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 |
|---|---|---|---|---|
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $1,753.60 | $3,507.19 | $0.02 – $0.54 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $221.86 | $443.72 | $0.56 – $0.72 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $95.54 | $191.08 | $6.25 – $8.58 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $134.00 | $268.00 | $78.94 – $78.94 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $420.50 | $841.00 | $358.56 – $358.56 | 1 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $14.83 – $14.83 | 1 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $6.43 – $6.43 | 1 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $6.77 – $6.77 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $696.80 | $1,393.59 | $34.58 – $44.28 | 4 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $16.13 – $16.13 | 1 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $2.64 – $2.64 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $546.45 | $1,092.90 | $0.16 – $0.25 | 4 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $96.00 | $192.00 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $136.29 – $140.30 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 4 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.62 – $0.64 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $124.18 | $248.37 | $23.70 – $30.32 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $0.64 | $1.27 | $0.20 – $3.30 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $34.02 – $38.85 | 4 |
| Hymenotomy CPT 56442 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $28.32 – $36.26 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $15.43 – $86.83 | 3 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $19.72 – $22.52 | 4 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $29.37 – $37.60 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $722.50 | $1,445.00 | $494.04 – $494.04 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $422.96 | $845.92 | $366.61 – $377.38 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $5,163.50 | $10,327.00 | $3,823.88 – $8,214.32 | 3 |
| I-123 ioflupane diag HCPCS A9584 | $3,591.50 | $7,183.00 | $2,289.77 – $4,167.94 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $227.71 | $455.42 | $165.96 – $170.82 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $58.58 – $1,071.91 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $773.95 – $773.95 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $0.02 – $1,572.47 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $6,861.02 | $13,722.03 | $0.02 – $39.72 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $34.27 – $34.27 | 1 |
| I131 max 100uci HCPCS A9531 | not published | not published | $7.16 – $7.16 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $600.99 – $1,430.14 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | $65.00 | $130.00 | $23.26 – $26.84 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $68.09 – $77.73 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $28.44 – $36.18 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $90.56 – $202.90 | 4 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $492.16 | $984.33 | $14.15 – $83.08 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $4,393.72 – $4,897.12 | 2 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $4.97 – $6.36 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $464.54 | $929.09 | $361.71 – $479.67 | 3 |
| Icatibant injection HCPCS J1744 | $1,515.38 | $3,030.75 | $72.90 – $518.38 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $37,548.52 | $75,097.03 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $56,786.40 | $113,572.80 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $19,320.00 | $38,640.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,030.00 | $20,060.00 | not published | 0 |
| Icut allergy test drug/bug CPT 95024 | $49.50 | $99.00 | not published | 0 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Idarubicin hcl injection HCPCS J9211 | $258.28 | $516.55 | $62.11 – $79.52 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.02 – $1,119,562.16 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $98.94 – $484.49 | 4 |
| Idet 1 or more levels CPT 22527 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Idet single level CPT 22526 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Idh1 common variants CPT 81120 | not published | not published | $303.69 – $386.50 | 4 |
| Idh2 common variants CPT 81121 | not published | not published | $464.85 – $591.58 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $872.00 – $1,116.44 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ifnl3 gene CPT 81283 | not published | not published | $118.57 – $146.74 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $246.95 | $493.90 | $38.55 – $50.81 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $371.98 – $414.62 | 2 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $107.73 – $137.10 | 4 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $384.11 – $438.60 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $571.40 – $652.44 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $289.71 – $345.46 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $265.50 | $531.00 | $101.83 – $129.20 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $265.50 | $531.00 | $216.12 – $566.82 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $285.50 | $571.00 | $116.53 – $287.00 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.02 – $22.08 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $61.76 – $78.62 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $234.19 – $262.33 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $4.64 – $4.77 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $90.87 – $116.34 | 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.