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 |
|---|---|---|---|---|
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $38.89 – $44.41 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $81.01 – $92.50 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $876.00 | $1,752.00 | $480.30 – $548.42 | 3 |
| Leishmania antibody CPT 86717 | not published | not published | $23.77 – $27.14 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lengthening of palate CPT 42227 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,383.00 | $6,766.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,776.00 | $3,552.00 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $462.50 | $925.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $130.80 | $261.60 | $5.39 – $7.18 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $126.15 – $287.00 | 4 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $16.34 – $20.78 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $29,611.72 | $59,223.45 | $275.24 – $352.40 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $29,889.80 | $59,779.60 | $2,758.00 – $3,531.14 | 4 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.02 – $0.02 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $2,491.23 | $4,982.46 | $78.73 – $249.98 | 3 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $1,083.41 – $1,387.12 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $62.41 – $79.90 | 4 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $3.30 – $3.30 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.50 – $0.64 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.14 – $0.18 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $88.10 | $176.20 | $0.05 – $0.06 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $123.50 | $247.00 | $25.69 – $29.34 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $33.60 | $67.20 | $3.37 – $4.32 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $640.40 – $640.40 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $353.88 | $707.76 | $9.38 – $14.82 | 4 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Liberta rc ipg HCPCS C1820 | $50,000.00 | $100,000.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $70.86 | $141.72 | $0.01 – $0.08 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $54.80 | $109.60 | $0.01 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $223.00 | $446.00 | $28.52 – $32.57 | 4 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $96,906.66 | $193,813.32 | not published | 0 |
| Ligate esophagus veins CPT 43400 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligation common iliac vein CPT 37660 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligation major artery chest CPT 37616 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ligation of shunt CPT 49428 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Liletta, 52 mg HCPCS J7297 | $1,110.58 | $2,221.15 | $1,528.23 – $1,937.07 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $175.38 – $207.16 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $155.58 – $184.06 | 4 |
| Lincomycin injection HCPCS J2010 | not published | not published | $7.37 – $9.42 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $62.75 | $125.50 | $3.87 – $4.96 | 4 |
| Lipase CPT 83690 | $99.00 | $198.00 | $13.36 – $15.25 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $53.20 – $67.72 | 4 |
| Lipoprotein blood quant CPT 83704 | $143.00 | $286.00 | $61.21 – $69.89 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $63.00 | $126.00 | $15.91 – $18.17 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.00 | $114.00 | $18.50 – $21.13 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $90.00 | $180.00 | $55.08 – $68.38 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.02 – $1,124,521.68 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $25.58 – $29.20 | 4 |
| Lithium therapeutic drug level CPT 80178 | $112.50 | $225.00 | $12.81 – $14.63 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $107.90 – $352.38 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $293.30 – $293.30 | 1 |
| Liver Function Test CPT 80076 | $42.50 | $85.00 | $15.87 – $18.13 | 4 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Liver imaging CPT 78201 | $910.50 | $1,821.00 | $2,697.04 – $2,697.04 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $780.44 – $780.44 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $780.44 – $780.44 | 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.