Visits & medical services prices at Parkview Lagrange Hospital
Lagrange, IN · every code in this section with a posted price and a Medicare benchmark.
185 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $133.50 | $267 | 1.0× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $250.50 | $501 | 1.1× |
| Aep threshold estimation mlt frequencies i&r (92652) range across 3 matching MRF lines |
$830–$2,328.50 | $1,660–$4,657 | varies |
| Airway Inhalation Treatment (94640) | $120.50 | $241 | 0.5× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $1,792 | $3,584 | 4.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $61.50 | $123 | 4.3× |
| Application on-body injector (96377) | $181.50 | $363 | 3.7× |
| Assessment of aphasia per hr (96105) | $538.50 | $1,077 | 5.5× |
| Audiometry Air & Bone (92553) | $349.50 | $699 | 2.6× |
| Auditory Function, 60 Min (92620) | $234 | $468 | 1.7× |
| Behavral qualit analys voice (92524) | $205 | $410 | 1.9× |
| Bis Xtracell Fluid Analysis (93702) | $216.50 | $433 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $776 | $1,552 | 2.0× |
| Canalith repositioning proc (95992) | $134 | $268 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$345–$626.50 | $690–$1,253 | varies |
| Cardiopulmonary exercise testing (94621) | $1,491.50 | $2,983 | 3.8× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$569–$674.50 | $1,138–$1,349 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$302.50–$2,264.50 | $605–$4,529 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$48.50–$51 | $97–$102 | varies |
| Cbt 1st hour (94644) | $48.50 | $97 | 0.3× |
| Chemo Admin Peritoneal Cavity (96446) | $938 | $1,876 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $291 | $582 | 3.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $243 | $486 | 3.2× |
| Chemo IV infusion addl hr (96415) | $465 | $930 | 6.1× |
| Chemo IV push addl drug (96411) | $407.50 | $815 | 5.3× |
| Chemother Prolong Infuse W/Pump (96416) | $938 | $1,876 | 2.7× |
| Chemotherapy Into Cns (96450) | $623.50 | $1,247 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $364 | $728 | 4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $939.50 | $1,879 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $547 | $1,094 | 1.6× |
| Chest Wall Manipulation (94668) | $139 | $278 | 1.0× |
| Color/duplex Doppler, complete (93975) | $672.50 | $1,345 | 2.7× |
| Color/duplex Doppler, limited (93976) | $435 | $870 | 3.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $89.50 | $179 | 2.8× |
| Comprehensive Hearing Test (92557) | $348.50 | $697 | 2.6× |
| Conditioning Play Audiometry (92582) | $238.50 | $477 | 1.8× |
| Continuous Pulse Ox (94762) | $238 | $476 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $412.50 | $825 | 1.8× |
| Cpt initial (94667) | $139 | $278 | 1.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$361–$3,665.50 | $722–$7,331 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $173.50 | $347 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $432.50 | $865 | 1.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$15–$432.50 | $30–$865 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $933 | $1,866 | 3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $580.50 | $1,161 | 5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $876 | $1,752 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $608 | $1,216 | 5.5× |
| Duplex Scan Hemodialysis Access (93990) | $261.50 | $523 | 2.4× |
| Duplex up extrem art bilat (93930) | $914.50 | $1,829 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $593.50 | $1,187 | 5.4× |
| ECG/monitoring and analysis (93271) | $756.50 | $1,513 | 7.5× |
| Echo Congenital Complete (93303) | $925 | $1,850 | 1.6× |
| Echo Heart Xthoracic,Limited (93308) | $530 | $1,060 | 2.1× |
| Echo r-t 2d w/probe placement only (93313) | $961.50 | $1,923 | 1.7× |
| Echo transesophageal (93312) | $1,345.50 | $2,691 | 2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,722 | $3,444 | 3.0× |
| Eeg 41-60 Minutes (95812) | $828 | $1,656 | 3.6× |
| EEG awake drowsy (95816) | $689 | $1,378 | 3.0× |
| EEG cerebral death evaluation (95824) | $1,019 | $2,038 | 2.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $371.50 | $743 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $906.50 | $1,813 | 4.0× |
| Eeg Sleep Only (95822) | $750.50 | $1,501 | 3.3× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $743 | $1,486 | 7.4× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $495 | $990 | 12.5× |
| Electrical Stimulation Ea 15 Min (97032) | $89.50 | $179 | 6.1× |
| Electrocardiogram Tracing (93005) | $195 | $390 | 3.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$53–$543.50 | $106–$1,087 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$118.50–$1,136.50 | $237–$2,273 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$425.50–$2,085.50 | $851–$4,171 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$37–$320.50 | $74–$641 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$685.50–$3,076 | $1,371–$6,152 | varies |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $5,732 | $11,464 | 14.5× |
| Evaluate pt use of inhaler (94664) | $94 | $188 | 0.4× |
| Evaluate Speech Production (92522) | $280.50 | $561 | 2.5× |
| Evaluate Swallowing Function (92610) | $206 | $412 | 2.4× |
| Evaluation of speech fluency (92521) | $290 | $580 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $364 | $728 | 1.6× |
| Exercise test for bronchospasm (94617) | $776 | $1,552 | 5.5× |
| External Ecg Scanning Analysis Report (93226) | $417 | $834 | 6.7× |
| Extracranial Bilat Study (93880) | $864.50 | $1,729 | 3.4× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$15–$577 | $30–$1,154 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $684.50 | $1,369 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $224 | $448 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,372 | $4,744 | 6.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,523.50 | $3,047 | 1.7× |
| Group Therapeutic Procedures (97150) | $79.50 | $159 | 4.4× |
| Holter monitor recording (93225) | $832 | $1,664 | 5.9× |
| Immunization administration (90471) | $80 | $160 | 1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $698.50 | $1,397 | 1.8× |
| Intracranial Complete Study (93886) | $1,121.50 | $2,243 | 4.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $49.50 | $99 | 0.8× |
| Iontophoresis 15 min (97033) | $99.50 | $199 | 5.2× |
| Irrig Drug Delivery Device (96523) | $183.50 | $367 | 2.9× |
| IV infusion hydration each additional hour (96361) | $134 | $268 | 2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $420.50 | $841 | 1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $231.50 | $463 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $173 | $346 | 3.5× |
| IV push initial (96374) | $273.50 | $547 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,985.50 | $3,971 | 8.7× |
| Mechanical chest wall oscillation per session (94669) | $139 | $278 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33 | $66 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $33 | $66 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $33 | $66 | 1.9× |
| Methacholine challenge (94070) | $1,641 | $3,282 | 4.2× |
| Motility study esophagus (91010) | $2,703.50 | $5,407 | 6.8× |
| Motion Fluoroscopy/Swallow (92611) | $355 | $710 | 3.9× |
| Multiple Sleep Latency Test (95805) | $2,697 | $5,394 | 3.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $408.50 | $817 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $542 | $1,084 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $325.50 | $651 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $542 | $1,084 | 1.3× |
| Neuromuscular Reeducation (97112) | $85.50 | $171 | 2.6× |
| Newborn resuscitation (99465) | $933 | $1,866 | 1.3× |
| Oral Function Therapy (92526) | $217.50 | $435 | 2.6× |
| Oral Speech Device Eval (92597) | $266 | $532 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $89.50 | $179 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $89.50 | $179 | 1.9× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$225–$268.50 | $450–$537 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$156.50–$196 | $313–$392 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$180.50–$226.50 | $361–$453 | varies |
| Ot manual therapy 15 min (97140) | $72.50 | $145 | 2.6× |
| Ot paraffin bath (97018) | $63.50 | $127 | 10.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $89.50 | $179 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $235.50 | $471 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $247.50 | $495 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $232 | $464 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $247.50 | $495 | 4.0× |
| Phlebotomy therapeutic (99195) | $419 | $838 | 3.0× |
| Physical Performance Test (97750) | $70 | $140 | 2.1× |
| Plethysmography (94726) | $968.50 | $1,937 | 2.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,944–$3,367 | $5,888–$6,734 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,218.50 | $6,437 | 3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,367 | $6,734 | 3.7× |
| Pt Eval High Complex (97163) | $253 | $506 | 2.6× |
| Pt eval low complex 20 min (97161) | $155.50 | $311 | 1.6× |
| Pt Eval Mod Complex (97162) | $213 | $426 | 2.2× |
| Pt gait training 15 min (97116) | $80 | $160 | 2.8× |
| Pt mechanical traction (97012) | $75.50 | $151 | 5.3× |
| Pt Re-Eval Est Plan Care (97164) | $141.50 | $283 | 2.1× |
| Pulm function test by gas (94727) | $1,210.50 | $2,421 | 5.3× |
| Pulmonary service/procedure (94799) | $162 | $324 | 1.2× |
| Pulmonary Stress Testing (94618) | $133.50 | $267 | 0.9× |
| Pure Tone Audiometry Air (92552) | $246 | $492 | 1.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $245.50 | $491 | 6.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 5 matching MRF lines |
$37.50–$157 | $75–$314 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $306.50 | $613 | 1.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $361 | $722 | 3.0× |
| Select picture audiometry (92583) | $171 | $342 | 2.7× |
| Self Care Mngment Training (97535) | $78.50 | $157 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $89.50 | $179 | 1.5× |
| Slp caregiver training 1st 30 min (97550) | $97 | $194 | 1.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $722.50 | $1,445 | 3.2× |
| Speech Audiometry Complete (92556) | $196 | $392 | 3.1× |
| Speech audiometry threshold (92555) | $133 | $266 | 2.1× |
| Speech sound lang comprehen (92523) | $257.50 | $515 | 1.1× |
| Spirometry (94010) | $418.50 | $837 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $361 | $722 | 3.5× |
| Surfactant Admin Thru Tube (94610) | $113.50 | $227 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $97.50 | $195 | 4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $97.50 | $195 | 4.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $87.50 | $175 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $46.50 | $93 | 1.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $252 | $504 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $139 | $278 | 1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $483.50 | $967 | 2.1× |
| Therapeutic Activities (97530) | $81 | $162 | 2.3× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $584 | $1,168 | 5.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $899 | $1,798 | 8.1× |
| Tte w/doppler, complete (93306) | $1,662 | $3,324 | 2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $215.50 | $431 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $105.50 | $211 | 2.1× |
| Tympanometry (92567) | $142.50 | $285 | 3.6× |
| Tympanometry and reflex threshold measurements (92550) | $349.50 | $699 | 1.5× |
| Unlisted noninvasive vascular diagnostic study (93998) range across 4 matching MRF lines |
$805.50–$1,338 | $1,611–$2,676 | varies |
| Unlisted otorhinolaryngological service (92700) | $391.50 | $783 | 12.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$15–$574 | $30–$1,148 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $866 | $1,732 | 3.8× |
| Veeg 2-12 hr unmonitored (95711) | $1,527.50 | $3,055 | 6.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,062.50 | $4,125 | 5.2× |
| Vent Mgmt Inpat Init Day (94002) | $666.50 | $1,333 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $666.50 | $1,333 | 1.0× |
| Visual reinforcement audiometry (vra) (92579) | $276 | $552 | 1.2× |
| Vital capacity, total (94150) | $113.50 | $227 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $79.50 | $159 | 2.6× |
| Whirlpool Therapy (97022) | $75.50 | $151 | 4.8× |
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.