Parkview Lagrange Hospital

207 N Townline Rd, Lagrange, IN 46761 · (260) 463-9000

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 5/5Part of Parkview Health System · 4 hospitals Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-09-01

414 price rows for 58 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$51

cash

$16 to $19

6 negotiated rates

$102

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$1,409

cash

$757 to $865

6 negotiated rates

$2,817

list

CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines

$519

cash

$222 to $254

6 negotiated rates

$1,037

list

CT scan of the pelvis, with contrast

CPT 72193

$732

cash

$361 to $413

6 negotiated rates

$1,464

list

Cataract surgery with lens implant

CPT 66984

—

cash

$5,941 to $5,941

1 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$11,360 to $25,579

6 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines

$79

cash

$68 to $78

6 negotiated rates

$158

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$5,941 to $5,941

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$5,941 to $5,941

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

$38

cash

$15 to $17

6 negotiated rates

$75

list

Comprehensive metabolic panel (blood test)

CPT 80053

$72

cash

$21 to $23

6 negotiated rates

$143

list

Diagnostic mammogram (both breasts)

CPT 77066

$223

cash

$226 to $258

6 negotiated rates

$446

list

Family psychotherapy without the patient

CPT 90846

$144

cash

—

$287

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$28,218 to $28,218

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines

$95

cash

$68 to $78

6 negotiated rates

$189

list

Group psychotherapy

CPT 90853

$90

cash

—

$179

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$22,854 to $51,459

6 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$9,237 to $20,798

6 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$14,700 to $33,099

6 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$75

cash

$27 to $41

6 negotiated rates

$150

list

Liver function panel

CPT 80076

$43

cash

$16 to $18

6 negotiated rates

$85

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 6 lines

$899

cash

$757 to $865

6 negotiated rates

$1,798

list

MRI of the knee or other lower joint, no contrast

CPT 73721

$538

cash

$462 to $753

9 negotiated rates

$1,076

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines

$238

cash

$462 to $528

6 negotiated rates

$475

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines

$238

cash

$462 to $528

6 negotiated rates

$475

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$28,925 to $65,129

6 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines

$85

cash

$36 to $41

6 negotiated rates

$169

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 3 lines

$50

cash

$12 to $13

6 negotiated rates

$99

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$615

cash

$231 to $264

6 negotiated rates

$1,229

list

Prostate biopsy

CPT 55700

—

cash

$5,941 to $5,941

1 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$37,127 to $37,127

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines

$27

cash

$8 to $9

6 negotiated rates

$53

list

Psychotherapy, 30 minutes

CPT 90832

$97

cash

—

$194

list

Psychotherapy, 45 minutes

CPT 90834

$138

cash

—

$275

list

Psychotherapy, 60 minutes

CPT 90837

$237

cash

—

$473

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

$187

cash

$187 to $214

6 negotiated rates

$374

list

Sleep study (overnight, attended)

CPT 95810

$2,897

cash

—

$5,793

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$89

cash

$33 to $37

6 negotiated rates

$177

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$24,928 to $24,928

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

$343

cash

$231 to $264

6 negotiated rates

$685

list

Ultrasound of the abdomen (complete)

CPT 76700

$417

cash

$231 to $264

6 negotiated rates

$833

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$3,818 to $3,818

1 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

$42

cash

$6 to $7

6 negotiated rates

$83

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$7,988 to $17,986

6 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$18,563 to $18,563

1 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

$312

cash

$231 to $264

6 negotiated rates

$624

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://parkview.com/-/media/parkview-media/file/price-transparency/202401676_parkview-lagrange-hospital_standardcharges.ashx
Parkview LaGrange Hospital · parsed · tall v3.0.0 · file dated 2026-09-01 · 19.8 MB · 414 price rows read · read Nov 2026