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 |
|---|---|---|---|---|
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $253.00 | $506.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $155.50 | $311.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $213.00 | $426.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $141.50 | $283.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $134.00 | $268.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $72.50 | $145.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.00 | $160.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $46.50 | $93.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $79.50 | $159.00 | not published | 0 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $9,869.29 – $11,000.00 | 2 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $564.00 | $1,128.00 | $780.44 – $780.44 | 1 |
| Pulse ox continuous overnight monitoring CPT 94762 | $238.00 | $476.00 | not published | 0 |
| Pulse ox single CPT 94760 | $95.50 | $191.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $764.80 | $1,529.59 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,288.00 | $2,576.00 | $3,818.00 – $3,818.00 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $177.00 | $354.00 | $3,818.00 – $3,818.00 | 1 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,859.50 | $3,719.00 | $3,818.00 – $3,818.00 | 1 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $209.78 – $276.58 | 2 |
| Puraply xt 1 sq cm HCPCS Q4197 | $5,440.00 | $10,880.00 | $209.78 – $402.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $82.80 | $165.60 | $23.28 – $29.78 | 4 |
| Pyruvate CPT 84210 | $98.00 | $196.00 | $22.75 – $28.96 | 4 |
| Pyruvate kinase CPT 84220 | not published | not published | $18.31 – $20.90 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,058.50 | $4,117.00 | $1,000.60 – $1,000.60 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,127.50 | $2,255.00 | $780.44 – $780.44 | 1 |
| Quest t3 uptake CPT 84479 | $79.00 | $158.00 | $12.53 – $14.31 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | $1,559.68 | $3,119.35 | $0.02 – $194.55 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $581.53 – $727.73 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | $1,073.82 | $2,147.63 | $378.31 – $484.36 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $429.86 – $550.36 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $390.82 – $390.82 | 1 |
| Radial keratotomy CPT 65771 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radiation therapy dose plan CPT 77300 | $559.50 | $1,119.00 | not published | 0 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Radiesse injection HCPCS Q2026 | not published | not published | $576.16 – $576.16 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $38,192.49 | $76,384.98 | $277.07 – $391.63 | 3 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,624.50 | $3,249.00 | $2,697.04 – $2,697.04 | 1 |
| Radphm lcl tumor plr sgl day CPT 78800 | $696.50 | $1,393.00 | $780.44 – $780.44 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $18,235.88 | $36,471.75 | $117.89 – $150.94 | 4 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $94.01 – $135.70 | 4 |
| Rapid Strep Test CPT 87880 | not published | not published | $25.97 – $33.06 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,712.30 | $5,424.59 | $597.02 – $764.38 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $58,729.34 | $117,458.69 | $349.41 – $447.36 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $817.31 – $817.31 | 1 |
| Rbc count only automated CPT 85041 | $23.00 | $46.00 | $5.85 – $6.68 | 4 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $16.70 – $19.07 | 4 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $12.96 – $14.94 | 4 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $52.61 – $218.06 | 4 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Realignment of knee CPT 27457 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Realignment of knee CPT 27455 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Realignment of thigh bone CPT 27454 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $24,928.00 – $24,928.00 | 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.