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 lamotrigine therapeutic drug level CPT 80175 | $137.50 | $275.00 | $25.69 – $29.34 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $24.83 – $28.36 | 4 |
| Mayo legionella antibody CPT 86713 | $172.50 | $345.00 | $29.70 – $33.92 | 4 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $25.58 – $32.40 | 4 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $21.84 – $24.94 | 4 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $153.50 | $307.00 | $30.05 – $34.32 | 4 |
| Mayo manganese CPT 83785 | $75.50 | $151.00 | $47.73 – $54.51 | 4 |
| Mayo metanephrines plasma CPT 83835 | $103.50 | $207.00 | $32.88 – $37.55 | 4 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $20.35 – $23.25 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $48.00 | $96.00 | $33.01 – $36.80 | 2 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $97.50 | $195.00 | $11.27 – $36.80 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $74.50 | $149.00 | $28.21 – $32.21 | 4 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $84.50 | $169.00 | $29.31 – $37.28 | 4 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $215.30 – $274.00 | 4 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $332.34 – $370.40 | 2 |
| Mayo muramidase CPT 85549 | $43.50 | $87.00 | $36.38 – $41.54 | 4 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $97.50 | $195.00 | $36.80 – $36.80 | 1 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $35.01 – $39.97 | 4 |
| Mayo myoglobin CPT 83874 | $141.00 | $282.00 | $25.07 – $28.62 | 4 |
| Mayo nickel CPT 83885 | not published | not published | $47.54 – $54.27 | 4 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $26.60 – $30.37 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $21.49 – $24.54 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $22.08 – $25.20 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $149.50 | $299.00 | $33.32 – $42.42 | 4 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $31.90 – $36.42 | 4 |
| Mayo oxalate 24 hour urine CPT 83945 | $117.00 | $234.00 | $24.99 – $28.90 | 4 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $22.39 – $25.57 | 4 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $36.00 | $72.00 | $29.15 – $33.28 | 4 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $80.50 | $161.00 | $23.38 – $26.69 | 4 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $68.09 – $77.73 | 4 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $34.50 | $69.00 | $34.89 – $39.84 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $131.00 | $262.00 | $26.72 – $30.51 | 4 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $35.00 | $70.00 | $16.38 – $18.71 | 4 |
| Mayo pregnenolone CPT 84140 | $149.50 | $299.00 | $40.11 – $45.80 | 4 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $126.00 | $252.00 | $32.18 – $36.74 | 4 |
| Mayo proinsulin CPT 84206 | not published | not published | $41.96 – $53.38 | 4 |
| Mayo psaft prostate specific antigen free CPT 84154 | $48.50 | $97.00 | $35.67 – $40.73 | 4 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $88.00 | $176.00 | $28.92 – $36.80 | 4 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $153.00 | $306.00 | $25.93 – $29.61 | 4 |
| Mayo receptor assay transferrin soluble CPT 84238 | $108.50 | $217.00 | $70.95 – $81.02 | 4 |
| Mayo renin CPT 84244 | $111.50 | $223.00 | $42.67 – $48.73 | 4 |
| Mayo repu protein electrophoresis urine CPT 84166 | $110.00 | $220.00 | $34.57 – $39.47 | 4 |
| Mayo selenium CPT 84255 | $112.00 | $224.00 | $49.54 – $56.57 | 4 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $30.05 – $34.32 | 4 |
| Mayo serotonin CPT 84260 | $83.50 | $167.00 | $60.11 – $68.64 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $100.50 | $201.00 | $37.56 – $42.88 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $207.00 | $414.00 | $26.64 – $30.41 | 4 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $57.50 | $115.00 | $184.06 – $184.06 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $39.50 | $79.00 | $8.29 – $9.47 | 4 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $257.84 – $257.84 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $405.33 – $462.83 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $65.50 | $131.00 | $49.42 – $56.43 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $158.00 | $316.00 | $50.09 – $57.20 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $110.00 | $220.00 | $22.17 – $44.34 | 3 |
| Mayo thyroglobulin CPT 84432 | $82.50 | $165.00 | $31.15 – $35.57 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $170.00 | $340.00 | $19.72 – $22.52 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $24.04 – $27.46 | 4 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $19.25 – $21.98 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $99.52 – $113.63 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $22.24 – $28.32 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $139.00 | $278.00 | $26.28 – $30.02 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $188.00 | $376.00 | $68.56 – $78.27 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $133.00 | $266.00 | $39.25 – $44.82 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | $108.50 | $217.00 | $26.79 – $34.12 | 4 |
| Mayo vitamin k CPT 84597 | $171.50 | $343.00 | $26.64 – $30.41 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $137.50 | $275.00 | $25.69 – $29.34 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Mcoln1 gene CPT 81290 | not published | not published | $61.76 – $78.62 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $121.00 | $242.00 | not published | 0 |
| Measure ureter pressure CPT 50686 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Mecasermin injection HCPCS J2170 | not published | not published | $631.14 – $763.93 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $0.02 – $216.03 | 2 |
| #mec-opiates CPT 80356 | not published | not published | $24.91 – $28.45 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $235.72 – $300.00 | 4 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $829.56 – $1,055.74 | 4 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $188.58 – $240.00 | 4 |
| Medial canthopexy CPT 21280 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $268.96 – $268.96 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $195.86 | $391.71 | $0.02 – $0.79 | 2 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.44 – $0.44 | 2 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $7.72 – $14.73 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $4,320.00 | $8,640.00 | $209.78 – $1,697.34 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $209.78 – $209.78 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $51.46 – $56.27 | 2 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $3,141.60 | $6,283.20 | $209.78 – $670.00 | 2 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $121,515.00 | $243,030.00 | $108,990.84 – $138,148.31 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $209.78 – $598.51 | 2 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $209.78 – $2,235.12 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $8,555.00 | $17,110.00 | $130.65 – $209.78 | 2 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $393.43 – $498.43 | 3 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $521.97 | $1,043.94 | $11.66 – $17.64 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $12.67 – $12.67 | 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.