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 |
|---|---|---|---|---|
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $234.19 – $267.41 | 4 |
| Wash harvest stem cells CPT 38209 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Wbc automated CPT 85048 | $34.50 | $69.00 | $4.91 – $5.61 | 4 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $37,127.00 – $37,127.00 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Western blot test CPT 84181 | $82.00 | $164.00 | $33.04 – $37.73 | 4 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $23.02 – $30.24 | 4 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $234.00 | $468.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $480.00 | $960.00 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $275.50 | $551.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $1,946.50 | $3,893.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $2,022.52 – $2,574.00 | 4 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $1,470.92 – $1,872.00 | 4 |
| Wilate injection HCPCS J7183 | $1,645.34 | $3,290.69 | $2.06 – $2.64 | 4 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.28 – $0.28 | 1 |
| Wound closure by adhesive HCPCS G0168 | $107.50 | $215.00 | not published | 0 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $209.78 – $1,943.00 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $408.50 | $817.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $542.00 | $1,084.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $325.50 | $651.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $542.00 | $1,084.00 | not published | 0 |
| Wrist arthroscopy CPT 29840 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $18,563.00 – $18,563.00 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $34,475.00 – $34,475.00 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Wrist X-ray CPT 73110 | $254.00 | $508.00 | $164.49 – $187.82 | 4 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $20.90 – $25.74 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $24,928.00 – $24,928.00 | 1 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $410.46 – $505.38 | 3 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $1,828.00 – $3,796.40 | 4 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $1,828.00 – $3,796.40 | 4 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $45.98 – $63.53 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $5,941.00 – $5,941.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $195.50 | $391.00 | $164.49 – $187.82 | 4 |
| X-ray abdomen 2 views CPT 74019 | $283.50 | $567.00 | $231.00 – $263.76 | 4 |
| X-ray abdomen >=3 views CPT 74021 | $312.00 | $624.00 | $231.00 – $263.76 | 4 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $380.00 | $760.00 | $231.00 – $263.76 | 4 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $204.50 | $409.00 | $164.49 – $187.82 | 4 |
| X-ray ankle 2 views (both sides) CPT 73600 | $242.00 | $484.00 | $164.49 – $187.82 | 4 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $909.00 | $1,818.00 | $809.52 – $809.52 | 1 |
| X-ray assay calculus CPT 82370 | not published | not published | $24.28 – $27.72 | 4 |
| X-ray bone age studies CPT 77072 | $106.50 | $213.00 | $231.00 – $263.76 | 4 |
| X-ray bone length studies CPT 77073 | $267.00 | $534.00 | $231.00 – $263.76 | 4 |
| X-ray bone survey complete CPT 77075 | $425.50 | $851.00 | $231.00 – $263.76 | 4 |
| X-ray bone survey infant CPT 77076 | $427.50 | $855.00 | $231.00 – $263.76 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $208.50 | $417.00 | $164.49 – $187.82 | 4 |
| X-ray cervical spine 4-5 views CPT 72050 | $289.50 | $579.00 | $231.00 – $263.76 | 4 |
| X-ray cervical spine >= 6 views CPT 72052 | $306.00 | $612.00 | $231.00 – $263.76 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | $239.50 | $479.00 | $164.49 – $187.82 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $524.00 | $1,048.00 | $386.31 – $386.31 | 1 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $875.50 | $1,751.00 | $386.31 – $386.31 | 1 |
| X-ray elbow 2 views (both sides) CPT 73070 | $241.00 | $482.00 | $164.49 – $187.82 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $263.50 | $527.00 | $164.49 – $187.82 | 4 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $463.00 | $926.00 | $386.31 – $386.31 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $231.00 – $263.76 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray exam of arm infant CPT 73092 | $243.00 | $486.00 | $231.00 – $263.76 | 4 |
| X-ray exam of eye sockets CPT 70200 | $225.50 | $451.00 | $231.00 – $263.76 | 4 |
| X-ray exam of femur 1 CPT 73551 | $102.50 | $205.00 | $164.49 – $187.82 | 4 |
| X-ray exam of jaw joint CPT 70328 | $170.50 | $341.00 | $164.49 – $187.82 | 4 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $1,020.95 – $1,020.95 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $169.20 – $169.20 | 1 |
| X-ray exam of sinuses CPT 70210 | $186.50 | $373.00 | $164.49 – $187.82 | 4 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $169.20 – $169.20 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $282.50 | $565.00 | $231.00 – $263.76 | 4 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $211.00 | $422.00 | $164.49 – $187.82 | 4 |
| X-ray facial bones complete > 3 views CPT 70150 | $238.00 | $476.00 | $231.00 – $263.76 | 4 |
| X-ray femur >=2 views (both sides) CPT 73552 | $316.00 | $632.00 | $164.49 – $187.82 | 4 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $154.00 | $308.00 | $164.49 – $187.82 | 4 |
| X-ray foot 2 views (both sides) CPT 73620 | $242.00 | $484.00 | $164.49 – $187.82 | 4 |
| X-ray forearm 2 views (both sides) CPT 73090 | $240.00 | $480.00 | $164.49 – $187.82 | 4 |
| X-ray hand 2 views (both sides) CPT 73120 | $231.50 | $463.00 | $231.00 – $263.76 | 4 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $169.20 – $169.20 | 1 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $254.00 | $508.00 | $164.49 – $187.82 | 4 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $233.00 | $466.00 | $231.00 – $263.76 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $284.00 | $568.00 | $231.00 – $263.76 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $154.00 | $308.00 | $164.49 – $187.82 | 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.