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 |
|---|---|---|---|---|
| Immobilizer shldr cntor adlt HCPCS L3670 | $226.12 | $452.24 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $281.97 | $563.94 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Immune complex assay CPT 86332 | $180.00 | $360.00 | $47.30 – $54.01 | 4 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,930.00 | $11,860.00 | $76.67 – $98.16 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,809.32 | $7,618.65 | $125.59 – $160.78 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,977.00 | $13,954.00 | $73.48 – $94.06 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $148.52 – $197.13 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $156.00 | $312.00 | $40.39 – $46.12 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $143.00 | $286.00 | $40.39 – $46.12 | 4 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $40.19 – $51.14 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $36.50 | $73.00 | $23.26 – $26.56 | 4 |
| Immunodiffusion nes CPT 86329 | not published | not published | $27.27 – $31.13 | 4 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $47.03 – $52.64 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $153.00 | $306.00 | $43.37 – $49.52 | 4 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $125.00 | $250.00 | $68.67 – $127.76 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $215.50 | $431.00 | $97.90 – $566.82 | 4 |
| Immunoglobulin assay CPT 86023 | $319.50 | $639.00 | $24.16 – $27.59 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant cochlear osia osi300 HCPCS L8690 | $35,580.73 | $71,161.46 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant pulse generator remede el HCPCS C1823 | $68,750.00 | $137,500.00 | not published | 0 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $3,680.00 | $7,360.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.02 – $492.92 | 2 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $66.90 – $85.66 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $6,576.38 – $7,915.66 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,820.26 – $6,769.61 | 3 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $0.02 – $2,854.98 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.02 – $6,782.57 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $29.84 | $59.67 | $1,371.91 – $3,384.81 | 3 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,598.17 | $5,196.34 | $1,230.27 – $1,423.88 | 3 |
| In-111 pentetreotide HCPCS A9572 | $4,394.56 | $8,789.12 | $3,301.55 – $6,222.96 | 3 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $2,766.04 – $2,766.04 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $474.32 – $601.21 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incis addl spine segment CPT 22216 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Incise inner ear CPT 69801 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise inner ear nerve CPT 69915 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incise inner ear nerve CPT 69950 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $5,941.00 – $5,941.00 | 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.