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 |
|---|---|---|---|---|
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $42.00 | $84.00 | $8.37 – $10.64 | 4 |
| Blood smear interpretation CPT 85060 | not published | not published | $40.15 – $50.52 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.50 | $79.00 | $6.68 – $7.63 | 4 |
| Blood split unit HCPCS P9011 | $519.00 | $1,038.00 | not published | 0 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $9.59 – $10.94 | 4 |
| Blood typing abo CPT 86900 | $57.00 | $114.00 | $5.81 – $6.64 | 4 |
| Blood typing ag donor ea ag CPT 86902 | $205.00 | $410.00 | $9.98 – $12.70 | 4 |
| Blood typing antigen system CPT 86911 | not published | not published | $36.77 – $46.20 | 4 |
| Blood typing paternity test CPT 86910 | not published | not published | $42.43 – $53.42 | 4 |
| Blood typing patient serum CPT 86904 | not published | not published | $25.69 – $32.68 | 4 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $140.50 | $281.00 | $7.43 – $8.48 | 4 |
| Blood typing rh (d) CPT 86901 | $40.00 | $80.00 | $5.81 – $6.64 | 4 |
| Blood typing rh phenotype complete reference CPT 86906 | $81.50 | $163.00 | $15.05 – $17.18 | 4 |
| Blood volume CPT 78122 | not published | not published | $1,000.60 – $1,000.60 | 1 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $11,578.75 | $23,157.50 | $209.78 – $209.78 | 1 |
| Bone biopsy open superficial CPT 20240 | $2,279.00 | $4,558.00 | $18,563.00 – $18,563.00 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $275.50 | $551.00 | $231.00 – $263.76 | 4 |
| Bone filler cerament 10cc HCPCS C1602 | $19,600.00 | $39,200.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,297.00 | $2,594.00 | $780.44 – $780.44 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $1,050.00 | $2,100.00 | $780.44 – $780.44 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,293.00 | $2,586.00 | $5,941.00 – $5,941.00 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,519.00 | $3,038.00 | $5,941.00 – $5,941.00 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $780.44 – $780.44 | 1 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $780.44 – $780.44 | 1 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $780.44 – $780.44 | 1 |
| Bone marrow interpretation CPT 85097 | $587.50 | $1,175.00 | $147.09 – $1,256.40 | 4 |
| Bone mineral dual photon CPT 78351 | not published | not published | $33.67 – $33.67 | 1 |
| Bone mineral single photon CPT 78350 | not published | not published | $45.90 – $45.90 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Bone survey-lead poisoning CPT 77074 | $392.50 | $785.00 | $231.00 – $263.76 | 4 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $176.64 – $176.64 | 1 |
| Boot j walker l HCPCS L4386 | $563.22 | $1,126.43 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $235.50 | $471.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $219.37 | $438.74 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $25.97 – $29.65 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $166.00 | $332.00 | $33.04 – $37.73 | 4 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $70.18 | 3 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,875.87 | $5,751.74 | $3.51 – $4.50 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $6.68 – $7.63 | 4 |
| Botulism ig IV CPT 90288 | not published | not published | $92,862.00 – $92,862.00 | 1 |
| Bowel imaging CPT 78290 | $918.50 | $1,837.00 | $780.44 – $780.44 | 1 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg iliorenal CPT 35634 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg splenorenal CPT 35636 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | $357.18 | $714.35 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $385.94 | $771.89 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $358.08 | $716.16 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $4,116.13 | $8,232.26 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,394.49 | $6,788.98 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Brachy source yttrium-90 HCPCS C2616 | $27,545.00 | $55,090.00 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $2,600.50 | $5,201.00 | not published | 0 |
| Braf gene CPT 81210 | $363.50 | $727.00 | $275.64 – $350.80 | 4 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Brain flow imaging only CPT 78610 | $1,092.50 | $2,185.00 | $1,000.60 – $1,000.60 | 1 |
| Brain image < 4 views CPT 78600 | not published | not published | $780.44 – $780.44 | 1 |
| Brain image 4+ views CPT 78605 | not published | not published | $1,000.60 – $1,000.60 | 1 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $780.44 – $780.44 | 1 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $1,000.60 – $1,000.60 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,032.50 | $2,065.00 | $809.52 – $809.52 | 1 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $999.50 | $1,999.00 | $809.52 – $809.52 | 1 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $773.00 | $1,546.00 | $494.04 – $494.04 | 1 |
| Brain MRI (with and without contrast) CPT 70553 | $899.00 | $1,798.00 | $757.16 – $864.55 | 4 |
| Brain MRI (with contrast) CPT 70552 | $701.50 | $1,403.00 | $757.16 – $864.55 | 4 |
| Brain MRI (without contrast) CPT 70551 | $663.50 | $1,327.00 | $462.09 – $527.63 | 4 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $735.46 – $1,872.00 | 4 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $918.11 – $1,168.46 | 4 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $589.71 – $750.50 | 4 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $473.57 – $602.70 | 4 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $444.54 – $1,131.52 | 4 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $290.92 – $370.24 | 4 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $589.71 – $750.50 | 4 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $444.54 – $565.76 | 4 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $691.46 – $880.00 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $3,540.47 – $4,042.68 | 4 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,689.50 | $3,379.00 | $5,941.00 – $5,941.00 | 1 |
| Breast punct aspir cyst, bil CPT 19000 | $1,078.00 | $2,156.00 | $3,818.00 – $3,818.00 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Breast reduction CPT 19318 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $99.55 – $113.68 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $148.35 – $200.15 | 4 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $17.37 – $23.45 | 4 |
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.