Parkview Lagrange Hospital

Lagrange, IN · Critical Access Hospital

Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $518.50 $1,037 4.7×
MRI brain without contrast (70551) $663.50 $1,327 2.6×
MRI brain with contrast (70552) $701.50 $1,403 1.9×
MRI brain without and with contrast (70553) $899 $1,798 2.4×
X-ray lower spine, 4+ views (72110) $312 $624 2.8×
MRI lumbar spine without contrast (72148)
range across 3 matching MRF lines
$237.50–$814.50 $475–$1,629 varies
CT pelvis with contrast (72193) $732 $1,464 3.9×
MRI lower-extremity joint without contrast (73721)
range across 7 matching MRF lines
$538–$951.50 $1,076–$1,903 varies
CT abdomen and pelvis with contrast (74177) $1,408.50 $2,817 3.8×
Ultrasound, abdomen complete (76700) $416.50 $833 3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $614.50 $1,229 5.6×
Ultrasound, transvaginal (76830) $342.50 $685 3.1×
Mammography, one breast (diagnostic) (77065) $187 $374 2.2×
Mammography, both breasts (diagnostic) (77066) $223 $446 2.0×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$167.50–$187 $335–$374 varies
Basic metabolic panel (80048) $51 $102 6.0×
Comprehensive metabolic panel (80053) $71.50 $143 6.8×
Lipid panel (80061)
range across 2 matching MRF lines
$75–$79 $150–$158 varies
Renal function panel (80069) $55.50 $111 6.4×
Hepatic function panel (80076) $42.50 $85 5.2×
Urinalysis, non-automated, without microscopy (81002) $9.50 $19 2.7×
PSA, total (84153) $84.50 $169 4.6×
Thyroid stimulating hormone (TSH) (84443) $88.50 $177 5.3×
CBC with automated differential (85025) $37.50 $75 4.8×
CBC, automated (85027) $28.50 $57 4.4×
Prothrombin time (PT) (85610) $26.50 $53 6.2×
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$49.50–$61.50 $99–$123 varies
Psychotherapy, 30 minutes (90832) $97 $194 0.5×
Psychotherapy, 45 minutes (90834) $137.50 $275 0.7×
Psychotherapy, 60 minutes (90837) $236.50 $473 1.3×
Family psychotherapy, without patient (50 min) (90846) $143.50 $287 0.8×
Group psychotherapy (90853) $89.50 $179 0.8×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$2,691.50–$2,896.50 $5,383–$5,793 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $89.50 $179 3.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 20.7 MB) ↓ — captured 2026-10-01

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