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 |
|---|---|---|---|---|
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $714.50 | $1,429.00 | $3,818.00 – $3,818.00 | 1 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $824.50 | $1,649.00 | $3,818.00 – $3,818.00 | 1 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $988.00 | $1,976.00 | $5,941.00 – $5,941.00 | 1 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,301.00 | $2,602.00 | $5,941.00 – $5,941.00 | 1 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx thigh fx CPT 27267 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $22.12 – $28.14 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $16.03 – $18.30 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $79.50 | $159.00 | $37.95 – $43.33 | 4 |
| Cmv ig IV CPT 90291 | not published | not published | $2,826.71 – $3,582.93 | 3 |
| Cmv pcr-sendout CPT 87496 | $254.00 | $508.00 | $68.09 – $77.73 | 4 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $215.30 – $274.00 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $17,031.40 | $34,062.80 | $4.12 – $5.28 | 4 |
| Coagulation time activated teg CPT 85347 | $26.50 | $53.00 | $8.25 – $9.41 | 4 |
| Coagulation time lee & white CPT 85345 | not published | not published | $8.37 – $9.55 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $7.23 – $8.98 | 4 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $2.78 – $2.85 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | $1,265.64 | $2,531.28 | $3.50 – $3.60 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $143.71 – $160.88 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $83.42 | $166.83 | $0.02 – $1.65 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $209.78 – $2,235.12 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $13.00 – $16.14 | 4 |
| Cold agglutinin titer CPT 86157 | $94.00 | $188.00 | $15.64 – $17.85 | 4 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | $161.76 | $323.51 | $22.29 – $28.54 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $122.39 – $156.70 | 4 |
| Collagen based wound filler HCPCS A6010 | $9,735.00 | $19,470.00 | $25.13 – $25.13 | 1 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.68 – $2.68 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $163.00 | $326.00 | $38.46 – $43.91 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $163.00 | $326.00 | $42.98 – $49.07 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $10.50 | $21.00 | $4.71 – $6.00 | 4 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $209.78 – $3,135.60 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $5,941.00 – $5,941.00 | 1 |
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.