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THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR

Hospital

7952 W JEFFERSON BLVD

FORT WAYNE, IN, 46804

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Procedure Prices at THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR

VENIPUNCTURE,ROUTINE

CPT 36415

$2.69

CBC W-PLT AUTO COMPD

CPT 85025

$5.09

Therapeutic Activities

CPT 97530

$6.33

Mechanical Traction

CPT 97012

$9.92

Therapeutic Exercises

CPT 97110

$10.06

EKG Tracing

CPT 93005

$19.97

Chest X-Ray (1 view)

CPT 71045

$20.34

COMP METAB PANEL

CPT 80053

$24.31

Chest X-Ray (2 views)

CPT 71046

$31.46

Thoracic Spine X-Ray

CPT 72072

$39.48

Retroperitoneal Ultrasound

CPT 76770

$53.37

Abdominal Ultrasound — Limited

CPT 76705

$72.01

OB Ultrasound

CPT 76805

$75.53

Abdominal Ultrasound

CPT 76700

$100.99

Echocardiogram

CPT 93307

$117.53

MRI Brain w/o Contrast

CPT 70551

$120.17

MRI Joint of Lower Extremity

CPT 73721

$120.17

CT Chest

CPT 71250

$126.75

MRI Brain w/ Contrast

CPT 70553

$163.47

Echocardiogram w/ Doppler

CPT 93306

$201.45

CT Abdomen & Pelvis

CPT 74177

$370.7

Njx aa&/strd tfrm epi l/s 1

CPT 64483

$557.51

Knee Arthroscopy

CPT 29881

$1,342.73

Sho arthrs srg rt8tr cuf rpr

CPT 29827

$2,357.06

Hip Replacement

CPT 27130

$5,155.2

Knee Replacement

CPT 27447

$5,419.3

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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.