Procedures & surgery prices at Parkview Lagrange Hospital

Lagrange, IN · every code in this section with a posted price and a Medicare benchmark.

197 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $297.50–$1,885.50 $595–$3,771 varies
Ablation 1/> liver tumor perq cryoablation (47383) $5,757.50 $11,515 0.5×
Amniocentesis diagnostic (59000) $1,078 $2,156 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $772 $1,544 0.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 4 matching MRF lines		 $276–$459.50 $552–$919 varies
Application cast elbow finger short arm (29075) $640.50 $1,281 2.2×
Application finger splint static (29130)
range across 4 matching MRF lines		 $155–$244.50 $310–$489 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $183.50–$288.50 $367–$577 varies
Application Long Leg Splint (29505) $181 $362 1.1×
Application of rigid total contact leg cast (29445) $978.50 $1,957 3.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $174.50–$370.50 $349–$741 varies
Application short leg splint calf foot (29515) $187.50 $375 1.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 7 matching MRF lines		 $498–$825.50 $996–$1,651 varies
Apply Short Leg Cast (29405) $716 $1,432 2.4×
Arterial puncture (36600) $177 $354 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $96 $192 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $107.50–$367 $215–$734 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,880.50 $3,761 5.8×
Aspirate pleura w/ imaging (32555) $3,008.50 $6,017 4.5×
Avulsion nail plate partial/complete simple 1 (11730) $134.50 $269 0.6×
Biopsy Abdominal Mass (49180) $1,495 $2,990 0.9×
Biopsy bone open superficial (20240) $2,279 $4,558 0.7×
Biopsy bone trocar/needle deep (20225) $2,826.50 $5,653 1.6×
Biopsy Bone Trocar/Needle Superficial (20220) $1,107 $2,214 0.6×
Biopsy muscle percutaneous needle (20206) $1,351.50 $2,703 0.8×
Biopsy of liver, needle; percutaneous (47000) $2,092 $4,184 1.2×
Bladder Irrigation (51700) $130 $260 0.5×
Bladder Scan (51798) $121 $242 1.9×
Blood Transfusion Service (36430) $1,172 $2,344 2.5×
Bone Marrow Biopsy (38221) $1,519 $3,038 0.9×
Bone Marrow; Aspiration Only (38220) $1,293 $2,586 0.7×
Bx breast 1st lesion mr imag (19085) $1,639.50 $3,279 0.9×
Bx breast 1st lesion strtctc (19081) $1,721.50 $3,443 1.0×
Bx breast 1st lesion us imag (19083) $1,689.50 $3,379 1.0×
Catheter aspiration nasotracheal spx (31720) $162 $324 0.7×
Chemical Cautery Tissue (17250) $404.50 $809 1.9×
Chemodenerv 1 extrem 5/> mus (64644) $644.50 $1,289 0.9×
Chemodenerv 1 extremity 1-4 (64642) $483.50 $967 0.6×
Chemodenerv Musc Migraine (64615) $644.50 $1,289 2.0×
Chemodenerv musc neck dyston (64616) $644.50 $1,289 2.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $644.50 $1,289 2.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $370.50–$1,556.50 $741–$3,113 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,335 $2,670 0.8×
Clear outer ear canal (69200) $174 $348 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,041.50 $2,083 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,357 $2,714 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $824.50 $1,649 3.2×
Closed tx radial head/neck fx w/manipulation (24655) $988 $1,976 0.6×
Closed tx radial shaft fracture w/manipulation (25505) $592.50 $1,185 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,041.50 $2,083 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $932 $1,864 3.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $759.50 $1,519 2.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,074 $2,148 4.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $615 $1,230 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,041.50 $2,083 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $319 $638 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $708.50 $1,417 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $615 $1,230 2.4×
Cltx metacarpal fx w/manipulation each bone (26605) $714.50 $1,429 2.7×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $337.50 $675 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $648 $1,296 2.5×
Cltx post hip arthrp dislc w/o anes (27265) $1,262.50 $2,525 4.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $162.50 $325 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,041.50 $2,083 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,301 $2,602 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $82–$163 $164–$326 varies
Collection of venous blood by venipuncture (36415) $10.50 $21 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $323.50 $647 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $210 $420 1.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,588 $7,176 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $330 $660 2.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,388 $4,776 3.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,852 $9,704 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $932.50 $1,865 2.2×
Declot vascular device (36593) $582.50 $1,165 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $182 $364 0.2×
Drainage of finger abscess simple (26010) $392.50 $785 1.8×
Drainage of gum lesion (41800) $615 $1,230 4.4×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $170–$1,019.50 $340–$2,039 varies
Drainage of scrotum (54700) $312 $624 0.1×
Draw Blood Off Venous Device (36591) $163 $326 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $186.50 $373 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $977.50 $1,955 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $879 $1,758 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $106.50–$369.50 $213–$739 varies
Dx Bone Marrow Bx & Aspir (38222) $1,622.50 $3,245 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,891 $3,782 2.5×
Evacuation of subungual hematoma (11740) $69.50 $139 0.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,698 $3,396 2.3×
Fluoro exam of g/colon tube (49465) $1,028 $2,056 4.1×
Fna bx w/us gdn 1st les (10005) $1,666 $3,332 2.2×
Guide Cathet Fluid Drainage (10030) $2,152 $4,304 2.9×
Hem vw factor&clgn iii bndg (0279U) $94.50 $189 8.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $144–$732 $288–$1,464 varies
I&d perianal abscess superficial (46050) $188 $376 0.2×
I&d pilonidal cyst simple (10080) $204.50 $409 0.3×
Image Cath Fluid Colxn Visc (49405) $3,588 $7,176 2.1×
Image Cath Fluid Peri/Retro (49406) $3,776.50 $7,553 2.2×
Incise external hemorrhoid (46083) $214 $428 0.8×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $299–$827 $598–$1,654 varies
Incision & removal foreign body subq tiss compl (10121) $309.50 $619 0.2×
Incision & removal foreign body subq tiss simple (10120) $221 $442 0.5×
Incision and drainage of bartholin's gland abscess (56420) $269 $538 1.3×
Incision and drainage of vulva or perineal abscess (56405) $198 $396 0.6×
Incisional biopsy skin single lesion (11106) $509.50 $1,019 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $89.50 $179 0.4×
Injection for identification of sentinel node (38792) $708 $1,416 1.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $238 $476 0.3×
Insert Drug Implant Device (11981) $1,892.50 $3,785 13.4×
Insert non-tunnel cv cath (36556) $471.50 $943 0.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,544.50 $3,089 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $96–$405.50 $192–$811 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,173 $4,346 1.3×
Insj Picc Rs&I <5 Yr (36572) $1,844.50 $3,689 2.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,544.50 $3,089 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,813 $5,626 1.9×
Intubation endotracheal emergency procedure (31500) $257.50 $515 1.0×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $34,713 $69,426 2.9×
Myelography Lumbar Injection (62305) $4,670.50 $9,341 5.6×
Myelography Lumbar Injection (62304) $2,314 $4,628 2.8×
Myelography via lumbar injection rs&i cervical (62302) $3,734 $7,468 4.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $4,144.50 $8,289 5.0×
Nasal/Orogastric W/Tube Plmt (43752) $1,022 $2,044 2.2×
Needle Biopsy Lymph Nodes (38505) $1,388.50 $2,777 0.8×
Needle Biopsy Pancreas (48102) $1,302 $2,604 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $17.50 $35 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $35 $70 1.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $653.50 $1,307 1.6×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $4,004.50 $8,009 1.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $330.50 $661 1.0×
Partial Excision Distal Phalanx Finger (26236) $803 $1,606 0.5×
Penile Injection (54235) $207 $414 0.8×
Perc Cryo Ablate Renal Tum (50593) $6,448.50 $12,897 0.6×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,813 $5,626 1.9×
Percut Drain/Inject Renal Cyst (50390) $2,033 $4,066 2.7×
Pericardiocentesis W/Imaging (33016) $389 $778 0.2×
Perq dev breast 1st mr guide (19287) $566 $1,132 0.8×
Perq dev breast 1st us imag (19285) $915.50 $1,831 1.2×
Perq device breast 1st imag (19281) $1,770 $3,540 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,656 $3,312 2.2×
Pseudoaneurysm Injection Trt (36002) $658.50 $1,317 1.0×
Punch biopsy skin single lesion (11104) $394.50 $789 0.9×
Puncture Aspiration Cyst Breast (19000) $1,078 $2,156 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,288 $2,576 1.7×
Rbc DNA gntyp 12 bld grp gen (0282U) $1,104 $2,208 1.5×
Removal foreign body foot deep (28192) $527 $1,054 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $462 $924 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $452 $904 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $38 $76 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $42.50 $85 0.7×
Removal of nail bed (11750) $343.50 $687 0.8×
Remove foreign body from eye (65205) $57 $114 0.4×
Remove Nasal Foreign Body (30300) $241 $482 1.7×
Renal Biopsy Perq (50200) $2,115 $4,230 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $782 $1,564 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $551 $1,102 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $579 $1,158 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $462 $924 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $487 $974 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $460 $920 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $419 $838 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $427.50 $855 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $438 $876 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $313.50 $627 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $402.50 $805 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $421.50 $843 1.0×
Repair of nail bed (11760) $293.50 $587 0.4×
Repair tongue laceration (41250) $238.50 $477 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $76 $152 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $153.50 $307 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $131 $262 0.3×
Rplc Gtube No Revj Trc (43762) $293 $586 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $381.50 $763 1.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $223.50 $447 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $229 $458 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $372 $744 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $180.50 $361 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $294 $588 1.4×
Skin sub graft face/nk/hf/g (15275) $987 $1,974 1.3×
Skin sub graft trnk/arm/leg (15271) $1,451.50 $2,903 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $238 $476 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $352 $704 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $528.50 $1,057 1.2×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $220–$1,859.50 $440–$3,719 varies
Strapping elbow or wrist (29260) $148 $296 2.4×
Strapping knee (29530) $201.50 $403 1.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $476.50–$784 $953–$1,568 varies
Thyroid biopsy (60100) $1,078 $2,156 1.4×
Tooth extraction (41899) $349.50 $699 1.4×
Treat Humerus Fracture (24505) $1,018 $2,036 0.6×
Treat Thumb Fracture (26645) $630 $1,260 0.4×
Treat toe dislocation (28630) $172 $344 0.7×
Treatment closed elbow dislocation w/o anes (24600) $868 $1,736 3.3×
Trim skin lesion (11055) $296 $592 1.4×
Unlisted procedure nervous system (64999) $407 $814 1.3×
Unlisted Procedure Tongue Floor Mouth (41599) $241 $482 1.0×
Vaginal delivery only (59409) $965.50 $1,931 0.3×

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.