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 |
|---|---|---|---|---|
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,025.50 | $2,051.00 | $637.34 – $637.34 | 1 |
| MRA pelvis CPT 72198 | $1,025.50 | $2,051.00 | $638.10 – $638.10 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $809.52 – $809.52 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $494.04 – $494.04 | 1 |
| MRA spinal canal CPT 72159 | $986.50 | $1,973.00 | $662.58 – $662.58 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $662.58 – $662.58 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $809.52 – $809.52 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $809.52 – $809.52 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $809.52 – $809.52 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $809.52 – $809.52 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $494.04 – $494.04 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $494.04 – $494.04 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $494.04 – $494.04 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $494.04 – $494.04 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $809.52 – $809.52 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $809.52 – $809.52 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $809.52 – $809.52 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $809.52 – $809.52 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $809.52 – $809.52 | 1 |
| Mr elastography CPT 76391 | not published | not published | $494.04 – $494.04 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $34,713.00 | $69,426.00 | $37,127.00 – $37,127.00 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $386.31 – $386.31 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $1,020.95 – $1,020.95 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $386.31 – $386.31 | 1 |
| MRI breast c- unilateral CPT 77046 | $757.00 | $1,514.00 | $462.09 – $527.63 | 4 |
| MRI breast c-+ w/cad uni CPT 77048 | $906.50 | $1,813.00 | $609.01 – $609.01 | 1 |
| MRI breast without cont bi CPT 77047 | $1,078.00 | $2,156.00 | $462.09 – $527.63 | 4 |
| MRI breast w IV cont bi CPT 77049 | $1,424.50 | $2,849.00 | $606.72 – $606.72 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $790.00 | $1,580.00 | $494.04 – $494.04 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,033.50 | $2,067.00 | $809.52 – $809.52 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,240.50 | $2,481.00 | $1,443.34 – $1,443.34 | 1 |
| MRI chest without contrast CPT 71550 | $722.00 | $1,444.00 | $462.09 – $527.63 | 4 |
| MRI chest without & w/contrast CPT 71552 | $943.00 | $1,886.00 | $757.16 – $864.55 | 4 |
| MRI chest w IV cont CPT 71551 | not published | not published | $1,443.34 – $1,443.34 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $732.50 | $1,465.00 | $462.09 – $527.63 | 4 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,651.06 – $2,651.06 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $869.00 | $1,738.00 | $809.52 – $809.52 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $951.50 | $1,903.00 | $462.09 – $527.63 | 4 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,332.00 | $2,664.00 | $757.16 – $864.55 | 4 |
| MRI orbit/face/neck without contrast CPT 70540 | $646.50 | $1,293.00 | $462.09 – $527.63 | 4 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $888.00 | $1,776.00 | $757.16 – $864.55 | 4 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $809.52 – $809.52 | 1 |
| MRI tmj CPT 70336 | $664.00 | $1,328.00 | $462.09 – $527.63 | 4 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $951.50 | $1,903.00 | $462.09 – $527.63 | 4 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,332.00 | $2,664.00 | $757.16 – $864.55 | 4 |
| MRI upper extremity w/dye CPT 73219 | $790.50 | $1,581.00 | $809.52 – $809.52 | 1 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $809.52 – $809.52 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $386.31 – $386.31 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $809.52 – $809.52 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $809.52 – $809.52 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $186.67 – $186.67 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $194.59 – $194.59 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $125.93 – $125.93 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $51.92 – $51.92 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $512.45 – $512.45 | 1 |
| Mr spectroscopy CPT 76390 | $817.00 | $1,634.00 | $763.56 – $763.56 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $335.20 – $426.60 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $599.84 – $763.40 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $530.73 – $675.46 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $374.02 – $476.00 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $1,008.67 – $1,283.70 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $484.02 – $616.00 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Mthfr gene analy common variants CPT 81291 | $536.00 | $1,072.00 | $102.70 – $130.68 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $42.23 – $53.76 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $83.09 – $94.88 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $11.39 – $13.01 | 4 |
| Mucopolysaccharides CPT 83864 | not published | not published | $44.79 – $57.00 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $25.58 – $30.00 | 4 |
| Multiple sleep latency test CPT 95805 | $2,697.00 | $5,394.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $103.00 | $206.00 | $25.30 – $28.90 | 4 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $75.82 – $96.48 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $38.89 – $44.41 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $83.09 – $94.88 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $822.38 | $1,644.77 | $0.22 – $0.28 | 4 |
| Mycophenolic acid HCPCS J7518 | $1.11 | $2.22 | $0.50 – $0.64 | 4 |
| Mycoplasma antibody igm CPT 86738 | $134.00 | $268.00 | $25.69 – $29.34 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $483.50 | $967.00 | $275.64 – $350.80 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | $2,062.50 | $4,125.00 | $1,443.34 – $1,443.34 | 1 |
| Myelography l-s spine CPT 72265 | $927.00 | $1,854.00 | $1,443.34 – $1,443.34 | 1 |
| Myelography neck spine CPT 72240 | $1,579.00 | $3,158.00 | $1,443.34 – $1,443.34 | 1 |
| Myelography thoracic spine CPT 72255 | not published | not published | $1,443.34 – $1,443.34 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $4,670.50 | $9,341.00 | $3,818.00 – $3,818.00 | 1 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,734.00 | $7,468.00 | $3,818.00 – $3,818.00 | 1 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,314.00 | $4,628.00 | $3,818.00 – $3,818.00 | 1 |
| Myelography via inj w/s&i thoracic CPT 62303 | $4,144.50 | $8,289.00 | $3,818.00 – $3,818.00 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $23.00 | $46.00 | $22.39 – $25.57 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $5,831.06 – $5,831.06 | 1 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $5,831.06 – $5,831.06 | 1 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $3,059.35 – $3,059.35 | 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.