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 |
|---|---|---|---|---|
| Probe nasolacrimal duct CPT 68815 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,994.57 | $3,989.14 | $335.55 – $543.46 | 4 |
| Procalcitonin CPT 84145 | $97.50 | $195.00 | $51.98 – $59.35 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $276.09 – $284.20 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $31.20 | $62.41 | $5.08 – $6.66 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.04 | $2.07 | $0.53 – $1.29 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $209.78 – $289.44 | 2 |
| Progesterone CPT 84144 | $136.00 | $272.00 | $40.47 – $46.21 | 4 |
| Prolactin CPT 84146 | $98.00 | $196.00 | $37.60 – $42.93 | 4 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.59 | $1.18 | $0.12 – $0.48 | 3 |
| Promethazine hcl injection HCPCS J2550 | $31.16 | $62.31 | $5.22 – $6.70 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $67.52 | $135.04 | $0.14 – $0.18 | 4 |
| _propoxygc/msur CPT 80367 | not published | not published | $19.80 – $22.60 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $79.69 | $159.38 | $16.46 – $19.19 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $389.22 – $566.82 | 4 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $238.32 | $476.63 | $2.61 – $3.34 | 4 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,780.26 – $1,780.26 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $50.64 – $57.82 | 4 |
| Protein c activity CPT 85303 | $122.50 | $245.00 | $26.83 – $30.64 | 4 |
| Protein c concentrate HCPCS J2724 | not published | not published | $23.51 – $30.10 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $50.00 | $100.00 | $20.82 – $23.78 | 4 |
| Protein s total CPT 85305 | $143.00 | $286.00 | $22.51 – $25.70 | 4 |
| Protein total 24 hour urine CPT 84156 | $21.50 | $43.00 | $7.11 – $8.12 | 4 |
| Protein total body fluid CPT 84157 | $43.50 | $87.00 | $7.11 – $8.12 | 4 |
| Protein total serum plasma whole blood CPT 84155 | $24.50 | $49.00 | $7.11 – $8.12 | 4 |
| Protein western blot tissue CPT 88371 | not published | not published | $44.46 – $56.49 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | $1,433.75 | $2,867.50 | $3.38 – $4.80 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $41.00 | $82.00 | $7.66 – $8.75 | 4 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $16.70 – $19.48 | 4 |
| Provide inr test mater/equip HCPCS G0249 | $188.00 | $376.00 | not published | 0 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $174.00 | $348.00 | $3,818.00 – $3,818.00 | 1 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $402.50 | $805.00 | $3,818.00 – $3,818.00 | 1 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $223.50 | $447.00 | $3,818.00 – $3,818.00 | 1 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $229.00 | $458.00 | $3,818.00 – $3,818.00 | 1 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $180.50 | $361.00 | $3,818.00 – $3,818.00 | 1 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $238.00 | $476.00 | $3,818.00 – $3,818.00 | 1 |
| Pr robotic surgical system HCPCS S2900 | $0.00 | $0.01 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,556.50 | $3,113.00 | $5,941.00 – $5,941.00 | 1 |
| PSA (Prostate) Test CPT 84153 | $84.50 | $169.00 | $35.67 – $40.73 | 4 |
| Psychotherapy group therapy CPT 90853 | $89.50 | $179.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $97.00 | $194.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $137.50 | $275.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $236.50 | $473.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $89.50 | $179.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $17.50 | $35.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $99.50 | $199.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $61.50 | $123.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $75.50 | $151.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $471.45 – $600.00 | 4 |
| Pten gene full sequence CPT 81321 | not published | not published | $942.90 – $1,200.00 | 4 |
| Pten gene known fam variant CPT 81322 | not published | not published | $83.05 – $94.83 | 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.