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 |
|---|---|---|---|---|
| Incision secondary cataract CPT 66820 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incisn of toe tndn CPT 28010 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incisn windpipe CPT 31600 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Incobotulinumtoxin a HCPCS J0588 | $2,578.00 | $5,156.00 | $8.26 – $10.58 | 4 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $15.35 – $16.08 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $140.40 – $140.40 | 1 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $109.96 – $109.96 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $295.00 | $590.00 | $252.89 – $288.76 | 4 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $23.57 – $30.00 | 4 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $23.26 – $28.26 | 4 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $499.50 – $570.35 | 4 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $499.50 – $570.35 | 4 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $342.00 | $684.00 | $249.75 – $285.17 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $517.50 | $1,035.00 | $499.50 – $570.35 | 4 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $51.51 – $65.54 | 4 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $55.47 – $70.58 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $26.01 – $33.10 | 4 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $77.50 | $155.00 | $23.26 – $26.56 | 4 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $31.82 – $36.72 | 4 |
| Infect ag if influenza a CPT 87276 | $45.50 | $91.00 | $25.26 – $32.14 | 4 |
| Infect ag if influenza b CPT 87275 | $49.00 | $98.00 | $23.26 – $26.56 | 4 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $24.52 – $31.20 | 4 |
| Infect ag if nos ea CPT 87299 | not published | not published | $25.30 – $32.20 | 4 |
| Infect ag if pneumocystis carinii CPT 87281 | $82.00 | $164.00 | $23.26 – $26.56 | 4 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $23.26 – $26.84 | 4 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $84.04 – $106.94 | 4 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $68.09 – $77.73 | 4 |
| Infect ag na herpes simplex quant CPT 87530 | $232.00 | $464.00 | $83.09 – $94.88 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $68.09 – $77.73 | 4 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $217.50 | $435.00 | $165.09 – $191.60 | 4 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $99.55 – $113.68 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $142.00 | $284.00 | $26.53 – $102.34 | 2 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $808.62 – $923.31 | 4 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $948.05 – $1,082.53 | 4 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $50.56 – $57.73 | 4 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $26.55 – $82.96 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $78.50 | $157.00 | $23.26 – $26.56 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $23.26 – $26.84 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $79.50 | $159.00 | $23.26 – $27.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $84.50 | $169.00 | $23.26 – $26.56 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $131.50 | $263.00 | $27.89 – $31.84 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $60.50 | $121.00 | $20.04 – $22.88 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $94.50 | $189.00 | $20.04 – $22.88 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $74.00 | $148.00 | $46.71 – $53.35 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $326.00 | $652.00 | $23.26 – $26.56 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $126.50 | $253.00 | $23.26 – $26.56 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $68.00 | $136.00 | $23.26 – $26.56 | 4 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $115.50 | $231.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $79.00 | $158.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $130.00 | $260.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $871.00 | $1,742.00 | $808.62 – $923.31 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $157.50 | $315.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $115.50 | $231.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $199.00 | $398.00 | $68.09 – $83.36 | 4 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $94.50 | $189.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $179.50 | $359.00 | $102.62 – $230.17 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $180.50 | $361.00 | $284.19 – $285.20 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $221.00 | $442.00 | $284.19 – $285.20 | 2 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.00 | $176.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $95.00 | $190.00 | $68.09 – $77.73 | 4 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $252.00 | $504.00 | $140.36 – $140.36 | 1 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $153.54 – $153.54 | 1 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $1,359.54 – $1,359.54 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $603.00 | $1,206.00 | $808.62 – $923.31 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $51.50 | $103.00 | $248.89 – $284.19 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $411.50 | $823.00 | $414.09 – $525.98 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $276.50 | $553.00 | $83.09 – $94.88 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $262.50 | $525.00 | $83.09 – $94.88 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $241.50 | $483.00 | $83.09 – $94.88 | 4 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $376.50 | $753.00 | $165.09 – $188.50 | 4 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $239.00 | $478.00 | $248.89 – $285.26 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,986.92 | $3,973.83 | $48.49 – $62.08 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,226.50 | $2,453.00 | $43.80 – $56.73 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,128.50 | $2,257.00 | $40.68 – $52.08 | 4 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $45.93 – $58.44 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $153.34 – $196.32 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $46.41 – $59.42 | 4 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $232.00 | $464.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $412.50 | $825.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $12,633.78 | $25,267.56 | $9.40 – $12.04 | 4 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $4,761.56 | $9,523.11 | $11.36 – $14.54 | 4 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.14 – $0.18 | 4 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.08 – $0.10 | 4 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.08 – $0.10 | 4 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $81.30 | $162.60 | $0.09 – $0.12 | 4 |
| Inj. acthar gel to 40 units HCPCS J0801 | $0.01 | $0.01 | $6,395.64 – $8,188.52 | 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.