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 |
|---|---|---|---|---|
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $9,245.08 | $18,490.15 | $49.71 – $63.64 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $4.95 – $5.09 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $108.25 | $216.50 | $0.58 – $0.74 | 4 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $209.78 – $209.78 | 1 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $28.98 – $28.98 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $44.98 | $89.95 | $2.08 – $2.66 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $51.00 | $102.00 | $16.42 – $18.75 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $71.50 | $143.00 | $20.51 – $23.42 | 4 |
| Metabolic panel ionized ca CPT 80047 | $51.00 | $102.00 | $21.57 – $27.46 | 4 |
| Metered dose inhaler drug HCPCS J3535 | $551.16 | $1,102.32 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $320.96 | $641.93 | $1.42 – $3.57 | 4 |
| Methadone injection HCPCS J1230 | $1,825.35 | $3,650.70 | $22.98 – $29.42 | 4 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.45 – $0.47 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $253.00 | $506.01 | $6.56 – $8.40 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.06 | $12.12 | $0.22 – $0.28 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $127.62 | $255.25 | $4.19 – $5.41 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $163.50 | $327.00 | $69.22 – $77.14 | 2 |
| Methyldopate hcl injection HCPCS J0210 | $221.72 | $443.45 | $0.02 – $15.99 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $3,462.92 | $6,925.85 | $4.34 – $16.98 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $104.23 | $208.46 | $33.76 – $43.22 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $705.12 | $1,410.24 | $2.44 – $3.47 | 3 |
| Methylphenidate CPT 80360 | not published | not published | $16.97 – $19.38 | 3 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.80 | $5.59 | $0.22 – $0.29 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $53.93 | $107.86 | $0.17 – $0.22 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $1,013.00 | $2,026.00 | $0.37 – $0.48 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $83.81 | $167.62 | $1.48 – $1.90 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.20 – $0.29 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $32.54 | $65.08 | $0.05 – $0.06 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $176.87 – $201.96 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | $424.50 | $849.00 | $195.89 – $249.28 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $238.77 | $477.54 | $0.33 – $0.52 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $9.78 – $12.46 | 4 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $63.14 – $80.34 | 4 |
| Microdissection laser CPT 88380 | not published | not published | $160.24 – $193.62 | 4 |
| Microdissection manual CPT 88381 | $157.50 | $315.00 | $173.85 – $313.98 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $35.32 – $44.96 | 4 |
| Microsatellite instability CPT 81301 | not published | not published | $561.77 – $697.12 | 4 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $106.74 | $213.48 | $0.26 – $0.34 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.22 – $0.32 | 4 |
| Middle cerebral artery echo CPT 76821 | $398.00 | $796.00 | $231.00 – $263.76 | 4 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $57.62 – $67.17 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $51.62 | $103.24 | $1.84 – $2.36 | 4 |
| Minocycline hydrochloride HCPCS J2265 | $1,162.05 | $2,324.10 | $4.16 – $4.39 | 3 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.72 – $0.74 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $209.78 – $214.40 | 2 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $16,243.90 | $32,487.80 | $111.11 – $142.26 | 4 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.52 – $1.55 | 2 |
| Mitochondrial gene CPT 81440 | not published | not published | $5,223.67 – $6,648.00 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $277.34 | $554.68 | $44.46 – $62.76 | 4 |
| Mitomycin instillation HCPCS J9281 | $53,466.00 | $106,932.00 | $504.82 – $646.34 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $289.16 | $578.32 | $54.65 – $77.22 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Mlh1 gene CPT 81288 | $470.00 | $940.00 | $302.24 – $384.64 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $318.07 – $404.80 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $1,061.39 – $1,350.80 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $520.17 – $662.00 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $169.20 – $169.20 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $261.50 | $523.00 | $21.62 – $24.10 | 2 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.84 – $33.61 | 4 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $17.73 – $22.70 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $13,865.00 | $27,730.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $2,401.18 | $4,802.35 | $1,023.71 – $1,310.68 | 4 |
| Mopath procedure level 1 CPT 81400 | $416.00 | $832.00 | $100.50 – $127.92 | 4 |
| Mopath procedure level 3 CPT 81402 | $434.00 | $868.00 | $236.24 – $300.66 | 4 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $431.89 – $549.66 | 4 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $473.57 – $602.70 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $444.54 – $565.76 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $1,329.92 – $1,692.54 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $3,143.00 – $4,000.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $191.54 | $383.08 | $6.95 – $14.88 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $34.16 | $68.33 | $13.03 – $16.68 | 4 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $67.98 – $69.97 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,375.80 | $2,751.60 | $18.98 – $34.80 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $301.00 | $602.00 | $287.00 – $547.79 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $155.03 – $566.82 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $315.50 | $631.00 | $140.88 – $287.00 | 4 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $45,926.98 | $91,853.95 | $1,022.46 – $1,309.08 | 4 |
| Mouth piece HCPCS A4617 | not published | not published | $0.35 – $0.35 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $185.00 | $370.00 | $80.89 – $94.56 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $382.00 | $764.00 | $287.00 – $629.22 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | $155.00 | $310.00 | $122.18 – $165.30 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $175.97 – $287.00 | 4 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $270.07 – $300.66 | 2 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $38.89 – $44.41 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $475.58 – $605.24 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $0.02 – $147.69 | 2 |
| MRA abdomen post contrast CPT 74185 | $1,079.50 | $2,159.00 | $641.15 – $641.15 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $975.00 | $1,950.00 | $632.74 – $632.74 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $809.52 – $809.52 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $494.04 – $494.04 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $809.52 – $809.52 | 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.