Parkview Lagrange Hospital
207 North Townline Rd, Lagrange, IN 46761 · 109 Priced Procedures · 80% Patient Recommendation
Typical commercial prices here are +88% above the fair benchmark (1.88×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.88× fair market pricing.
Aligned Regional Benchmark Peer
Parkview Lagrange Hospital prices shoppable and inpatient services (2.7× to 2.0× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.88× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.60× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 80% patient recommendation (75/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (26.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
- Commercial insurance median sits at 1.91× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.88× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 8.8× Medicare (15¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Parkview Lagrange Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $56,335 | 1.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $33,638 | 1.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $24,015 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $18,563 | 6.9× |
| C-section delivery (full package) CPT Code: 59510 | $18,563 | 6.2× |
| Breast lump removal CPT Code: 19120 | $18,563 | unverified |
| Bunion correction surgery CPT Code: 28296 | $18,563 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,730 | 1.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $5,941 | 4.7× |
| Cataract surgery with lens implant CPT Code: 66984 | $5,941 | 2.3× |
| Injection procedure for pain management HCPCS Code: G0260 | $3,818 | 4.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,818 | 3.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,818 | 3.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,794 | 2.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,662 | 2.9× |
| Blood transfusion CPT Code: 36430 | $1,172 | 2.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $816 | 1.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $816 | 1.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $522 | 1.9× |
| Rabies immune globulin HCPCS Code: 90375 | $534 | 1.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $498 | 1.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $498 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $498 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $502 | 1.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $390 | 1.6× |
Audit a Bill or Quote at Parkview Lagrange Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $36,329
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (26.9% of gross = $36,329).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Parkview Lagrange Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($135,204) is $104,429 above the denoised Fair BaseRate ($30,775) and 5.8× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (26.9% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (113 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Parkview Lagrange Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.