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 |
|---|---|---|---|---|
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $83.05 – $94.83 | 4 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $319.80 – $407.00 | 4 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $1,111.09 – $1,353.00 | 4 |
| Pms2 known familial variants CPT 81318 | not published | not published | $520.17 – $662.00 | 4 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $75.82 – $86.58 | 4 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $9.19 – $9.19 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $173.50 | $347.00 | $40.98 – $52.14 | 4 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $45,244.50 | $90,489.00 | $214.37 – $274.46 | 4 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,367.00 | $6,734.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,367.00 | $6,734.00 | not published | 0 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $18.62 – $21.27 | 4 |
| Porfimer sodium injection HCPCS J9600 | $29,486.00 | $58,972.00 | $36,432.86 – $46,179.54 | 3 |
| Positional change of finger CPT 26555 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $39.29 – $50.00 | 4 |
| Potassium 24 hour urine CPT 84133 | $59.00 | $118.00 | $8.37 – $9.55 | 4 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $158.28 | $316.55 | $0.20 – $0.26 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $9.15 – $11.66 | 4 |
| Potassium serum/plasma/whole blood CPT 84132 | $27.50 | $55.00 | $8.92 – $10.19 | 4 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $3.12 – $3.12 | 1 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $4.90 – $4.90 | 1 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $7.68 – $7.68 | 1 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $6.73 – $6.73 | 1 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $7.06 – $7.06 | 1 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $5.20 – $5.20 | 1 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $10.32 – $10.32 | 1 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $215.30 – $274.00 | 4 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Pq thr inj ext pse CPT 36002 | $658.50 | $1,317.00 | $3,818.00 – $3,818.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pralatrexate injection HCPCS J9307 | $35,639.75 | $71,279.50 | $613.47 – $785.44 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $1,734.38 | $3,468.76 | $135.43 – $171.67 | 3 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $772.00 | $1,544.00 | $18,563.00 – $18,563.00 | 1 |
| Pr application of long arm splint CPT 29105 | $288.50 | $577.00 | $3,818.00 – $3,818.00 | 1 |
| Pr application splint static short arm CPT 29125 | $370.50 | $741.00 | $3,818.00 – $3,818.00 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | $394.50 | $789.00 | $3,818.00 – $3,818.00 | 1 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $173.50 | $347.00 | $3,818.00 – $3,818.00 | 1 |
| Prealbumin CPT 84134 | $99.50 | $199.00 | $28.29 – $32.30 | 4 |
| Pr ecg 12 lead report only CPT 93010 | $18.00 | $36.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $126.36 | $252.72 | $1.16 – $1.48 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $17.09 | $34.18 | $0.01 – $3.65 | 3 |
| Pregabalin - sendout CPT 80366 | not published | not published | $13.00 – $14.85 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $29.23 – $33.37 | 4 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $614.50 | $1,229.00 | $231.00 – $263.76 | 4 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $590.00 | $1,180.00 | $231.00 – $263.76 | 4 |
| Preparation palate mold CPT 42280 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Prepare donor heart CPT 33944 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $98.94 – $1,794.41 | 4 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $162.00 | $324.00 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $58.26 – $287.00 | 4 |
| Pretreat rbc absorption reference CPT 86978 | $93.00 | $186.00 | $58.26 – $66.86 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | $387.50 | $775.00 | $67.89 – $287.00 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $119.00 | $238.00 | $48.64 – $66.86 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | $166.00 | $332.00 | $39.05 – $566.82 | 4 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $343.50 | $687.00 | $3,818.00 – $3,818.00 | 1 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $827.00 | $1,654.00 | $3,818.00 – $3,818.00 | 1 |
| Pr incision & drainage abscess simple/single CPT 10060 | $732.00 | $1,464.00 | $3,818.00 – $3,818.00 | 1 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $198.00 | $396.00 | $3,818.00 – $3,818.00 | 1 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $221.00 | $442.00 | $3,818.00 – $3,818.00 | 1 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $161.00 | $322.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,704.00 | $13,408.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $5,941.00 – $5,941.00 | 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.