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 |
|---|---|---|---|---|
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $33,319.14 | $66,638.28 | $94.09 – $120.46 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet image full body CPT 78813 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $3,059.35 – $3,059.35 | 1 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $799.49 – $799.49 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $140,000.00 | $280,000.00 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ph body fluid CPT 83986 | $42.00 | $84.00 | $6.95 – $7.94 | 4 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $28.29 – $86.62 | 4 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $324.39 | $648.78 | $36.94 – $47.30 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $176.00 | $352.00 | $24.04 – $30.60 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | $1,550.97 | $3,101.94 | $402.16 – $531.07 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $26.96 | $53.91 | $0.02 – $0.02 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $159.41 – $189.74 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $35.12 | $70.23 | $0.66 – $1.00 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $177.50 | $355.00 | $25.69 – $29.34 | 4 |
| Phlebotomy therapeutic CPT 99195 | $419.00 | $838.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Phosphorus CPT 84100 | $27.50 | $55.00 | $9.19 – $10.50 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $46.00 | $92.00 | $10.06 – $11.56 | 4 |
| Photodynmc tx 30 min add-on CPT 96570 | $1,086.00 | $2,172.00 | not published | 0 |
| Photopheresis CPT 36522 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $89.97 – $102.72 | 4 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $90.52 – $287.00 | 4 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $45.98 – $103.36 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $140.88 | $281.75 | $4.94 – $6.32 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $571.71 – $1,018.68 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $431.89 – $549.66 | 4 |
| Pin caspar distraction 12mm HCPCS C1821 | $17,400.00 | $34,800.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pinworm exam CPT 87172 | not published | not published | $8.29 – $9.47 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $8.29 – $9.47 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $211.21 | $422.42 | $1.70 – $2.24 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $1,124.29 – $1,283.77 | 4 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Placement bile duct support CPT 47801 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,770.00 | $3,540.00 | $3,818.00 – $3,818.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $652.00 | $1,304.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $915.50 | $1,831.00 | $3,818.00 – $3,818.00 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $39.25 – $44.82 | 4 |
| Place po breast cath for rad CPT 19296 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $117.90 – $117.90 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $82.62 – $85.05 | 2 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $35.18 – $36.21 | 2 |
| Plasma volume multiple CPT 78111 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Plasma volume single CPT 78110 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $78.00 | $156.00 | $41.68 – $49.82 | 4 |
| Platelet automated CPT 85049 | $29.00 | $58.00 | $8.68 – $9.91 | 4 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,860.50 | $3,721.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,139.00 | $4,278.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,162.50 | $2,325.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,469.50 | $2,939.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $780.44 – $780.44 | 1 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $457.86 – $582.72 | 4 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,656.00 | $3,312.00 | $3,818.00 – $3,818.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $640.50 | $1,281.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | $356.78 | $713.55 | $51.14 – $65.48 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $968.50 | $1,937.00 | not published | 0 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $402.23 – $459.29 | 4 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $1,191.75 – $1,516.72 | 4 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $1,209.39 – $1,539.16 | 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.