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 |
|---|---|---|---|---|
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $250.39 – $320.58 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $76.46 – $97.90 | 4 |
| Gammaglobulin iga CPT 82784 | $60.00 | $120.00 | $18.03 – $20.59 | 4 |
| Gammaglobulin ige CPT 82785 | $77.00 | $154.00 | $31.94 – $36.48 | 4 |
| Gamma glutamyltransferase CPT 82977 | $28.00 | $56.00 | $13.99 – $15.97 | 4 |
| Gammagraft HCPCS Q4111 | not published | not published | $209.78 – $209.78 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $100.99 – $129.30 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $11,178.00 | $22,356.00 | $77.68 – $99.46 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $187.68 | $375.37 | $53.19 – $68.10 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $68.09 – $77.73 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $81.01 – $92.50 | 4 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $10.57 – $13.42 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $780.44 – $780.44 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $1,000.60 – $1,000.60 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $780.44 – $780.44 | 1 |
| Gastrin test CPT 82938 | not published | not published | $34.34 – $39.21 | 4 |
| Gastroduodenostomy CPT 43810 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $780.44 – $780.44 | 1 |
| Gastroesophageal reflux test CPT 91034 | $2,372.00 | $4,744.00 | not published | 0 |
| Gastrointestinal repair CPT 43360 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $780.44 – $780.44 | 1 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.16 – $2.16 | 1 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.33 – $1.33 | 1 |
| Gba gene CPT 81251 | not published | not published | $74.25 – $94.50 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $208.02 – $480.15 | 3 |
| Gel-one HCPCS J7326 | $5,274.00 | $10,548.00 | $822.90 – $1,053.58 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1,605.26 | $3,210.51 | $1.06 – $1.36 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $88.86 | $177.72 | $5.06 – $6.48 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $24,767.40 | $49,534.80 | $375.17 – $480.32 | 4 |
| General health panel CPT 80050 | $199.00 | $398.00 | $68.20 – $94.56 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | $84,737.50 | $169,475.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $53,750.00 | $107,500.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $3,847.90 – $4,897.12 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,662.41 – $4,675.30 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,324.78 – $10,062.40 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $3,324.78 – $5,419.90 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $169.18 | $338.35 | $3.01 – $3.86 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $206.00 | $412.00 | $31.78 – $36.29 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.75 – $7.36 | 4 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,523.50 | $3,047.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $188.00 | $376.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $15.50 | $31.00 | $15.40 – $19.62 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $411.00 | $822.00 | $31.19 – $35.62 | 4 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $160.69 – $204.52 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $27.93 – $31.90 | 4 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $8.76 – $10.01 | 4 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs change cysto/gastrost CPT 43762 | $293.00 | $586.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs chemo >8 hrs CPT 96416 | $938.00 | $1,876.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $407.50 | $815.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $68.09 – $77.73 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $615.00 | $1,230.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,357.00 | $2,714.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,335.00 | $2,670.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs community re-entry 15 minutes CPT 97537 | $89.50 | $179.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $131.00 | $262.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $57.00 | $114.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $76.00 | $152.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $153.50 | $307.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $119.00 | $238.00 | $29.50 – $33.69 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $868.00 | $1,736.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $371.50 | $743.00 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs fat & muscle CPT 89160 | not published | not published | $7.62 – $9.70 | 4 |
| Ghs fb removal foot - deep - left CPT 28192 | $527.00 | $1,054.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ghs fb removal - incisional CPT 10121 | $309.50 | $619.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs fb removal - non-incisional CPT 20520 | $452.00 | $904.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $13.55 – $15.48 | 4 |
| Ghs fish cytogen CPT 88271 | $101.50 | $203.00 | $42.84 – $54.42 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $279.50 | $559.00 | $89.38 – $102.38 | 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.