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 |
|---|---|---|---|---|
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $20.94 – $23.91 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $17.52 – $20.00 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $95.50 | $191.00 | $28.68 – $32.75 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $32.26 – $36.83 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $103.50 | $207.00 | $26.09 – $29.78 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $42.00 | $84.00 | $29.23 – $33.37 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $20.35 – $23.25 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $15.83 – $18.08 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $235.96 – $269.43 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $177.85 – $203.08 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $215.30 – $274.00 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,686.50 | $3,373.00 | $2,121.52 – $2,422.46 | 4 |
| Mayo androstenedione CPT 82157 | $121.00 | $242.00 | $56.81 – $64.87 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $74.50 | $149.00 | $28.33 – $32.34 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $119.00 | $238.00 | $20.98 – $23.96 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $32.00 | $64.00 | $29.23 – $33.37 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $204.00 | $408.00 | $48.48 – $61.72 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $70.18 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $16.97 – $19.38 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $83.50 | $167.00 | $19.72 – $22.52 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $321.00 | $642.00 | $280.98 – $320.84 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $337.28 – $429.24 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $28.50 | $57.00 | $25.03 – $28.58 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $16.42 – $18.75 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $130.00 | $260.00 | $25.58 – $29.20 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $84.00 | $168.00 | $17.33 – $19.79 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $64.50 | $129.00 | $26.40 – $30.15 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $20.94 – $23.91 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $155.50 | $311.00 | $32.73 – $37.37 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $198.50 | $397.00 | $51.94 – $59.30 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $237.14 – $270.78 | 4 |
| Mayo ceruloplasmin CPT 82390 | $54.00 | $108.00 | $20.82 – $23.78 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $97.50 | $195.00 | $27.38 – $31.26 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $117.00 | $234.00 | $24.99 – $28.53 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $48.50 | $97.00 | $22.94 – $26.19 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $70.00 | $140.00 | $24.59 – $28.08 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $338.50 | $677.00 | $232.98 – $296.08 | 4 |
| Mayo chromium CPT 82495 | $141.00 | $282.00 | $39.37 – $44.94 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $19.25 – $21.98 | 3 |
| Mayo coccidioides antibody CPT 86635 | $26.50 | $53.00 | $22.28 – $25.44 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $114.00 | $228.00 | $37.87 – $48.18 | 4 |
| Mayo cortisol free CPT 82530 | $135.50 | $271.00 | $32.41 – $37.01 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $83.50 | $167.00 | $84.26 – $189.00 | 4 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $75.50 | $151.00 | $23.53 – $26.88 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $36.22 – $41.37 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $24.91 – $28.45 | 3 |
| Mayo cyanide CPT 82600 | not published | not published | $37.64 – $42.98 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $580.50 | $1,161.00 | $287.00 – $1,056.82 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $115.00 | $230.00 | $25.69 – $29.34 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $136.00 | $272.00 | $49.03 – $55.99 | 4 |
| Mayo dihydrotestosterone CPT 82642 | $59.50 | $119.00 | $51.11 – $58.56 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $16.46 – $19.28 | 4 |
| Mayo efpo chloride stool CPT 82438 | $54.50 | $109.00 | $9.47 – $10.81 | 4 |
| Mayo estriol CPT 82677 | $76.50 | $153.00 | $46.91 – $53.56 | 4 |
| Mayo estrone CPT 82679 | $130.50 | $261.00 | $48.40 – $55.26 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $132.00 | $264.00 | $31.71 – $36.21 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $26.64 – $30.41 | 4 |
| Mayo factor ii CPT 85210 | $157.50 | $315.00 | $25.18 – $28.75 | 4 |
| Mayo factor v CPT 85220 | $187.00 | $374.00 | $34.26 – $39.12 | 4 |
| Mayo factor vii CPT 85230 | $182.00 | $364.00 | $34.73 – $39.66 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $151.50 | $303.00 | $44.51 – $50.83 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $143.50 | $287.00 | $44.51 – $50.83 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $142.50 | $285.00 | $44.51 – $50.83 | 4 |
| Mayo factor x CPT 85260 | $175.50 | $351.00 | $34.73 – $39.66 | 4 |
| Mayo factor xi CPT 85270 | $153.50 | $307.00 | $34.73 – $39.66 | 4 |
| Mayo fat/lipids feces quantitative CPT 82710 | $134.50 | $269.00 | $32.61 – $37.24 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $122.50 | $245.00 | $32.14 – $40.92 | 4 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $126.43 – $160.92 | 4 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $12.30 – $15.64 | 4 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $22.71 – $28.92 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $137.50 | $275.00 | $34.06 – $43.34 | 4 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $987.50 | $1,975.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $9.19 – $10.50 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $250.50 | $501.00 | $68.09 – $77.73 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $68.09 – $77.73 | 4 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $30.50 | $61.00 | $24.24 – $27.67 | 4 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $251.00 | $502.00 | $50.05 – $57.15 | 4 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $86.00 | $172.00 | $17.25 – $19.70 | 4 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $86.00 | $172.00 | $26.24 – $29.97 | 4 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $137.00 | $274.00 | $52.72 – $60.20 | 4 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $56.00 | $112.00 | $27.15 – $34.54 | 4 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $45.00 | $90.00 | $29.07 – $33.20 | 4 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $132.00 | $264.00 | $40.39 – $46.12 | 4 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $111.50 | $223.00 | $40.39 – $46.12 | 4 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $70.18 – $70.18 | 1 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $47.00 | $94.00 | $25.26 – $32.14 | 4 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $105.50 | $211.00 | $23.26 – $26.56 | 4 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | not published | not published | $68.09 – $77.73 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $71.50 | $143.00 | $55.16 – $70.18 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $68.09 – $77.73 | 4 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $108.50 | $217.00 | $70.18 – $70.18 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $100.50 | $201.00 | $83.09 – $94.88 | 4 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $587.50 | $1,175.00 | $113.46 – $144.38 | 4 |
| Mayo infliximab therapeutic drug level CPT 80230 | $75.00 | $150.00 | $60.62 – $77.14 | 4 |
| Mayo inhab inhibin a CPT 86336 | $94.50 | $189.00 | $30.25 – $34.54 | 4 |
| Mayo insft insulin free CPT 83527 | not published | not published | $25.10 – $28.66 | 4 |
| Mayo insulin antibodies CPT 86337 | $186.50 | $373.00 | $41.53 – $47.42 | 4 |
| Mayo iodine CPT 83789 | $66.00 | $132.00 | $37.87 – $48.22 | 4 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $81.00 | $162.00 | $48.62 – $54.22 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $125.00 | $250.00 | $42.59 – $54.22 | 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.