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 |
|---|---|---|---|---|
| Revision of penis CPT 54420 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Revision of penis CPT 54430 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision of radius CPT 25355 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Revision of scrotum CPT 55175 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of testis CPT 54660 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision of toe CPT 28312 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision of upper arm CPT 24940 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision of urinary tract CPT 51820 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Revision tips CPT 37183 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $209.78 – $280.81 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $209.78 – $2,235.12 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $5,044.25 | $10,088.50 | $16.86 – $21.58 | 4 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $99.00 | $198.00 | $11.00 – $12.56 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $22.50 | $45.00 | $11.00 – $12.56 | 4 |
| Rh ig IV CPT 90386 | not published | not published | $16.75 – $1,096.84 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $48.02 – $132.00 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $188.85 | $377.70 | $7.58 – $9.70 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $42.99 – $55.04 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $867.42 | $1,734.85 | $53.52 – $68.52 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $193.30 | $386.59 | $123.25 – $157.80 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $133.26 – $217.01 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rib cartilage graft CPT 21230 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $3,561.59 – $4,514.40 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.27 – $0.34 | 4 |
| Rilonacept injection HCPCS J2793 | not published | not published | $44.66 – $56.03 | 3 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $247.28 | $494.55 | not published | 0 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $6.82 – $6.82 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $23,597.35 | $47,194.70 | $22.81 – $29.20 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,006.74 | $6,013.47 | $16.87 – $21.60 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $11,770.00 | $23,540.00 | $115.85 – $148.32 | 4 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $18,872.38 | $37,744.77 | $56.67 – $72.56 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $7,483.88 | $14,967.75 | $48.86 – $63.60 | 4 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $5,733.62 | $11,467.25 | $31.65 – $40.52 | 4 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,699.50 | $13,399.00 | $21.39 – $29.73 | 4 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $18,563.00 – $18,563.00 | 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.