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 |
|---|---|---|---|---|
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $547.00 | $1,094.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $243.00 | $486.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $291.00 | $582.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $80.00 | $160.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $62.50 | $125.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $53.00 | $106.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $80.00 | $160.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $46.00 | $92.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $14.00 | $28.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $15,780.15 | $31,560.30 | $65.92 – $84.40 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Adrenalin epinephrine inject HCPCS J0171 | $703.95 | $1,407.90 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | $250.50 | $501.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $2,328.50 | $4,657.00 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $60,749.40 | $121,498.80 | $4,856.64 – $5,066.12 | 2 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $1,541,240.00 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $38.89 – $44.41 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $11.47 – $14.62 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $223.82 – $255.57 | 4 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $215.30 – $274.00 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $431.89 – $549.66 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,143.29 – $1,463.76 | 4 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $0.02 – $42.47 | 2 |
| After cataract laser surgery CPT 66821 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $17,255.38 | $34,510.75 | $355.50 – $455.16 | 4 |
| Ag detect nos ia single CPT 87450 | not published | not published | $18.62 – $19.65 | 2 |
| Air conduction bilat CPT 92552 | $246.00 | $492.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $39.50 | $79.00 | $12.22 – $15.56 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $482.51 | $965.02 | $82.92 – $106.16 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $33.16 – $42.46 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $262.82 | $525.65 | $82.92 – $106.16 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $16.59 – $21.24 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $65.85 – $75.19 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $30.50 | $61.00 | $11.24 – $12.83 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $20.00 | $40.00 | $9.59 – $10.94 | 4 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.78 – $0.80 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.33 – $0.42 | 4 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.37 – $0.48 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.12 – $0.16 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $186.00 | $372.00 | $31.01 – $34.54 | 2 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $18.11 – $20.69 | 3 |
| Aldesleukin injection HCPCS J9015 | $2,830.85 | $5,661.70 | $5,509.14 – $10,621.48 | 3 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $243.50 – $278.05 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $0.01 | $0.01 | $3,812.18 – $4,880.82 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $7.14 – $7.14 | 1 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $6.24 – $6.24 | 1 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $3.54 – $3.54 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $0.02 – $0.02 | 1 |
| Alkaline phosphatase CPT 84075 | $30.50 | $61.00 | $10.06 – $11.49 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | $59.00 | $118.00 | $34.81 – $39.74 | 4 |
| Allergen egg white ige CPT 86003 | $51.50 | $103.00 | $10.14 – $11.57 | 4 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $15.48 – $17.68 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,687.41 | $27,374.82 | $209.78 – $209.78 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $209.78 – $362.56 | 2 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,215.90 | $22,431.80 | $209.78 – $209.78 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $35,921.86 | $71,843.73 | $209.78 – $209.78 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $4,370.56 | $8,741.12 | $209.78 – $537.07 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $7,046.40 | $14,092.80 | $135.51 – $209.78 | 2 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,478.40 | $10,956.80 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $11,490.25 | $22,980.50 | $209.78 – $361.80 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $209.78 – $432.93 | 2 |
| Alloskin HCPCS Q4115 | not published | not published | $209.78 – $209.78 | 1 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $150.15 – $209.78 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,176.00 | $2,352.00 | $8.03 – $10.28 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $124.97 – $142.70 | 4 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $32.53 – $37.14 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $126.50 | $253.00 | $32.53 – $37.14 | 4 |
| Alprostadil for injection HCPCS J0270 | $327.86 | $655.71 | $0.79 – $17.34 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $21,257.00 | $42,514.00 | $148.54 – $190.18 | 4 |
| Alt/sgpt CPT 84460 | $27.00 | $54.00 | $10.29 – $11.76 | 4 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $7.01 – $8.98 | 4 |
| Aluminum - quest CPT 82108 | $125.00 | $250.00 | $49.42 – $56.43 | 4 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $33.94 – $38.76 | 3 |
| Amifostine HCPCS J0207 | $1,743.30 | $3,486.59 | $722.52 – $1,722.82 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $91.22 | $182.44 | $0.95 – $1.22 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $9.43 – $11.98 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $26.91 – $30.73 | 4 |
| Amino acid single qual CPT 82127 | not published | not published | $26.91 – $30.73 | 4 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $32.73 – $39.22 | 4 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $2.45 – $3.43 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $2.76 – $3.54 | 4 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $31.90 – $36.42 | 4 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $609.25 – $780.04 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $83.53 | $167.06 | $17.70 – $22.64 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $250.90 | $501.80 | $3.89 – $4.98 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $94.60 | $189.20 | $0.61 – $0.78 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | $70.00 | $140.00 | $7.94 – $9.06 | 3 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $9,141.88 | $18,283.75 | $35.35 – $45.26 | 4 |
| Ammonia CPT 82140 | $120.00 | $240.00 | $28.29 – $32.30 | 4 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $209.78 – $1,313.20 | 2 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,078.00 | $2,156.00 | $3,818.00 – $3,818.00 | 1 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $209.78 – $1,788.10 | 2 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $209.78 – $3,618.00 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $14.69 – $18.70 | 4 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $209.78 – $3,216.00 | 2 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $19.29 – $294.69 | 3 |
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.