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 |
|---|---|---|---|---|
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $68.09 – $77.73 | 4 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $36.11 – $45.94 | 4 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $30.05 – $34.32 | 4 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $16.42 – $18.94 | 4 |
| Ghs histoplasma antigen CPT 87385 | $153.50 | $307.00 | $23.26 – $26.56 | 4 |
| Ghs HIV antibody CPT 86703 | not published | not published | $26.60 – $30.37 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $166.81 – $212.28 | 4 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $312.00 | $624.00 | $5,941.00 – $5,941.00 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $204.50 | $409.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $47.03 – $59.84 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $214.00 | $428.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $194.00 | $388.00 | $24.99 – $28.53 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $89.50 | $179.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $181.50 | $363.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $238.50 | $477.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $313.50 | $627.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $419.00 | $838.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $462.00 | $924.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $487.00 | $974.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $427.50 | $855.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $421.50 | $843.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $438.00 | $876.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $460.00 | $920.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $16.70 – $19.07 | 4 |
| Ghs mbp CPT 83873 | $59.00 | $118.00 | $33.39 – $38.13 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $268.00 | $536.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $268.00 | $536.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $268.00 | $536.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $268.00 | $536.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $268.00 | $536.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $304.00 | $608.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $293.50 | $587.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,022.00 | $2,044.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs o2 saturation CPT 82810 | $66.50 | $133.00 | $16.93 – $19.54 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $89.50 | $179.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $89.50 | $179.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $52.06 – $59.44 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $10.69 – $12.20 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $1,544.50 | $3,089.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs plngl fx pm cl CPT 26725 | $648.00 | $1,296.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $8.37 – $9.55 | 4 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,218.50 | $6,437.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $17.00 | $34.00 | $13.00 – $45.98 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $30.00 | $60.00 | $18.74 – $21.40 | 4 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $10.06 – $11.49 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $51.00 | $102.00 | $27.82 – $31.76 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $13.50 | $27.00 | $23.77 – $27.14 | 4 |
| Ghs quinidine CPT 80194 | not published | not published | $28.33 – $32.34 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $241.00 | $482.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $24.99 – $31.78 | 4 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $8.37 – $9.55 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $23.26 – $27.82 | 4 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $6.88 – $8.54 | 4 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $23.38 – $26.69 | 4 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $17.33 – $19.79 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | $63.50 | $127.00 | $13.36 – $15.25 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $352.00 | $704.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $528.50 | $1,057.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $372.00 | $744.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $294.00 | $588.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $381.50 | $763.00 | $3,818.00 – $3,818.00 | 1 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | 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.