LUTHERAN KOSCIUSKO HOSPITAL
Acute Care Hospitals
Procedure Prices at LUTHERAN KOSCIUSKO HOSPITAL
VENIPUNCTURE,ROUTINE
CPT 36415
$3.35
COMP METAB PANEL
CPT 80053
$32.34
Chest X-Ray (1 view)
CPT 71045
$34.6
Diagnostic Mammogram (unilateral)
CPT 77065
$35.78
Screening Mammogram (bilateral)
CPT 77067
$36.38
Chest X-Ray (2 views)
CPT 71046
$37.72
Diagnostic Mammogram (bilateral)
CPT 77066
$45.16
Thoracic Spine X-Ray
CPT 72072
$58.63
OB Ultrasound
CPT 76805
$135.01
Abdominal Ultrasound — Limited
CPT 76705
$151.69
Retroperitoneal Ultrasound
CPT 76770
$158.32
CT Chest
CPT 71250
$172.66
Abdominal Ultrasound
CPT 76700
$195.57
CT Abdomen & Pelvis
CPT 74177
$218.22
MRI Brain w/o Contrast
CPT 70551
$224.45
MRI Joint of Lower Extremity
CPT 73721
$224.45
MRI Brain w/ Contrast
CPT 70553
$274.84
Njx aa&/strd tfrm epi l/s 1
CPT 64483
$475.27
Colonoscopy
CPT 45378
$634.44
Colonoscopy w/ Biopsy
CPT 45380
$820.47
Upper GI Endoscopy w/ Biopsy
CPT 43239
$980.76
Cataract Surgery
CPT 66984
$1,460.15
Inguinal Hernia Repair
CPT 49505
$2,377.64
Knee Arthroscopy
CPT 29881
$2,485.98
Appendectomy
CPT 44950
$2,693.6
Laparoscopic Cholecystectomy
CPT 47562
$3,686.83
Laparoscopic Hernia Repair
CPT 49650
$4,052.75
Sho arthrs srg rt8tr cuf rpr
CPT 29827
$5,776.77
Hip Replacement
CPT 27130
$8,397.16
Knee Replacement
CPT 27447
$8,564.3
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.