Parkview Whitley Hospital & Parkview Kosciusko Hospital
1260 E Sr 205, Columbia City, IN · Parkview · · NPI 1205844495
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 |
|---|---|---|---|---|
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $260.98 – $391.46 | 5 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $260.98 – $391.46 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $49.75 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $30.10 | 8 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,424.91 – $5,137.37 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $394.80 – $592.21 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $171.93 – $257.89 | 5 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $24.54 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $30.14 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $252.44 – $378.67 | 5 |
| Gi inhouse confirmation CPT 87045 | $77.00 | $154.00 | $9.44 – $19.32 | 8 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,507.79 – $5,261.68 | 5 |
| Gi protein loss CPT 78282 | not published | not published | $422.96 – $634.44 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $959.60 – $1,439.40 | 5 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $983.90 – $1,475.86 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $959.60 – $1,439.40 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $959.60 – $1,439.40 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $167.71 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $102.03 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $58.04 | 8 |
| Glassia injection HCPCS J0257 | $1,226.00 | $2,452.00 | $5.58 – $11.32 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $30.60 – $45.90 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $39.52 – $59.28 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,373.20 – $6,559.80 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,373.20 – $6,559.80 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,441.70 – $3,662.55 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,441.70 – $3,662.55 | 5 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $117.84 – $176.76 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $117.33 – $292.66 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $550.23 | $1,100.46 | $129.28 – $270.00 | 7 |
| Glucagon plasma - sendout CPT 82943 | $455.50 | $911.00 | $14.29 – $29.27 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $94.32 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $103.40 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $30.85 | 8 |
| Glucose 1 hr post dose CPT 82950 | $41.00 | $82.00 | $4.75 – $9.70 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $12.40 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $17.00 | $34.00 | $3.28 – $5.43 | 8 |
| Glucose blood quantitative CPT 82947 | $25.50 | $51.00 | $3.93 – $8.04 | 8 |
| Glucose body fluid CPT 82945 | $16.00 | $32.00 | $3.93 – $8.04 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $256.00 | $512.00 | $62.41 – $93.62 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $72.00 | $144.00 | $12.87 – $26.37 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $15.00 | $30.00 | $3.92 – $8.04 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $37.04 | $74.09 | $0.48 – $0.72 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.02 – $22.59 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,846.65 | $9,693.30 | $11.04 – $22.58 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $101.00 | $202.00 | $18.58 – $38.06 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $303.86 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $140.00 | $280.00 | $18.52 – $37.89 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $140.77 – $211.15 | 5 |
| Goniotomy CPT 65820 | not published | not published | $4,373.20 – $6,559.80 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $6,985.08 | $13,970.15 | $1,841.75 – $2,227.38 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,080.00 | $8,160.00 | $72.91 – $197.50 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $17,496.00 | $34,992.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $131.66 – $2,251.20 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $13,408.34 | $26,816.68 | $131.66 – $277.96 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,461.81 – $5,192.71 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $2,482.00 | $4,964.00 | $131.66 – $197.50 | 5 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,202.65 – $3,295.88 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $14,136.40 | $28,272.80 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $24,626.00 | $49,252.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $127.23 – $197.50 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $14,364.00 | $28,728.00 | $131.66 – $274.81 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $131.66 – $378.72 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $131.66 – $197.50 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $131.66 – $197.50 | 5 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $35,369.55 | $70,739.10 | $131.66 – $197.50 | 5 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $131.66 – $197.50 | 5 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $131.66 – $755.76 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $27,409.50 | $54,819.01 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,531.55 | $11,063.10 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | $4.64 | $9.28 | $4.69 – $97.43 | 3 |
| Granisetron hcl injection HCPCS J1626 | $192.55 | $385.10 | $0.25 – $0.37 | 5 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,677.15 – $11,515.72 | 5 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $260.98 – $391.46 | 5 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,182.97 – $3,274.46 | 5 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,749.30 – $5,623.95 | 5 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,749.30 – $5,623.95 | 5 |
| Ground mileage HCPCS A0425 | $25.50 | $51.00 | not published | 0 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $11.92 – $17.88 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $30.60 – $45.90 | 5 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $32.21 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $136.57 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $214.47 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $125.38 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,030.22 – $3,045.34 | 5 |
| G-tube reposition CPT 43761 | not published | not published | $264.34 – $396.51 | 5 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $2,211.65 – $3,317.47 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,138.50 | $4,277.00 | $749.21 – $1,123.82 | 5 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $885.94 – $885.94 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,284.36 | $6,568.73 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,117.40 | $2,234.80 | not published | 0 |
| Gum graft CPT 41870 | not published | not published | $1,641.59 – $2,462.39 | 5 |
| Gw stiffened micro access kit HCPCS C1894 | $5,760.00 | $11,520.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,142.57 – $6,213.85 | 5 |
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.