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FRANCISCAN HEALTH RENSSELAER, INC

Critical Access Hospitals

16

1104 E GRACE ST

RENSSELAER, IN, 47978

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Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at FRANCISCAN HEALTH RENSSELAER, INC

Collection of venous blood by venipuncture Copyright � 2009 by American Medical Association. All rights reserved.

CPT 36415

$2.7

Chest X-Ray (1 view)

CPT 71045

$23.8

Chest X-Ray (2 views)

CPT 71046

$64.5

Diagnostic Mammogram (unilateral)

CPT 77065

$67

Thoracic Spine X-Ray

CPT 72072

$67.46

Diagnostic Mammogram (bilateral)

CPT 77066

$89.25

Abdominal Ultrasound — Limited

CPT 76705

$94.25

OB Ultrasound

CPT 76805

$126.25

Retroperitoneal Ultrasound

CPT 76770

$145.5

Abdominal Ultrasound

CPT 76700

$188.25

CT Chest

CPT 71250

$333

MRI Brain w/o Contrast

CPT 70551

$423.75

MRI Joint of Lower Extremity

CPT 73721

$423.75

MRI Brain w/ Contrast

CPT 70553

$535

CT Abdomen & Pelvis

CPT 74177

$583.81

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.