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 |
|---|---|---|---|---|
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $106.00 | $212.00 | $15.01 – $17.14 | 4 |
| Fetal hemoglobin rosette CPT 85461 | $87.50 | $175.00 | $14.69 – $18.72 | 4 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $36.69 – $41.90 | 4 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $23.77 – $27.14 | 3 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $3.18 – $17.52 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $122.50 | $245.00 | $19.72 – $22.52 | 4 |
| Fibrin degradation products CPT 85362 | not published | not published | $13.36 – $15.25 | 4 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $15.28 – $19.44 | 4 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $19.72 – $22.52 | 4 |
| Fibrinogen activity CPT 85384 | $67.00 | $134.00 | $16.50 – $19.44 | 4 |
| Fibrinogen test CPT 85370 | not published | not published | $22.04 – $25.16 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $41.50 | $83.00 | $24.32 – $30.96 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $14.93 – $17.04 | 4 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $14.93 – $17.04 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $171.50 | $343.00 | $33.36 – $38.09 | 4 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $19.76 – $22.56 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $12.65 – $14.44 | 4 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $537.36 | $1,074.71 | $0.44 – $0.59 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,223.96 | $2,447.91 | $1.59 – $2.04 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $474.94 | $949.88 | $0.55 – $0.70 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $11,797.05 | $23,594.10 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,360.00 | $10,720.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.20 – $0.21 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $937.50 | $1,875.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Flebogamma injection HCPCS J1572 | not published | not published | $82.70 – $149.72 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $112.00 | $224.00 | $33.47 – $37.28 | 2 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,028.00 | $2,056.00 | $3,818.00 – $3,818.00 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $2,614.71 – $5,631.22 | 3 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $546.74 – $612.15 | 3 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $1,072.19 – $1,107.51 | 3 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $139.75 – $177.56 | 4 |
| Flow cytometry marker each additional CPT 88185 | $84.00 | $168.00 | $44.76 – $54.92 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $249.00 | $498.00 | $106.94 – $566.82 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $241.20 – $297.00 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $209.78 – $301.50 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $104.66 – $132.08 | 4 |
| Floxuridine injection HCPCS J9200 | not published | not published | $6,640.44 – $8,501.94 | 4 |
| Flt3 gene CPT 81245 | $311.00 | $622.00 | $260.08 – $331.02 | 4 |
| Flt3 gene analysis CPT 81246 | $311.00 | $622.00 | $130.43 – $166.00 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $52.68 | $105.36 | $6.05 – $11.23 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $493.35 | $986.70 | $340.12 – $435.46 | 4 |
| Fluidotherapy charges pt CPT 97022 | $75.50 | $151.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $0.02 – $0.02 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | $12,350.00 | $24,700.00 | $796.37 – $1,019.62 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $529.22 – $677.58 | 4 |
| Fluorescent antibody titer dna CPT 86256 | $60.50 | $121.00 | $23.38 – $26.69 | 4 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $779.28 – $1,411.66 | 3 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $759.69 – $1,273.80 | 3 |
| Fluoroguide needle placement CPT 77002 | $348.50 | $697.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $36.69 – $41.90 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $613.00 | $1,226.00 | $494.04 – $494.04 | 1 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $2,593.09 | $5,186.18 | $3.22 – $4.12 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $210.68 | $421.35 | $8.73 – $11.18 | 4 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $781.05 – $874.50 | 3 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $71.62 – $71.62 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,207.62 – $5,145.60 | 3 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $0.02 – $20.39 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $0.02 – $92.30 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $494.04 – $494.04 | 1 |
| Fmri brain by tech CPT 70554 | not published | not published | $494.04 – $494.04 | 1 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,698.00 | $3,396.00 | $3,818.00 – $3,818.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $36.69 – $41.90 | 4 |
| Folic acid CPT 82746 | $98.50 | $197.00 | $28.52 – $32.57 | 4 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.08 – $0.10 | 4 |
| Follow-up angiography CPT 75898 | not published | not published | $3,458.00 – $3,458.00 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,717.41 | $3,434.82 | $10.79 – $20.31 | 3 |
| Fondaparinux sodium HCPCS J1652 | $80.92 | $161.85 | $1.25 – $1.70 | 4 |
| Fo nontorsion joint cf HCPCS L3935 | $232.00 | $464.00 | not published | 0 |
| Foot X-ray CPT 73630 | $295.50 | $591.00 | $164.49 – $187.82 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $973.07 – $1,151.26 | 4 |
| Forensic cytopathology CPT 88125 | not published | not published | $19.80 – $98.94 | 4 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $2.78 – $3.56 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $185.08 | $370.16 | $0.17 – $0.23 | 4 |
| Foscarnet sodium injection HCPCS J1455 | $1,458.38 | $2,916.75 | $13.06 – $16.72 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $106.25 | $212.50 | $2.19 – $3.71 | 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.