Parkview Regional Medical Center & Parkview Hospital Randallia
11109 Parkview Plaza Drive, Fort Wayne, IN · Parkview · · NPI 1366407603
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 |
|---|---|---|---|---|
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $144.00 | $288.00 | $34.45 – $48.72 | 5 |
| Acetone qualitative CPT 82009 | not published | not published | $4.52 – $9.25 | 7 |
| Acetylcholine receptor modulating antibody CPT 86043 | $102.00 | $204.00 | $7.38 – $13.26 | 5 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $22.89 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $183.44 | $366.87 | $0.58 – $1.02 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $10.91 – $17.08 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $394.80 – $592.21 | 4 |
| Acne surgery 10040 CPT 10040 | not published | not published | $212.27 – $318.41 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $165.46 – $248.19 | 4 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $130.33 – $195.50 | 4 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $107.48 – $161.22 | 4 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $187.79 – $281.69 | 4 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $529.00 | $1,058.00 | $140.86 – $211.29 | 4 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $39.64 – $59.46 | 4 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $34.50 | $69.00 | $11.92 – $17.88 | 4 |
| Acoustic immitance testing CPT 92570 | $139.50 | $279.00 | $136.14 – $204.21 | 4 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $39.52 – $59.28 | 4 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,461.81 – $5,192.71 | 4 |
| Acth stimulation panel CPT 80402 | not published | not published | $86.96 – $178.03 | 7 |
| Acth stimulation panel CPT 80406 | not published | not published | $78.26 – $160.24 | 7 |
| Actigraphy testing CPT 95803 | not published | not published | $62.41 – $93.62 | 4 |
| Actinotherapy uv light CPT 96900 | not published | not published | $39.52 – $59.28 | 4 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $30.60 – $45.90 | 4 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $30.60 – $45.90 | 4 |
| Acute hepatitis panel CPT 80074 | $356.00 | $712.00 | $47.63 – $97.51 | 7 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,369.75 – $2,054.63 | 4 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1,842.37 | $3,684.74 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $101.88 | $203.76 | $0.03 – $0.06 | 5 |
| #acylcarnitineprfl CPT 82017 | $163.00 | $326.00 | $16.87 – $34.54 | 7 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $28.40 | 7 |
| Adalimumab injection HCPCS J0135 | $9,382.48 | $18,764.97 | not published | 0 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $187.79 – $281.69 | 4 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,999.20 | $3,998.40 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $107.48 – $161.22 | 4 |
| Adding walker to prev cast CPT 29440 | not published | not published | $171.93 – $257.89 | 4 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $506.97 – $760.46 | 5 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $234.60 – $351.90 | 5 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $684.45 – $1,026.68 | 5 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $422.45 – $633.68 | 5 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $453.48 – $680.22 | 5 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $377.39 – $566.09 | 5 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $895.08 – $1,342.62 | 5 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $456.27 – $684.41 | 5 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $608.96 – $913.44 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $543.55 | $1,087.10 | $0.59 – $0.96 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $24.54 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.87 – $26.37 | 7 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $36.07 | 7 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $28,641.00 – $28,641.00 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $5.34 – $10.13 | 2 |
| Adh-sendout CPT 84588 | not published | not published | $33.94 – $69.49 | 7 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $959.60 – $1,439.40 | 4 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,677.15 – $11,515.72 | 4 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,182.97 – $3,274.46 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $410.47 | $820.94 | $0.34 – $0.81 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $485.50 | $971.00 | $76.18 – $114.27 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $380.00 | $760.00 | $76.18 – $114.27 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $980.50 | $1,961.00 | $349.47 – $524.20 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $571.00 | $1,142.00 | $349.47 – $524.20 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $253.50 | $507.00 | $76.18 – $114.27 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $304.00 | $608.00 | $76.18 – $114.27 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $83.50 | $167.00 | $76.18 – $114.27 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $65.00 | $130.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $76.18 – $114.27 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $55.50 | $111.00 | $49.54 – $74.31 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $83.50 | $167.00 | $49.54 – $74.31 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $48.00 | $96.00 | $49.54 – $74.31 | 4 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $14.50 | $29.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $15,780.15 | $31,560.30 | $43.63 – $84.40 | 7 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,369.75 – $2,054.63 | 4 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $28,641.00 – $28,641.00 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | $703.95 | $1,407.90 | not published | 0 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $39.64 – $59.46 | 4 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $39.64 – $59.46 | 4 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $107.48 – $161.22 | 4 |
| Aep hearing status deter i&r CPT 92651 | $261.50 | $523.00 | $228.45 – $342.67 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $228.45 – $342.67 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $2,430.50 | $4,861.00 | $228.45 – $342.67 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $60,749.40 | $121,498.80 | $2,943.42 – $5,066.12 | 5 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $1,541,240.00 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $20.05 – $41.05 | 7 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $12.11 | 7 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $236.20 | 7 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $227.20 | 7 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $455.77 | 7 |
| Aflibercept injection HCPCS J0178 | not published | not published | $743.60 – $1,463.76 | 7 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $0.02 – $42.47 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $554.72 – $832.08 | 5 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,379.49 – $2,069.24 | 5 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $598.47 – $897.71 | 5 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,096.64 – $1,644.96 | 5 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $344.65 – $516.98 | 5 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $496.21 – $744.32 | 5 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $504.86 – $757.29 | 5 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $945.14 – $1,417.71 | 5 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $350.64 – $525.96 | 5 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $691.55 – $1,037.33 | 5 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,412.85 – $2,119.28 | 5 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $968.68 – $1,453.02 | 5 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $776.59 – $1,164.89 | 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.