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 |
|---|---|---|---|---|
| Smear wet mount CPT 87210 | $58.00 | $116.00 | $9.15 – $11.64 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $473.57 – $602.70 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $291.04 – $370.40 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $73.86 – $94.00 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $80.26 – $102.14 | 4 |
| Sodium 24 hour urine CPT 84300 | $39.00 | $78.00 | $9.43 – $10.77 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $71.00 | $142.00 | $3.42 – $4.38 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $66.00 | $132.00 | $2.12 – $2.70 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $66.12 | $132.25 | $1.09 – $1.40 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $62.00 | $124.00 | $0.17 – $0.28 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $61.22 | $122.43 | $3.73 – $4.78 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $1,063.10 | $2,126.19 | $116.27 – $148.86 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.00 | $84.00 | $9.35 – $10.68 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $537.10 | $1,074.20 | $1.29 – $1.45 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $366.13 – $2,690.62 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $366.13 – $2,391.66 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $366.13 – $6,577.02 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $366.13 – $2,092.70 | 2 |
| Solid skin barrier HCPCS A4362 | not published | not published | $5.74 – $5.74 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $250.11 – $272.56 | 3 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $366.13 – $5,979.10 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $366.13 – $1,793.74 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $41.47 – $42.69 | 2 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $37.17 – $37.17 | 1 |
| Special physics consult CPT 77370 | $1,100.50 | $2,201.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $2,701.00 | $5,402.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | not published | not published | $5.15 – $6.56 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $9.23 – $11.76 | 4 |
| Speech audiometry complete CPT 92556 | $196.00 | $392.00 | not published | 0 |
| Speech evaluation complex CPT 70371 | not published | not published | $494.04 – $494.04 | 1 |
| Speech recep thresh CPT 92555 | $133.00 | $266.00 | not published | 0 |
| Sperm antibody test CPT 89325 | not published | not published | $20.70 – $23.63 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $37.99 – $43.38 | 4 |
| Sperm identification CPT 89257 | not published | not published | $98.94 – $189.93 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $98.94 – $149.47 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $98.94 – $145.34 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,891.00 | $3,782.00 | $3,818.00 – $3,818.00 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $776.00 | $1,552.00 | not published | 0 |
| Spleen imaging CPT 78185 | not published | not published | $780.44 – $780.44 | 1 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $241.00 | $482.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Split blood or products CPT 86985 | $130.50 | $261.00 | $42.43 – $287.00 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Sputum specimen collection CPT 89220 | not published | not published | $26.01 – $287.00 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $10,484.52 | $20,969.03 | $5,857.88 – $6,841.46 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $314.74 – $350.80 | 2 |
| Srs spinal lesion CPT 63620 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $205.00 | $410.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $149.00 | $298.00 | $68.09 – $77.73 | 4 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $361.00 | $722.00 | not published | 0 |
| Stem cells total count CPT 86367 | not published | not published | $122.22 – $155.56 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $58,000.00 | $116,000.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $13,260.25 | $26,520.50 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $20,300.00 | $40,600.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Sterile needle HCPCS A4215 | not published | not published | $0.55 – $0.55 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.74 – $0.74 | 1 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $7.08 – $7.08 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| St evaluate speech sound production CPT 92522 | $280.50 | $561.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $257.50 | $515.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $355.00 | $710.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $206.00 | $412.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | not published | not published | $22.08 – $25.20 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $287.00 – $1,570.11 | 4 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $566.82 – $1,009.35 | 4 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $287.00 – $1,009.35 | 4 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $287.00 – $1,009.35 | 4 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | $148.00 | $296.00 | $3,818.00 – $3,818.00 | 1 |
| Strapping of hand or finger CPT 29280 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Strapping of knee CPT 29530 | $201.50 | $403.00 | $3,818.00 – $3,818.00 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Strep a ag ia CPT 87430 | not published | not published | $26.40 – $33.62 | 4 |
| Strep a dna dir probe CPT 87650 | not published | not published | $38.89 – $44.41 | 4 |
| Strep a dna quant CPT 87652 | not published | not published | $81.01 – $92.50 | 4 |
| Strep b assay w/optic CPT 87802 | not published | not published | $23.26 – $26.56 | 4 |
| Strep b dna amp probe CPT 87653 | $105.50 | $211.00 | $68.09 – $77.73 | 4 |
| Streptokinase antibody CPT 86590 | not published | not published | $21.45 – $25.32 | 4 |
| Streptomycin injection HCPCS J3000 | $393.36 | $786.71 | $49.46 – $80.52 | 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.