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LUTHERAN DOWNTOWN HOSPITAL

Acute Care Hospitals

4 out of 5 (CMS)

702 VAN BUREN ST.

FORT WAYNE, IN, 46802

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Emergency Services: Yes
Proprietary
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Procedure Prices at LUTHERAN DOWNTOWN HOSPITAL

VENIPUNCTURE,ROUTINE

CPT 36415

$3.22

CBC W-PLT AUTO COMPD

CPT 85025

$9.94

Therapeutic Activities

CPT 97530

$16.31

Therapeutic Exercises

CPT 97110

$18.55

Mechanical Traction

CPT 97012

$22.47

EKG Tracing

CPT 93005

$23.87

COMP METAB PANEL

CPT 80053

$40.81

Chest X-Ray (1 view)

CPT 71045

$41.79

Diagnostic Mammogram (unilateral)

CPT 77065

$46.69

Screening Mammogram (bilateral)

CPT 77067

$48.44

Diagnostic Mammogram (bilateral)

CPT 77066

$54.95

Chest X-Ray (2 views)

CPT 71046

$57.12

Thoracic Spine X-Ray

CPT 72072

$75.25

Abdominal Ultrasound — Limited

CPT 76705

$111.79

ER Visit — Low-Moderate Complexity

CPT 99283

$112

OB Ultrasound

CPT 76805

$121.87

Retroperitoneal Ultrasound

CPT 76770

$154.14

Abdominal Ultrasound

CPT 76700

$156.17

Echocardiogram

CPT 93307

$157.78

ER Visit — Moderate Complexity

CPT 99284

$158.27

ER Visit — High Complexity

CPT 99285

$204.33

CT Chest

CPT 71250

$244.86

Echocardiogram w/ Doppler

CPT 93306

$307.23

EKG Interpretation

CPT 93010

$320.43

CT Abdomen & Pelvis

CPT 74177

$590.17

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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.