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 |
|---|---|---|---|---|
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $907.72 | $1,815.43 | $74.68 – $94.41 | 3 |
| Vaccine rabies im CPT 90675 | $1,780.26 | $3,560.52 | $492.41 – $630.44 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $588.40 | $1,176.79 | $498.42 – $631.75 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,135.24 | $2,270.47 | $929.54 – $1,178.22 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,135.24 | $2,270.47 | $929.54 – $1,178.22 | 3 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $478.55 – $635.68 | 3 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $243.38 – $308.24 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $160.49 – $203.18 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $160.60 | $321.20 | $61.67 – $78.96 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $159.04 | $318.09 | $60.53 – $77.50 | 4 |
| Vaccine typhoid vicps im CPT 90691 | $325.62 | $651.24 | $252.44 – $274.54 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $409.26 | $818.53 | $300.11 – $380.14 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $400.41 – $507.54 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.02 – $0.02 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $28,110.00 – $28,110.00 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.03 – $0.08 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $142.50 | $285.00 | $26.28 – $30.02 | 4 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,984.68 – $2,541.04 | 4 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.05 – $0.06 | 4 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.16 – $0.20 | 4 |
| Vancomycin hcl injection HCPCS J3370 | $154.40 | $308.80 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $86.00 | $172.00 | $26.28 – $30.02 | 4 |
| Vanomycin dna amp probe CPT 87500 | $49.00 | $98.00 | $68.09 – $77.73 | 4 |
| Vantas implant HCPCS J9225 | $12,207.65 | $24,415.30 | $0.02 – $7,770.72 | 2 |
| Varicella zoster antibody igg CPT 86787 | $117.50 | $235.00 | $24.99 – $28.53 | 4 |
| Varicella-zoster immue globin im CPT 90396 | $4,062.76 | $8,125.51 | $3,776.55 – $3,899.36 | 3 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $39,249.00 – $39,249.00 | 1 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vasectomy CPT 55250 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $80.23 | $160.46 | $0.83 – $1.06 | 4 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $21,692.45 | $43,384.90 | $32.77 – $41.96 | 4 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,062.50 | $4,125.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,527.50 | $3,055.00 | not published | 0 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $1,336.68 – $1,336.68 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $5,875.11 – $5,875.11 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,458.00 – $3,458.00 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,458.00 – $3,458.00 | 1 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $1,336.68 – $1,336.68 | 1 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $3,458.00 – $3,458.00 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $3,678.15 | $7,356.30 | $606.34 – $776.32 | 4 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $7.86 – $8.97 | 3 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $209.78 – $1,527.60 | 2 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $130.50 | $261.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,224.50 | $2,449.00 | $3,458.00 – $3,458.00 | 1 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $965.00 | $1,930.00 | $1,336.68 – $1,336.68 | 1 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Venous sampling s&i CPT 75893 | not published | not published | $9,743.92 – $9,743.92 | 1 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $2,697.04 – $2,697.04 | 1 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $780.44 – $780.44 | 1 |
| Ventilator each subsequent day CPT 94003 | $666.50 | $1,333.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $666.50 | $1,333.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Version cephalic external CPT 59412 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $18.07 – $23.14 | 4 |
| Very long chain fatty acids CPT 82726 | $225.00 | $450.00 | $35.04 – $40.01 | 4 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $298.22 | $596.43 | $8.04 – $10.32 | 4 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $81.36 | $162.72 | $12.67 – $17.53 | 4 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $105.20 | $210.40 | $7.76 – $9.94 | 4 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $27.50 – $34.98 | 4 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $39.21 – $44.77 | 4 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $20,580.00 – $20,580.00 | 1 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $20,580.00 – $20,580.00 | 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.