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 |
|---|---|---|---|---|
| Part removal of metatarsal CPT 28113 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Part remove hip bone super CPT 27070 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $288.88 | $577.76 | not published | 0 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $6.46 – $6.46 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $173.25 – $304.64 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $95.65 – $304.64 | 2 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $77.61 – $86.52 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $47.83 – $101.50 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $400.81 – $510.10 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $537.75 – $688.50 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $517.81 – $659.02 | 4 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pegaspargase injection HCPCS J9266 | $46,529.45 | $93,058.90 | $44,401.22 – $56,848.12 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,396.75 | $20,793.50 | $198.98 – $263.55 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,045.58 | $10,091.15 | $208.24 – $266.62 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,188.00 | $8,376.01 | $212.27 – $274.40 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $247.22 – $316.52 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,004.26 | $8,008.51 | $123.32 – $159.00 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $5,229.92 | $10,459.85 | $175.16 – $224.26 | 4 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.02 – $0.02 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | $1,944.16 | $3,888.31 | $1,739.27 – $1,790.37 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $39,174.78 | $78,349.57 | $5,974.28 – $7,649.04 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $348.97 – $446.80 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $962.00 | $1,924.00 | $361.32 – $412.57 | 4 |
| Pelvic CT scan (with contrast) CPT 72193 | $732.00 | $1,464.00 | $361.32 – $412.57 | 4 |
| Pelvic CT scan (without contrast) CPT 72192 | $569.00 | $1,138.00 | $222.24 – $253.76 | 4 |
| Pelvic exenteration CPT 45126 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,059.50 | $2,119.00 | $757.16 – $864.55 | 4 |
| Pelvic MRI (with contrast) CPT 72196 | $898.00 | $1,796.00 | $757.16 – $864.55 | 4 |
| Pelvic MRI (without contrast) CPT 72195 | $732.50 | $1,465.00 | $462.09 – $527.63 | 4 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $434.00 | $868.00 | $231.00 – $263.76 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $405.00 | $810.00 | $231.00 – $263.76 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $28,348.37 | $56,696.74 | $95.68 – $122.50 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $140.32 | $280.65 | $6.31 – $12.79 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,052.20 | $2,104.41 | $30.49 – $39.04 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,075.92 | $4,151.85 | $49.16 – $62.92 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $119.56 | $239.12 | $1.06 – $1.36 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $0.02 – $16.53 | 2 |
| Penile injection CPT 54235 | $207.00 | $414.00 | $3,818.00 – $3,818.00 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Penis study CPT 54240 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.25 – $0.32 | 4 |
| Pentamidine non-comp unit HCPCS J2545 | $162.81 | $325.62 | $114.92 – $147.12 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.02 – $45.19 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | $3,309.25 | $6,618.50 | $60.79 – $67.94 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $5,948.18 | $11,896.35 | $4,102.59 – $5,252.66 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $6,448.50 | $12,897.00 | $37,127.00 – $37,127.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $564.38 | $1,128.75 | $62.42 – $79.92 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $389.00 | $778.00 | $5,941.00 – $5,941.00 | 1 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Peripheral vascular rehab CPT 93668 | $247.50 | $495.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $210.50 | $421.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $156.00 | $312.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $1,020.95 – $1,020.95 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $780.44 – $780.44 | 1 |
| Perphenazine 4mg oral HCPCS Q0175 | $1.15 | $2.30 | $0.73 – $1.11 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $566.00 | $1,132.00 | $3,818.00 – $3,818.00 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pertussis ag if CPT 87265 | not published | not published | $23.26 – $26.56 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $15,255.16 | $30,510.33 | $26.59 – $34.04 | 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.