Parkview Lagrange Hospital
Parkview Lagrange Hospital in Lagrange, IN publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
207 N Townline Rd, Lagrange, IN 46761 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS W/CONTRAST | $1,408.50 | $2,817.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELVIS W/CONTRAST | $1,408.50 | $2,817.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD ATTN ORBITS W/O CON | $518.50 | $1,037.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD ATTN IAC W/O CON | $518.50 | $1,037.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD SCAN W/O CONTRAST | $518.50 | $1,037.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD ATTN IAC W/O CON | $518.50 | $1,037.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD SCAN W/O CONTRAST | $518.50 | $1,037.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD ATTN ORBITS W/O CON | $518.50 | $1,037.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $732.00 | $1,464.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $732.00 | $1,464.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DX INCL CAD BILATERAL | $223.00 | $446.00 | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DX INCL CAD BILATERAL | $223.00 | $446.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DX INCL CAD UNILATERAL | $187.00 | $374.00 | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DX INCL CAD UNILATERAL | $187.00 | $374.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI HIP W/O CONTRAST | $538.00 | $1,076.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI HIP W/O CONTRAST | $538.00 | $1,076.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-CSF FLOW BRAIN W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN & CSF FLOW STUDY W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-IAC W/O CON | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN ATTN IAC WO CON | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-CSF FLOW BRAIN W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN ATTN IAC WO CON | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-IAC W/O CON | $663.50 | $1,327.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN & CSF FLOW STUDY W/O CONTRAST | $663.50 | $1,327.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN W/WO CONTRAST | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI- IAC W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN & CSF FLOW STUDY W/WO CONTRAST | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN ATTN IAC W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN ATTN ORBITS W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN ATN PITUTRY W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN ATN PITUTRY W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN W/WO CONTRAST | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN & CSF FLOW STUDY W/WO CONTRAST | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI- IAC W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN ATTN ORBITS W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN ATTN IAC W/WO CON | $899.00 | $1,798.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-SPINE SURVEY LUM W/O CON | $237.50 | $475.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-LUMBAR SPINE W/O CONTRAST | $814.50 | $1,629.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-PRE-VERTEBROPLASTY LUMBAR | $814.50 | $1,629.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-SPINE SURVEY LUM W/O CON | $237.50 | $475.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-PRE-VERTEBROPLASTY LUMBAR | $814.50 | $1,629.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-LUMBAR SPINE W/O CONTRAST | $814.50 | $1,629.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION | $614.50 | $1,229.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION | $614.50 | $1,229.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BILATERAL | $187.00 | $374.00 | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BILATERAL | $187.00 | $374.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING | $2,896.50 | $5,793.00 | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING | $2,896.50 | $5,793.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/S TRANSVAGINAL NON-MATERNITY | $342.50 | $685.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/S TRANSVAGINAL NON-MATERNITY | $342.50 | $685.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMEN COMPLETE | $416.50 | $833.00 | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMEN COMPLETE | $416.50 | $833.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY-LS SPINE MIN 4 VIEWS | $312.00 | $624.00 | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY-LS SPINE MIN 4 VIEWS | $312.00 | $624.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $51.00 | $102.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $51.00 | $102.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $75.00 | $150.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC NMR LIPIDS | $79.00 | $158.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $75.00 | $150.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC NMR LIPIDS | $79.00 | $158.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC HEMAGRAM/AUTO DIFFERENTIAL | $37.50 | $75.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC HEMAGRAM/AUTO DIFFERENTIAL | $37.50 | $75.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMAGRAM W/PLATELETS | $28.50 | $57.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMAGRAM W/PLATELETS | $28.50 | $57.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $71.50 | $143.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $71.50 | $143.00 | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $55.50 | $111.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $55.50 | $111.00 | 50% |
| Liver function blood test panel CPT 80076 HC LIVER PROFILE | $42.50 | $85.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HC LIVER PROFILE | $42.50 | $85.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PHIDX - PHI12 PSA FREE | $48.50 | $97.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSFT - PSA FREE | $48.50 | $97.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PHIDX - PHI12 PSA FREE | $48.50 | $97.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSFT - PSA FREE | $48.50 | $97.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA-PROSTATE-SPECIFIC ANTIGEN | $84.50 | $169.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSAP - PSA POST PROSTATECTOMY | $84.50 | $169.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA-PROSTATE-SPECIFIC ANTIGEN | $84.50 | $169.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSAP - PSA POST PROSTATECTOMY | $84.50 | $169.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC VWIL6-APTT VWILL PANEL | $49.50 | $99.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPT5-PTT/LA SCREEN LA EVAL | $49.50 | $99.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $61.50 | $123.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPT5-PTT/LA SCREEN LA EVAL | $49.50 | $99.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VWIL6-APTT VWILL PANEL | $49.50 | $99.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $61.50 | $123.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $26.50 | $53.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POCT | $26.50 | $53.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $26.50 | $53.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POCT | $26.50 | $53.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THY STIM HORMONE | $88.50 | $177.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC CUPN1- TSH | $88.50 | $177.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC CUPN1- TSH | $88.50 | $177.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THY STIM HORMONE | $88.50 | $177.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS (WITH MICRO) | $41.50 | $83.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS (WITH MICRO) | $41.50 | $83.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC UROBILINOGEN | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPEC GRAVITY URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE URINE RAN | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC POCT AUTOM URINALYSIS WO MICRO | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE RANDOM | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPEC GRAVITY URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE RANDOM | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC UROBILINOGEN | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POCT AUTOM URINALYSIS WO MICRO | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE URINE RAN | $24.50 | $49.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC BILE URINE | $9.50 | $19.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIPSTICK | $9.50 | $19.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC BILE URINE | $9.50 | $19.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIPSTICK | $9.50 | $19.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN | $143.50 | $287.00 | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50 MIN | $143.50 | $287.00 | 50% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY NOT MULTI-FAMILY | $89.50 | $179.00 | 50% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY NOT MULTI-FAMILY | $89.50 | $179.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT 30 MINUTES | $97.00 | $194.00 | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX PT 30 MINUTES | $97.00 | $194.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MINUTES | $137.50 | $275.00 | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MINUTES | $137.50 | $275.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MINUTES | $236.50 | $473.00 | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MINUTES | $236.50 | $473.00 | 50% |