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 |
|---|---|---|---|---|
| Optx palatal/max fx comp CPT 21423 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx thigh fx CPT 27269 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Oral aprepitant HCPCS J8501 | $399.49 | $798.98 | $3.73 – $5.65 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $16.70 – $220.89 | 3 |
| Oral everolimus HCPCS J7527 | $41.18 | $82.37 | $1.94 – $2.48 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $23.26 – $26.56 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $29.23 – $37.42 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $34.83 – $44.60 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $621.39 – $872.23 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Organic acids total quant ea spec CPT 83918 | $210.00 | $420.00 | $37.09 – $47.20 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $68.30 – $87.44 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $2,721.38 | $5,442.77 | $44.63 – $57.14 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $99.92 | $199.83 | $12.84 – $16.44 | 4 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $82.00 | $164.00 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $65.50 | $131.00 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $81.50 | $163.00 | not published | 0 |
| Orthopantogram CPT 70355 | not published | not published | $169.20 – $169.20 | 1 |
| Orthovisc inj per dose HCPCS J7324 | $677.90 | $1,355.79 | $170.41 – $218.18 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $121.50 | $243.00 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $139.00 | $278.00 | not published | 0 |
| Osmolality blood CPT 83930 | $63.00 | $126.00 | $12.81 – $14.63 | 4 |
| Osmolality urine CPT 83935 | $41.00 | $82.00 | $13.24 – $15.12 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.41 – $2.41 | 1 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $5.33 – $5.33 | 1 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $4.56 – $4.56 | 1 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.55 – $6.55 | 1 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.47 – $2.47 | 1 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $14.98 – $14.98 | 1 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $12.81 – $12.81 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $268.50 | $537.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $196.00 | $392.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $226.50 | $453.00 | not published | 0 |
| Other bone graft microvasc CPT 20962 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $43.37 – $49.52 | 4 |
| Oth resp proc, group HCPCS G0239 | $176.00 | $352.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $162.00 | $324.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $89.50 | $179.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $89.50 | $179.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $72.50 | $145.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $235.50 | $471.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $81.00 | $162.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $97.50 | $195.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $97.50 | $195.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $89.50 | $179.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $85.50 | $171.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $78.50 | $157.00 | not published | 0 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $0.02 – $181.32 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $19.96 – $25.40 | 4 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $106.82 | $213.64 | $1.33 – $1.70 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $211.50 | $423.00 | $0.10 – $0.16 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $0.02 – $3.86 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $27.80 | $55.59 | $2.19 – $4.47 | 3 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $0.02 – $257.93 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $0.02 – $459.10 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $215.30 – $274.00 | 4 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $65,625.00 | $131,250.00 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $113.12 | $226.25 | $0.21 – $0.30 | 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.