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 |
|---|---|---|---|---|
| Treat toe dislocation CPT 28666 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Treat toe fracture CPT 28525 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Treat trigeminal tract CPT 61791 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Treat ulnar fracture CPT 24675 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Treat ulnar fracture CPT 24685 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Treat wrist dislocation CPT 25675 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $99,476.00 | $198,952.00 | $223.74 – $286.46 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $23.26 – $26.56 | 4 |
| Treponema pallidum antibody CPT 86780 | $94.50 | $189.00 | $25.69 – $29.34 | 4 |
| Treprostinil injection HCPCS J3285 | $10,371.45 | $20,742.90 | $86.21 – $110.38 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | $7,365.50 | $14,731.01 | $1,232.78 – $1,578.36 | 4 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $390.91 – $446.36 | 4 |
| Trh stimulation panel CPT 80439 | not published | not published | $130.40 – $148.89 | 4 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $82.74 | $165.47 | $1.41 – $1.83 | 4 |
| Triamcinolone a inj prs-free HCPCS J3300 | $3,116.36 | $6,232.71 | $29.34 – $37.56 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.54 – $0.54 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $12.70 – $16.09 | 3 |
| Trichinella antibody CPT 86784 | not published | not published | $24.36 – $27.81 | 4 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $24.04 – $30.58 | 4 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $16.42 – $18.75 | 3 |
| Triglycerides CPT 84478 | $35.50 | $71.00 | $11.16 – $12.75 | 4 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $3,903.74 | $7,807.48 | $8.58 – $10.98 | 4 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.11 – $1.11 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | $262.24 | $524.49 | $89.38 – $115.80 | 4 |
| Trim nail(s) HCPCS G0127 | $260.00 | $520.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Triptorelin pamoate HCPCS J3315 | $10,504.62 | $21,009.25 | $733.22 – $938.76 | 4 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $933.10 – $1,281.46 | 2 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $6,480.00 – $6,480.00 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Troponin quantitative CPT 84484 | $150.50 | $301.00 | $19.60 – $24.94 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $162.06 – $209.78 | 2 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,266.00 | $4,532.00 | not published | 0 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Tx closed hip disl traumatic without anes CPT 27250 | $708.50 | $1,417.00 | $3,818.00 – $3,818.00 | 1 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tympanic membrane repair CPT 69610 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Tympanometry & reflex thresh CPT 92550 | $349.50 | $699.00 | not published | 0 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Tyms gene com variants CPT 81346 | not published | not published | $274.70 – $349.62 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $183.20 – $232.22 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $346.78 – $386.50 | 2 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $6.33 – $8.04 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $26,207.26 | $52,414.51 | $107.39 – $137.50 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $367.73 – $468.00 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $259.50 | $519.00 | $231.00 – $263.76 | 4 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $237.61 – $237.61 | 1 |
| Ultrasound breast complete CPT 76641 | $604.50 | $1,209.00 | $231.00 – $263.76 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $482.50 | $965.00 | $164.49 – $187.82 | 4 |
| Ultrasound chest CPT 76604 | $363.00 | $726.00 | $231.00 – $263.76 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $374.50 | $749.00 | $231.00 – $263.76 | 4 |
| Ultrasound dx ophth b-scan CPT 76512 | $337.50 | $675.00 | $237.61 – $237.61 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $205.50 | $411.00 | $237.61 – $237.61 | 1 |
| Ultrasound encephalogram CPT 76506 | $559.50 | $1,119.00 | $231.00 – $263.76 | 4 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $500.00 | $1,000.00 | $231.00 – $263.76 | 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.