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 |
|---|---|---|---|---|
| X-ray humerus >= 2 views left CPT 73060 | $263.50 | $527.00 | $164.49 – $187.82 | 4 |
| X-ray joint survey 1 view CPT 77077 | $240.00 | $480.00 | $237.61 – $237.61 | 1 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $241.00 | $482.00 | $164.49 – $187.82 | 4 |
| X-ray knee 3 views (both sides) CPT 73562 | $286.00 | $572.00 | $164.49 – $187.82 | 4 |
| X-ray knee ap standing bilateral CPT 73565 | $143.00 | $286.00 | $164.49 – $187.82 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $243.00 | $486.00 | $164.49 – $187.82 | 4 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $239.50 | $479.00 | $231.00 – $263.76 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $312.00 | $624.00 | $231.00 – $263.76 | 4 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $361.00 | $722.00 | $231.00 – $263.76 | 4 |
| X-ray male genital tract CPT 74440 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray mandible complete > 4 views CPT 70110 | $262.00 | $524.00 | $231.00 – $263.76 | 4 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $169.20 – $169.20 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $199.50 | $399.00 | $164.49 – $187.82 | 4 |
| X-ray neck soft tissue CPT 70360 | $159.00 | $318.00 | $164.49 – $187.82 | 4 |
| X-ray nose to rectum for foreign body child CPT 76010 | $177.00 | $354.00 | $164.49 – $187.82 | 4 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $494.04 – $494.04 | 1 |
| X-ray optic foramina CPT 70190 | not published | not published | $169.20 – $169.20 | 1 |
| X-ray pelvis 1-2 views CPT 72170 | $193.00 | $386.00 | $231.00 – $263.76 | 4 |
| X-ray pelvis complete > 3 views CPT 72190 | $241.50 | $483.00 | $231.00 – $263.76 | 4 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $809.52 – $809.52 | 1 |
| X-ray ribs 2 views left CPT 71100 | $193.50 | $387.00 | $164.49 – $187.82 | 4 |
| X-ray ribs 3 views bilateral CPT 71110 | $227.00 | $454.00 | $231.00 – $263.76 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $235.00 | $470.00 | $231.00 – $263.76 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $307.50 | $615.00 | $231.00 – $263.76 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $193.50 | $387.00 | $231.00 – $263.76 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $199.50 | $399.00 | $164.49 – $187.82 | 4 |
| X-ray scapula complete (both sides) CPT 73010 | $272.00 | $544.00 | $231.00 – $263.76 | 4 |
| X-ray sella turcica CPT 70240 | not published | not published | $164.49 – $187.82 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $197.50 | $395.00 | $164.49 – $187.82 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $263.00 | $526.00 | $164.49 – $187.82 | 4 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $1,020.95 – $1,020.95 | 1 |
| X-ray skull < 4 views CPT 70250 | $194.50 | $389.00 | $231.00 – $263.76 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $299.00 | $598.00 | $231.00 – $263.76 | 4 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $237.61 – $237.61 | 1 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $534.00 | $1,068.00 | $386.31 – $386.31 | 1 |
| X-ray small intestine follow-through study CPT 74248 | $226.00 | $452.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $158.50 | $317.00 | $164.49 – $187.82 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $160.50 | $321.00 | $164.49 – $187.82 | 4 |
| X-ray sternum > 2 views CPT 71120 | $192.50 | $385.00 | $164.49 – $187.82 | 4 |
| X-ray surgical specimen CPT 76098 | $426.50 | $853.00 | $992.55 – $1,133.33 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $441.50 | $883.00 | $386.31 – $386.31 | 1 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $164.49 – $187.82 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $214.50 | $429.00 | $231.00 – $263.76 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $258.50 | $517.00 | $231.00 – $263.76 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $229.00 | $458.00 | $164.49 – $187.82 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $323.50 | $647.00 | $164.49 – $187.82 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $374.50 | $749.00 | $231.00 – $263.76 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $286.00 | $572.00 | $164.49 – $187.82 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $153.00 | $306.00 | $164.49 – $187.82 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $575.00 | $1,150.00 | $386.31 – $386.31 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $514.50 | $1,029.00 | $386.31 – $386.31 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $240.00 | $480.00 | $164.49 – $187.82 | 4 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $386.31 – $386.31 | 1 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $209.78 – $4,582.80 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $22.98 – $26.23 | 4 |
| Xyntha inj HCPCS J7185 | $2,555.95 | $5,111.90 | $2.33 – $2.98 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $25.58 – $29.20 | 4 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $93,760.51 – $109,033.19 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $209.78 – $1,527.60 | 2 |
| Ziconotide injection HCPCS J2278 | $7,426.56 | $14,853.13 | $16.34 – $20.92 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $167.16 | $334.32 | $2.36 – $3.02 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.36 – $2.44 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $99.55 – $113.68 | 4 |
| Zika virus igm antibody CPT 86794 | not published | not published | $32.69 – $37.32 | 4 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $95.89 | $191.78 | $9.17 – $11.74 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $2,026.00 | $4,052.00 | $13.45 – $17.22 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $52.56 – $67.30 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $171.40 | $342.80 | $6.18 – $61.76 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.02 – $235.88 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $346.78 – $386.50 | 2 |
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.