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 |
|---|---|---|---|---|
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $405.00 | $810.00 | $231.00 – $263.76 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $297.50 | $595.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $395.50 | $791.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $513.50 | $1,027.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $592.00 | $1,184.00 | $164.49 – $187.82 | 4 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $169.20 – $169.20 | 1 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $237.61 – $237.61 | 1 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $443.00 | $886.00 | $231.00 – $263.76 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $226.59 – $226.59 | 1 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $347.50 | $695.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $333.50 | $667.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $805.00 | $1,610.00 | $480.30 – $548.42 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $537.50 | $1,075.00 | $231.00 – $263.76 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $517.00 | $1,034.00 | $231.00 – $263.76 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $439.00 | $878.00 | $231.00 – $263.76 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $237.61 – $237.61 | 1 |
| Ultrasound retroperitoneal limited CPT 76775 | $341.00 | $682.00 | $231.00 – $263.76 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $405.00 | $810.00 | $231.00 – $263.76 | 4 |
| Ultrasound spinal canal and contents CPT 76800 | $405.00 | $810.00 | $231.00 – $263.76 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | $416.00 | $832.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $342.50 | $685.00 | $231.00 – $263.76 | 4 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $386.31 – $386.31 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | $1,338.00 | $2,676.00 | $47.38 – $54.10 | 3 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted CT procedure CPT 76497 | not published | not published | $169.20 – $169.20 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $98.94 – $98.94 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $98.94 – $98.94 | 1 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $169.20 – $169.20 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px renal CPT 50549 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px testis CPT 54699 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $28,218.00 – $28,218.00 | 1 |
| Unlisted maaa CPT 81599 | $466.00 | $932.00 | not published | 0 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $98.94 – $98.94 | 1 |
| Unlisted mr procedure CPT 76498 | not published | not published | $158.25 – $180.69 | 4 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $780.44 – $780.44 | 1 |
| Unlisted orl service/px CPT 92700 | $391.50 | $783.00 | not published | 0 |
| Unlisted procedure colon CPT 45399 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure spine CPT 22899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted px inner ear CPT 69949 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | $241.00 | $482.00 | $28,110.00 – $28,110.00 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $98.94 – $98.94 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $780.44 – $780.44 | 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.