Parkview LaGrange Hospital
207 N Townline Rd, Lagrange, IN · Parkview · · NPI 1679674956
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $177.00 | $354.00 | $56.81 – $64.87 | 4 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $44.24 – $50.51 | 4 |
| 17-ketosteroids CPT 83586 | not published | not published | $24.83 – $28.36 | 4 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $8.07 – $8.07 | 1 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $68.09 – $77.73 | 4 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $0.02 – $0.02 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $186.67 – $186.67 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $331.70 – $331.70 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $446.50 | $893.00 | not published | 0 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $13.54 – $13.94 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $7.42 – $7.64 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $131.00 | $262.00 | $21.65 – $24.72 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $109.00 | $218.00 | $36.08 – $42.17 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,551.25 | $7,102.50 | $69.86 – $89.44 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $69.00 | $138.00 | $23.30 – $26.60 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.02 – $951.77 | 2 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $903.00 | $1,806.00 | $361.32 – $412.57 | 4 |
| Abdominal CT scan (with contrast) CPT 74160 | $778.00 | $1,556.00 | $361.32 – $412.57 | 4 |
| Abdominal CT scan (without contrast) CPT 74150 | $643.50 | $1,287.00 | $222.24 – $253.76 | 4 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,025.50 | $2,051.00 | $757.16 – $864.55 | 4 |
| Abdominal MRI (with contrast) CPT 74182 | $887.00 | $1,774.00 | $757.16 – $864.55 | 4 |
| Abdominal MRI (without contrast) CPT 74181 | $831.50 | $1,663.00 | $462.09 – $527.63 | 4 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,885.50 | $3,771.00 | $3,818.00 – $3,818.00 | 1 |
| Abdominal Ultrasound (complete) CPT 76700 | $416.50 | $833.00 | $231.00 – $263.76 | 4 |
| Abdominal Ultrasound (limited) CPT 76705 | $439.50 | $879.00 | $231.00 – $263.76 | 4 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Abl1 gene CPT 81170 | not published | not published | $471.45 – $600.00 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $5,757.50 | $11,515.00 | $28,218.00 – $28,218.00 | 1 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Ablation of upper extremity nerves rf CPT 64999 | $407.00 | $814.00 | $28,110.00 – $28,110.00 | 1 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Abobotulinumtoxina HCPCS J0586 | $3,044.50 | $6,089.00 | $13.90 – $17.80 | 4 |
| Abortion CPT 59850 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,776.50 | $7,553.00 | $5,941.00 – $5,941.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $51.09 | $102.18 | $0.08 – $0.10 | 4 |
| Acetaminophen level CPT 80143 | $137.50 | $275.00 | $33.47 – $37.28 | 2 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $144.00 | $288.00 | $38.05 – $51.75 | 4 |
| Acetone qualitative CPT 82009 | not published | not published | $8.76 – $10.01 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $97.50 | $195.00 | $7.38 – $24.10 | 2 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $21.69 – $24.77 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $183.44 | $366.87 | $0.72 – $1.02 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $13.34 – $17.08 | 4 |
| Acne surgery 10040 CPT 10040 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $33.00 | $66.00 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $133.50 | $267.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Acth stimulation panel CPT 80402 | not published | not published | $168.70 – $192.63 | 4 |
| Acth stimulation panel CPT 80406 | not published | not published | $151.85 – $173.38 | 4 |
| Acute hepatitis panel CPT 80074 | $341.00 | $682.00 | $92.40 – $105.51 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| 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 | 4 |
| #acylcarnitineprfl CPT 82017 | $156.00 | $312.00 | $32.73 – $37.37 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $26.91 – $32.98 | 4 |
| Adalimumab injection HCPCS J0135 | $9,382.48 | $18,764.97 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,999.20 | $3,998.40 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $543.55 | $1,087.10 | $0.72 – $0.96 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $23.26 – $26.56 | 4 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $24.99 – $28.53 | 4 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $34.18 – $43.52 | 4 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $10.13 – $10.13 | 1 |
| Adh-sendout CPT 84588 | not published | not published | $65.85 – $75.19 | 4 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| 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 | $465.00 | $930.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $364.00 | $728.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $939.50 | $1,879.00 | not published | 0 |
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.