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 |
|---|---|---|---|---|
| Streptozocin injection HCPCS J9320 | $1,407.52 | $2,815.05 | $289.33 – $2,090.40 | 3 |
| Stress test pulmonary CPT 94618 | $133.50 | $267.00 | not published | 0 |
| Stress tte complete CPT 93351 | $1,722.00 | $3,444.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | not published | not published | $478.99 – $609.62 | 4 |
| Str markers specimen anal CPT 81265 | not published | not published | $417.23 – $476.42 | 4 |
| St treatment speech individual CPT 92507 | $215.50 | $431.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $217.50 | $435.00 | not published | 0 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $54.80 | $109.60 | $0.94 – $2.46 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sugars multiple quant CPT 84379 | not published | not published | $22.35 – $25.52 | 4 |
| Sugars single quant CPT 84378 | not published | not published | $22.35 – $25.52 | 4 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $24,736.00 | $49,472.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.08 | 4 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $12.45 – $14.22 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $25.36 | $50.72 | $78.11 – $293.16 | 3 |
| Supprelin la implant HCPCS J9226 | not published | not published | $64,317.02 – $82,346.86 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Surgical opening esophagus CPT 43351 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $89.50 | $179.00 | $37.44 – $45.98 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $140.00 | $280.00 | $45.98 – $88.56 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $257.00 | $514.00 | $80.23 – $98.94 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $325.50 | $651.00 | $71.54 – $98.94 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $578.00 | $1,156.00 | $286.25 – $566.82 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $711.50 | $1,423.00 | $399.40 – $1,256.40 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $134.00 – $209.78 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $43.00 | $86.00 | $9.19 – $10.50 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $36.00 | $72.00 | $9.19 – $10.50 | 4 |
| Susceptibility mic per plate CPT 87186 | $54.00 | $108.00 | $16.78 – $19.16 | 4 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $12.89 – $14.71 | 4 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suspension of uterus CPT 58410 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,336.68 – $1,336.68 | 1 |
| Sweat collection by iontophoresis CPT 89230 | $190.50 | $381.00 | $5.66 – $98.94 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $4.87 – $6.24 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | $352.60 | $705.21 | $10.87 – $13.92 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $77.50 | $155.00 | $8.56 – $9.78 | 4 |
| System cardiomems hosp electronics HCPCS C2624 | $58,750.00 | $117,500.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $35,112.50 | $70,225.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $14,337.00 | $28,674.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $98.50 | $197.00 | $32.88 – $37.55 | 4 |
| T3 (triiodothyronine) total CPT 84480 | $120.00 | $240.00 | $27.50 – $31.40 | 4 |
| T4 (thyroxine) free CPT 84439 | $71.50 | $143.00 | $17.48 – $19.96 | 4 |
| T4 (thyroxine) total CPT 84436 | $45.50 | $91.00 | $13.32 – $15.21 | 4 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.92 – $1.18 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $44.23 | $88.46 | $2.91 – $3.72 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $47.54 | $95.08 | $0.36 – $0.46 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,108.20 | $2,216.41 | $406.08 – $519.92 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $222.50 | $445.00 | $26.64 – $30.41 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $3,396.50 | $6,793.00 | $22.13 – $28.34 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $16,658.82 | $33,317.65 | $115.50 – $147.88 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $19,613.80 | $39,227.60 | $116.97 – $149.76 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $80.40 – $209.78 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.45 – $0.46 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,292.50 | $2,585.00 | $1,193.59 – $1,519.06 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $4,588.15 – $5,839.20 | 4 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $939.60 – $1,195.82 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $2,448.94 – $3,135.44 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tavr perq femoral CPT 33361 | not published | not published | $37,127.00 – $37,127.00 | 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.