Indianapolis, Indiana · Acute Care · Physician · CCN 150160
| Procedure | Commercial median | Medicare | % of Medicare | Est. cost* | Plan rates |
|---|---|---|---|---|---|
| Basic metabolic panelCPT 80048 | $101 | $8 | 1192% | ~$48 | 125 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,126 | $369 | 305% | ~$1,376 | 155 |
| CT head without contrastCPT 70450 | $1,016 | $111 | 919% | ~$420 | 155 |
| CT pelvis with contrastCPT 72193 | $1,126 | $186 | 607% | ~$622 | 155 |
| Complete blood count with differentialCPT 85025 | $101 | $8 | 1298% | ~$48 | 125 |
| Complete blood count, automatedCPT 85027 | $82 | $6 | 1267% | ~$39 | 125 |
| Comprehensive metabolic panelCPT 80053 | $158 | $11 | 1493% | ~$74 | 125 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,574 | $936 | 275% | $1,099 | 155 |
| Kidney function panelCPT 80069 | $36 | $9 | 410% | ~$17 | 125 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,302 | $3,462 | 153% | $2,011 | 158 |
| Lipid panelCPT 80061 | $145 | $13 | 1083% | ~$68 | 125 |
| Liver function panelCPT 80076 | $132 | $8 | 1621% | ~$63 | 125 |
| MRI brain with and without contrastCPT 70553 | $820 | $369 | 222% | ~$1,697 | 155 |
| MRI lower extremity joint (knee)CPT 73721 | $820 | $252 | 325% | ~$1,045 | 155 |
| MRI lumbar spine without contrastCPT 72148 | $820 | $252 | 325% | ~$1,218 | 155 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $25,846 | $10,996 | 235% | $12,557 | 89 |
| PSA (prostate specific antigen), totalCPT 84153 | $164 | $18 | 891% | ~$77 | 125 |
| Partial thromboplastin timeCPT 85730 | $48 | $6 | 800% | ~$23 | 125 |
| Physical therapy, therapeutic exerciseCPT 97110 | $118 | — | — | $58 | 125 |
| Prothrombin timeCPT 85610 | $45 | $4 | 1047% | ~$21 | 125 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,709 | — | — | $2,011 | 125 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $50 | $17 | 300% | ~$24 | 125 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,589 | $936 | 277% | $1,105 | 155 |
| Ultrasound, abdomen, completeCPT 76700 | $583 | $111 | 527% | ~$292 | 155 |
| X-ray, lower back, 4+ viewsCPT 72110 | $357 | $111 | 323% | ~$179 | 155 |
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.