healthcosts.net

Parkview LaGrange Hospital

207 N Townline Rd, Lagrange, IN · Parkview · · NPI 1679674956

Source: hospital's published price file ↗ · Published Sep 1, 2026 · Ingested Sep 16, 2026

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
Unlisted surgical path px CPT 88399 not published not published $98.94 – $98.94 1
Unlisted transfusion med px CPT 86999 not published not published $45.98 – $45.98 1
Unlisted ultrasound procedure CPT 76999 $409.50 $819.00 $164.49 – $187.82 4
Unlisted vasc endoscopy px CPT 37501 not published not published $3,818.00 – $3,818.00 1
Unlstd hematop ret/endo lymp CPT 78199 not published not published $780.44 – $780.44 1
Unlstd laps px mat care&dlvr CPT 59898 not published not published $28,218.00 – $28,218.00 1
Unlstd laps px sprmatic cord CPT 55559 not published not published $28,218.00 – $28,218.00 1
Upgrade pm system CPT 33214 not published not published $37,127.00 – $37,127.00 1
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 $1,027.00 $2,054.00 $757.16 – $864.55 4
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 $907.50 $1,815.00 $757.16 – $864.55 4
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 $814.50 $1,629.00 $462.09 – $527.63 4
Upper Endoscopy (EGD, diagnostic) CPT 43235 not published not published $3,818.00 – $3,818.00 1
Upper Endoscopy (EGD, with biopsy) CPT 43239 not published not published $3,818.00 – $3,818.00 1
Upper ext harvest for cabg1 seg 35600 CPT 35600 not published not published $18,563.00 – $18,563.00 1
Uppr gi scope w/submuc inj CPT 43236 not published not published $3,818.00 – $3,818.00 1
Urachal cyst/sinus excision 51500 CPT 51500 not published not published $28,218.00 – $28,218.00 1
Urea nitrogen CPT 84520 $23.00 $46.00 $7.66 – $8.75 4
Urea nitrogen 24 hour urine CPT 84540 $59.00 $118.00 $9.19 – $11.12 4
Urea nitrogen clearance CPT 84545 $111.00 $222.00 $12.81 – $14.63 4
Urea nitrogen semi-quant CPT 84525 not published not published $8.05 – $10.26 4
Ureteral reflux study CPT 78740 not published not published $780.44 – $780.44 1
Ureter endoscopy CPT 50970 not published not published $5,941.00 – $5,941.00 1
Ureter endoscopy & biopsy CPT 50955 not published not published $24,928.00 – $24,928.00 1
Ureter endoscopy & biopsy CPT 50974 not published not published $24,928.00 – $24,928.00 1
Ureter endoscopy & catheter CPT 50972 not published not published $18,563.00 – $18,563.00 1
Ureter endoscopy & treatment CPT 50957 not published not published $24,928.00 – $24,928.00 1
Ureter endoscopy & treatment CPT 50961 not published not published $24,928.00 – $24,928.00 1
Ureter endoscopy & treatment CPT 50976 not published not published $24,928.00 – $24,928.00 1
Ureter endoscopy & treatment CPT 50980 not published not published $24,928.00 – $24,928.00 1
Ureteroneocystostomy 50780 CPT 50780 not published not published $18,563.00 – $18,563.00 1
Ureteroureterostomy 50760 CPT 50760 not published not published $18,563.00 – $18,563.00 1
Urethrcystgrphy rtrgrde s&i CPT 74450 $619.00 $1,238.00 $494.04 – $494.04 1
Urethrlys transvag with scope CPT 53500 not published not published $18,563.00 – $18,563.00 1
Urethrocystography void s&i CPT 74455 $574.00 $1,148.00 $494.04 – $494.04 1
Uric acid blood CPT 84550 $32.50 $65.00 $8.76 – $10.01 4
Uric acid urine CPT 84560 $53.00 $106.00 $9.19 – $10.50 4
Urinalysis glass test CPT 81020 not published not published $7.39 – $9.40 4
Urinalysis microscopic only CPT 81015 $14.00 $28.00 $5.89 – $6.73 4
Urinalysis qual/semiquant excpt ia CPT 81005 not published not published $4.20 – $4.79 4
Urinalysis (with microscopy) CPT 81001 $41.50 $83.00 $6.17 – $7.05 4
Urinalysis (without microscopy) CPT 81003 $24.50 $49.00 $4.36 – $4.99 4
Urinary pouch on barr w/flng HCPCS A5073 not published not published $4.58 – $4.58 1
Urinary pouch w/barrier HCPCS A5071 not published not published $6.22 – $6.22 1
Urine Culture Test CPT 87086 $41.00 $82.00 $15.64 – $17.85 4
Urine ost pouch w faucet/tap HCPCS A4428 not published not published $9.85 – $9.85 1
Urine pregnancy test CPT 81025 $53.00 $106.00 $13.51 – $17.22 4
Urine screen for bacteria CPT 81007 not published not published $47.11 – $59.96 4
Urine shunt to intestine CPT 50815 not published not published $18,563.00 – $18,563.00 1
Urine specimen collect mult HCPCS P9615 not published not published $4.71 – $6.00 4
Urography, antegrade CPT 74425 not published not published $809.52 – $809.52 1
Urography inf drip &/or bolus CPT 74410 not published not published $375.56 – $428.83 4
Use 1st target lesion CPT 76982 not published not published $237.61 – $237.61 1
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 $5,084.76 $10,169.51 $18.15 – $23.24 4
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 $37,645.70 $75,291.41 $455.38 – $672.72 3
U/s trtmt, not leiomyomata HCPCS C9734 not published not published $37,127.00 – $37,127.00 1
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 not published not published $252.51 – $323.30 4
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 not published not published $229.72 – $294.12 4
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 not published not published $263.01 – $336.74 4
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 not published not published $148.09 – $189.60 4
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 not published not published $89.82 – $108.03 3
Vaccine dtap < 7 years im CPT 90700 $99.83 $199.66 $47.94 – $61.12 3
Vaccine dtap-hep b-ipv im CPT 90723 $165.26 $330.53 $173.72 – $218.96 3
Vaccine dtap-ipv 4-6 years im CPT 90696 $150.98 $301.95 $100.86 – $129.84 3
Vaccine dtap-ipv-hib-hepb im CPT 90697 not published not published $261.43 – $329.88 3
Vaccine dtap-ipv/hib im CPT 90698 not published not published $203.90 – $233.10 3
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 not published not published $49.16 – $62.07 3
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 $61.05 $122.10 $21.15 – $26.93 3
Vaccine hepatitis a (hepa) adult im CPT 90632 $170.44 $340.88 $115.17 – $147.46 4
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 $238.59 $477.18 $221.19 – $279.87 3
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 $127.36 $254.73 $62.47 – $70.97 3
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 not published not published $51.81 – $51.81 1
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 not published not published $117.39 – $150.28 4
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $249.58 $499.17 $117.39 – $150.28 4
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 $296.22 $592.43 $277.37 – $355.12 4
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $95.62 $191.24 $51.86 – $66.40 4
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 $1,062.82 $2,125.64 $514.07 – $651.35 3
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 not published not published $0.02 – $186.83 2
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 $66.09 $132.18 $153.34 – $196.32 4
Vaccine influenza inactivated adjuvant im CPT 90653 not published not published $153.34 – $196.32 4
Vaccine influenza nos 0.5ml dose im CPT 90658 not published not published $34.48 – $44.14 4
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 $29.05 $58.10 $36.27 – $46.42 4
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 not published not published $28.81 – $29.45 2
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 not published not published $106.19 – $109.12 2
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 not published not published $0.02 – $0.02 1
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 not published not published $30.82 – $31.53 2
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 not published not published $14.40 – $14.73 2
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 not published not published $38.27 – $39.20 2
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 not published not published $100.77 – $103.53 2
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 not published not published $77.32 – $98.98 4
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 not published not published $17.23 – $22.06 4
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 $387.95 $775.90 $392.57 – $497.34 3
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 not published not published $352.89 – $447.05 3
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 not published not published $276.66 – $350.43 3
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 $544.94 $1,089.87 $276.04 – $349.64 3
Vaccine mmr live subcutaneous CPT 90707 $213.00 $426.00 $153.07 – $193.28 3
Vaccine mmrv live subcutaneous CPT 90710 not published not published $451.71 – $571.56 3
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 $268.66 $537.33 $208.49 – $266.94 4
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 $466.48 $932.96 $353.71 – $425.45 3
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 not published not published $420.69 – $538.62 4
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 $532.20 $1,064.39 $488.78 – $627.44 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.