complex 45 min (97163) $1,090.47 $1,090.47 11.1×
Pt eval low complex 20 min (97161) $1,090.47 $1,090.47 11.1×
Pt Gait Training Therapy (97116) $250.39 $250.39 8.6×
Pt Infrared Therapy (97026) $158.97 $158.97 23.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $250.39 $250.39 7.7×
Pt Physical Performance Test (97750) $120.04 $120.04 3.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $1,090.47 $1,090.47 11.1×
Pt re-evaluation (97164) $270.37 $270.37 4.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $269.28 $269.28 8.3×
Pt Ultrasound Therapy (97035) $136.27 $136.27 9.5×
Pt Whirlpool Therapy (97022) $154.11 $154.11 9.8×
Pulm function test by gas (94727) $648.92 $648.92 3.0×
Refill/maint, portable pump (96521) $446.75 $446.75 2.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $226 $226 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $2,041.24 $2,041.24 10.2×
Rt Chest Wall Manipulation,Subsequent (94668) $109.51 $109.51 0.8×
Sensory Integration Ea 15 Min (97533) $254.68 $254.68 4.2×
Sleep study unattended (95806) $710.33 $710.33 3.3×
Speech sound lang comprehen (92523) $1,372.36 $1,372.36 6.1×
Spirometry (94010) $1,043.75 $1,043.75 4.8×
Standardized Cognitive Performance Testing (96125) $1,372.36 $1,372.36 13.3×
Stress echo (93350) $1,874.14 $1,874.14 3.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $364.85 $364.85 16.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $364.85 $364.85 17.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $762.44 $762.44 7.4×
Ther/Proph/Diag Inj Sc/Im (96372) $136.58 $136.58 1.9×
Therapeutic Activities (97530) $250.39 $250.39 7.1×
Therapeutic phlebotomy (99195) $264.87 $264.87 2.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,736.58 $3,736.58 6.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,874.14 $1,874.14 7.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $600.63 $600.63 7.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $739.72 $739.72 8.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $258.02 $258.02 5.5×
Vasc Duplex Extrem Venous,Bilat (93970) $5,589.56 $5,589.56 23.4×
Vasc Duplex Scan Extracranial,Limited (93882) $1,050.97 $1,050.97 10.0×
Ventilation assist & mgmt inpatient 1st day (94002) $3,162.41 $3,162.41 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,378.05 $2,378.05 3.8×
Vital capacity total (94150) $84.33 $84.33 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $175.19 $175.19 5.6×