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 |
|---|---|---|---|---|
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $503.29 – $503.29 | 1 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Rsv assay w/optic CPT 87807 | not published | not published | $23.26 – $26.56 | 4 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $498.31 – $631.62 | 3 |
| Rubella antibody igg CPT 86762 | $85.50 | $171.00 | $27.93 – $31.90 | 4 |
| Rubeola ag if CPT 87283 | not published | not published | $95.55 – $121.60 | 4 |
| Rubeola antibody igg CPT 86765 | $101.50 | $203.00 | $24.99 – $28.53 | 4 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $517.81 – $659.02 | 4 |
| Russell viper venom diluted CPT 85613 | $18.50 | $37.00 | $18.58 – $21.23 | 4 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $1,834.16 – $3,136.64 | 2 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,186.05 | $12,372.10 | $57.49 – $73.60 | 4 |
| Salivary gland function exam CPT 78232 | not published | not published | $780.44 – $780.44 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $780.44 – $780.44 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $780.44 – $780.44 | 1 |
| Salmonella antibody CPT 86768 | not published | not published | $25.58 – $29.20 | 4 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.02 – $0.02 | 1 |
| Sargramostim injection HCPCS J2820 | $610.40 | $1,220.79 | $96.68 – $123.78 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $33.20 – $84.26 | 2 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $299.80 – $383.84 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $68.00 | $136.00 | $90.74 – $113.50 | 2 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $140.06 – $147.14 | 2 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $672.50 | $1,345.00 | $480.30 – $548.42 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $435.00 | $870.00 | $231.00 – $263.76 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $432.50 | $865.00 | $480.30 – $548.42 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $432.50 | $865.00 | $231.00 – $263.76 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $577.00 | $1,154.00 | $231.00 – $263.76 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $608.00 | $1,216.00 | $231.00 – $263.76 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $933.00 | $1,866.00 | $480.30 – $548.42 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $580.50 | $1,161.00 | $231.00 – $263.76 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $593.50 | $1,187.00 | $231.00 – $263.76 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $4,800.00 | $9,600.00 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $23.02 – $30.24 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $52.06 – $59.44 | 4 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $50.21 – $63.88 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $69.11 – $87.94 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $51.39 – $58.68 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $42.51 – $54.10 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $39.29 – $44.86 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $52.06 – $59.44 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $30.88 – $36.10 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $250.00 | $500.00 | $54.85 – $62.62 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $72.84 – $92.70 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $46.71 – $53.35 | 4 |
| Screening Mammogram CPT 77067 | $187.00 | $374.00 | $187.12 – $213.66 | 4 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $52.70 – $52.70 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $84.50 | $169.00 | $35.67 – $40.73 | 4 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $23.02 – $30.24 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $55,015.00 | $110,030.00 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $35.00 | $70.00 | $5.23 – $5.96 | 4 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $3,781.13 – $4,792.69 | 3 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Select picture audiometry CPT 92583 | $171.00 | $342.00 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $12.61 – $14.40 | 4 |
| Semen analysis presence/motility CPT 89321 | $131.00 | $262.00 | $23.38 – $26.69 | 4 |
| Semen analysis w/count CPT 89310 | not published | not published | $16.70 – $19.07 | 4 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $131.50 – $384.00 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.02 – $2.21 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $84.70 – $96.72 | 4 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $31.12 – $35.53 | 3 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.17 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.04 – $0.51 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $34.89 – $39.84 | 4 |
| Sex chromatin identification CPT 88140 | not published | not published | $15.98 – $20.32 | 4 |
| Sex transformation f to m CPT 55980 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $346.78 – $386.50 | 2 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Shigella antibody CPT 86771 | not published | not published | $38.46 – $48.96 | 4 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | 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.