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 |
|---|---|---|---|---|
| Explore wound neck 20100 CPT 20100 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Extended culture of oocytes CPT 89272 | not published | not published | $1,256.40 – $4,037.44 | 4 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $6.91 – $6.91 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Extensive hysterectomy CPT 58285 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Extensive jaw surgery CPT 21045 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55810 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive prostate surgery CPT 55862 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive surgery of throat CPT 42845 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extensive vulva surgery CPT 56632 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $277.45 – $316.80 | 4 |
| External newborn metabolic screening panel HCPCS S3620 | $72.00 | $144.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $45.98 – $66.52 | 4 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $6,086.42 – $7,746.00 | 4 |
| External recharg sys intern HCPCS L8689 | $5,740.80 | $11,481.60 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $555.00 | $1,110.00 | $281.14 – $321.02 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $126.50 | $253.00 | $34.81 – $39.74 | 4 |
| Extraction of lens CPT 66930 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $275.64 – $350.80 | 4 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $444.54 – $565.76 | 4 |
| F-18 fdg pet diag HCPCS A9552 | $1,487.50 | $2,975.00 | $711.50 – $711.50 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $3,012.31 – $4,594.70 | 3 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $531.75 – $882.95 | 3 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $446.41 – $482.40 | 3 |
| F9 full gene sequence CPT 81238 | not published | not published | $942.90 – $1,200.00 | 4 |
| Face bone graft CPT 21210 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Facial bones <3 CPT 70140 | $201.50 | $403.00 | $164.49 – $187.82 | 4 |
| Factor ix CPT 85250 | $191.00 | $382.00 | $36.93 – $42.17 | 4 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $5.59 – $7.16 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $2.66 – $3.40 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $8.31 – $10.64 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $2.14 – $2.74 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $7.03 – $9.00 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $2.72 – $3.48 | 4 |
| Factor ix recombinant nos HCPCS J7195 | $3,162.00 | $6,324.00 | $2.87 – $3.68 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $3.44 – $4.40 | 4 |
| Factor viii CPT 85240 | $131.50 | $263.00 | $34.73 – $39.66 | 4 |
| Factor viii HCPCS J7190 | not published | not published | $2.17 – $2.78 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | $8,202.60 | $16,405.20 | $3.84 – $4.92 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.84 – $2.36 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $3.34 – $4.28 | 4 |
| Factor viii recombinant nos HCPCS J7192 | $6,518.14 | $13,036.28 | $2.45 – $3.14 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $2.20 – $2.82 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $5.06 – $6.48 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $16.84 – $21.56 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $28.63 – $36.66 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $143.50 | $287.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.02 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,046.92 | $14,093.85 | $48.83 – $62.52 | 4 |
| Fancc gene CPT 81242 | not published | not published | $57.56 – $73.24 | 4 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $62.50 | $125.00 | $9.90 – $11.31 | 4 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $29.50 – $37.54 | 4 |
| Fecal bilirubin test CPT 82252 | not published | not published | $8.84 – $10.09 | 4 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $11,420.12 | $22,840.25 | $100.47 – $128.64 | 4 |
| #fecal-sodium CPT 84302 | not published | not published | $9.43 – $10.77 | 4 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $125.00 | $250.00 | $33.47 – $37.28 | 2 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $107.80 | $215.60 | $1.81 – $2.55 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $15.32 – $19.48 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,367.34 | $6,734.68 | $1.72 – $2.20 | 4 |
| Ferritin CPT 82728 | $121.00 | $242.00 | $26.44 – $30.19 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $650.20 | $1,300.41 | $0.36 – $0.68 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.36 – $0.68 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $1,590.00 – $2,243.02 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $465.50 | $931.00 | $231.00 – $263.76 | 4 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $1,192.85 – $1,518.10 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $1,518.10 – $2,243.02 | 4 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Fetal fibronectin CPT 82731 | $345.00 | $690.00 | $124.97 – $142.70 | 4 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $3,818.00 – $3,818.00 | 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.