Knox, Indiana · Acute Care · Proprietary · CCN 150102
| Procedure | Commercial median | Medicare | % of Medicare | Est. cost* | Plan rates |
|---|---|---|---|---|---|
| Basic metabolic panelCPT 80048 | $51 | $8 | 598% | ~$56 | 33 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,467 | $369 | 397% | ~$1,572 | 34 |
| CT head without contrastCPT 70450 | $1,154 | $111 | 1043% | ~$1,398 | 34 |
| CT pelvis with contrastCPT 72193 | $1,298 | $186 | 700% | ~$1,572 | 34 |
| Cardiac stress testCPT 93017 | $1,018 | $228 | 446% | $745 | 34 |
| Cataract surgery with IOL insertionCPT 66984 | $9,966 | $2,442 | 408% | $11,352 | 34 |
| Colonoscopy with biopsyCPT 45380 | $6,743 | $1,266 | 533% | $8,167 | 34 |
| Colonoscopy with polyp removalCPT 45385 | $6,786 | $1,266 | 536% | $8,218 | 34 |
| Colonoscopy, diagnosticCPT 45378 | $5,535 | $984 | 563% | $6,703 | 34 |
| Complete blood count with differentialCPT 85025 | $57 | $8 | 734% | ~$63 | 33 |
| Complete blood count, automatedCPT 85027 | $32 | $6 | 490% | ~$35 | 33 |
| Comprehensive metabolic panelCPT 80053 | $85 | $11 | 800% | ~$93 | 33 |
| Diagnostic mammography, both breastsCPT 77066 | $307 | — | — | ~$302 | 35 |
| Diagnostic mammography, one breastCPT 77065 | $239 | — | — | ~$238 | 35 |
| ED visit, level 3CPT 99283 | $937 | $289 | 325% | $711 | 34 |
| ED visit, level 4CPT 99284 | $1,425 | $441 | 323% | $1,038 | 34 |
| ED visit, level 5CPT 99285 | $2,008 | $630 | 319% | $1,388 | 34 |
| Echocardiogram, completeCPT 93306 | $1,873 | $578 | 324% | $1,453 | 34 |
| Kidney function panelCPT 80069 | $65 | $9 | 753% | ~$72 | 33 |
| Knee arthroscopy with meniscectomyCPT 29881 | $17,159 | $3,462 | 496% | $20,780 | 34 |
| Lipid panelCPT 80061 | $90 | $13 | 670% | ~$98 | 33 |
| Liver function panelCPT 80076 | $112 | $8 | 1375% | ~$123 | 33 |
| MRI brain with and without contrastCPT 70553 | $1,731 | $369 | 469% | ~$2,097 | 34 |
| MRI lower extremity joint (knee)CPT 73721 | $1,443 | $252 | 571% | ~$1,747 | 34 |
| MRI lumbar spine without contrastCPT 72148 | $1,443 | $252 | 571% | ~$1,747 | 34 |
| OB ultrasound, 14+ weeksCPT 76805 | $656 | $111 | 593% | ~$794 | 34 |
| Obstetric blood test panelCPT 80055 | $278 | $48 | 581% | ~$305 | 33 |
| PSA (prostate specific antigen), totalCPT 84153 | $75 | $18 | 409% | ~$82 | 33 |
| Partial thromboplastin timeCPT 85730 | $55 | $6 | 912% | ~$60 | 33 |
| Physical therapy, therapeutic exerciseCPT 97110 | $130 | — | — | $112 | 34 |
| Prothrombin timeCPT 85610 | $45 | $4 | 1041% | ~$49 | 33 |
| Screening mammography, bilateralCPT 77067 | $253 | — | — | ~$232 | 35 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $50,739 | — | — | $32,464 | 23 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $46 | $17 | 275% | ~$46 | 33 |
| Ultrasound, abdomen, completeCPT 76700 | $742 | $111 | 671% | ~$899 | 34 |
| Ultrasound, transvaginalCPT 76830 | $581 | $111 | 525% | ~$703 | 34 |
| Upper GI endoscopy with biopsyCPT 43239 | $7,631 | $960 | 795% | $9,242 | 34 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,014 | $960 | 627% | $7,283 | 34 |
| Urinalysis, automated, with microscopyCPT 81001 | $70 | $3 | 2209% | ~$77 | 33 |
| Urinalysis, automated, without microscopyCPT 81003 | $59 | $2 | 2629% | ~$65 | 33 |
| Urinalysis, manual, with microscopyCPT 81000 | $27 | $4 | 666% | ~$29 | 33 |
| Urinalysis, manual, without microscopyCPT 81002 | $27 | $3 | 769% | ~$29 | 33 |
| X-ray, lower back, 4+ viewsCPT 72110 | $381 | $111 | 344% | ~$398 | 34 |
Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.