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 |
|---|---|---|---|---|
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.39 – $0.50 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $215.30 – $274.00 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $88.04 – $88.04 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $22.01 – $22.01 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $175.13 – $175.13 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $175.13 – $175.13 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $379.50 | $759.00 | $157.15 – $200.00 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $120.26 – $137.32 | 4 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $867.45 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.02 – $2,138.32 | 2 |
| Tc-99m bicisate HCPCS A9557 | $1,718.19 | $3,436.38 | $1,279.61 – $6,072.32 | 3 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $1,321.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.02 – $101.95 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,541.31 – $2,756.06 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | $2,007.92 | $4,015.83 | $2,644.26 – $2,756.06 | 3 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $484.25 – $542.19 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $88.76 | $177.52 | $0.02 – $179.67 | 2 |
| Tc-99m maa HCPCS A9540 | $68.80 | $137.61 | $46.86 – $50.14 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $393.50 | $787.00 | $88.26 – $187.21 | 3 |
| Tc-99m medronate HCPCS A9503 | $120.97 | $241.94 | $20.31 – $106.36 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $877.24 | $1,754.48 | $1,308.90 – $1,308.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $121.16 | $242.33 | $0.02 – $85.98 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $1,849.72 | $3,699.45 | $47.39 – $47.39 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $34.72 – $34.72 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $88.80 | $177.59 | $2.69 – $18.18 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $274.68 | $549.36 | $74.96 – $102.99 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $150.50 | $301.00 | $743.46 – $743.46 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,732.16 | $3,464.32 | $1,088.88 – $1,088.88 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $335.12 | $670.25 | $417.66 – $1,239.81 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $150.50 | $301.00 | $133.20 – $192.89 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,602.65 | $3,205.30 | $1,033.44 – $1,063.81 | 2 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tcd emboli detect without inj CPT 93892 | $584.00 | $1,168.00 | not published | 0 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $219.00 | $438.00 | $91.15 – $104.07 | 4 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $51.94 – $59.30 | 4 |
| T cells total count CPT 86359 | $170.00 | $340.00 | $73.19 – $83.58 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $347.55 – $444.98 | 4 |
| Telavancin injection HCPCS J3095 | $1,710.70 | $3,421.40 | $10.98 – $14.06 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $37.50 | $75.00 | not published | 0 |
| Temozolomide HCPCS J8700 | $10.74 | $21.47 | $0.62 – $0.80 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $16.25 – $20.80 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,197.78 | $4,395.56 | $46.99 – $60.16 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $18,255.45 | $36,510.90 | $308.42 – $400.05 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $29.20 | $58.40 | $4.62 – $5.92 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $57.17 – $130.53 | 3 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $291.04 – $370.40 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $11.67 – $13.33 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $9.15 – $11.64 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $15.83 – $19.10 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $780.44 – $780.44 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $100.18 – $114.39 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $3.33 – $4.26 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $52.00 | $104.00 | $71.00 – $114.39 | 4 |
| Test stress cardiovascular tracing only CPT 93017 | $626.50 | $1,253.00 | not published | 0 |
| Test urine for lactose CPT 83633 | not published | not published | $17.68 – $22.50 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $20.98 – $26.72 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $7.03 – $8.94 | 4 |
| Tetanus ig im CPT 90389 | not published | not published | $1,024.21 – $1,298.20 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $1,913.96 | $3,827.93 | $871.84 – $1,116.24 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $10,424.22 | $20,848.45 | $27.46 – $35.16 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $215.30 – $274.00 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,519.06 | 3 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $5,839.20 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $1,072.88 – $1,195.82 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $287.00 – $672.91 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $287.00 – $672.91 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $287.00 – $672.91 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $98.22 – $112.16 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $171.00 | $342.00 | $27.42 – $31.31 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | $162.00 | $324.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $33.00 | $66.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $33.00 | $66.00 | not published | 0 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $386.31 – $386.31 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $37.04 | $74.09 | $2.42 – $3.10 | 4 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $60.22 – $77.10 | 4 |
| Thiotepa injection HCPCS J9340 | $810.10 | $1,620.21 | not published | 0 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,008.50 | $6,017.00 | $3,818.00 – $3,818.00 | 1 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Thoracic duct procedure CPT 38380 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Thoracic duct procedure CPT 38381 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Thoracic duct procedure CPT 38382 | 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.