LUTHERAN HOSPITAL OF INDIANA
Acute Care Hospitals
Procedure Prices at LUTHERAN HOSPITAL OF INDIANA
VENIPUNCTURE,ROUTINE
CPT 36415
$7.13
Chest X-Ray (1 view)
CPT 71045
$29.38
Chest X-Ray (2 views)
CPT 71046
$29.38
Diagnostic Mammogram (unilateral)
CPT 77065
$35.2
Screening Mammogram (bilateral)
CPT 77067
$41.98
Thoracic Spine X-Ray
CPT 72072
$45.84
Diagnostic Mammogram (bilateral)
CPT 77066
$50.99
COMP METAB PANEL
CPT 80053
$66.12
Retroperitoneal Ultrasound
CPT 76770
$97.1
Abdominal Ultrasound — Limited
CPT 76705
$98.41
OB Ultrasound
CPT 76805
$99.4
CT Chest
CPT 71250
$99.6
Abdominal Ultrasound
CPT 76700
$118.11
MRI Joint of Lower Extremity
CPT 73721
$167.31
MRI Brain w/o Contrast
CPT 70551
$175.76
MRI Brain w/ Contrast
CPT 70553
$194.93
CT Abdomen & Pelvis
CPT 74177
$274.03
Colonoscopy
CPT 45378
$693.24
Colonoscopy w/ Biopsy
CPT 45380
$975.31
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,146.38
Cataract Surgery
CPT 66984
$2,391.25
Cataract Surgery — Complex
CPT 66982
$2,512.48
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,525.17
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,802.25
Recurrent Inguinal Hernia Repair
CPT 49520
$3,441.77
Inguinal Hernia Repair
CPT 49505
$3,596.25
Laparoscopic Cholecystectomy
CPT 47562
$5,097.32
Laparoscopic Hernia Repair
CPT 49650
$5,324.02
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.