Community Hospital of Bremen Inc

Bremen, IN · Critical Access Hospital

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $892.45 $1,373 8.1×
MRI brain without contrast (70551) $1,320.80 $2,032 5.2×
MRI brain with contrast (70552) $1,320.80 $2,032 3.6×
MRI brain without and with contrast (70553) $1,651.65 $2,541 4.5×
X-ray lower spine, 4+ views (72110) $337.35 $519 3.0×
MRI lumbar spine without contrast (72148) $1,320.80 $2,032 5.2×
CT pelvis with contrast (72193) $992.55 $1,527 5.3×
MRI lower-extremity joint without contrast (73721) $1,320.80 $2,032 5.2×
CT abdomen and pelvis with contrast (74177) $2,586.72 $3,979.57 7.0×
Ultrasound, abdomen complete (76700) $666.90 $1,026 6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $401.05 $617 3.6×
Ultrasound, transvaginal (76830) $406.90 $626 3.7×
Mammography, one breast (diagnostic) (77065) $240.50 $370 2.8×
Mammography, both breasts (diagnostic) (77066) $317.20 $488 2.9×
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$125.45–$188.50 $193–$290 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$5.85–$110.50 $9–$170 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$9.75–$89.70 $15–$138 varies
Lipid panel (80061)
range across 2 matching MRF lines
$12.35–$128.05 $19–$197 varies
Renal function panel (80069)
range across 2 matching MRF lines
$10.40–$146.25 $16–$225 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$7.15–$124.15 $11–$191 varies
Urinalysis, non-automated, with microscopy (81000) $7.15 $11 1.8×
Urinalysis, non-automated, without microscopy (81002) $118.95 $183 34.2×
PSA, total (84153)
range across 4 matching MRF lines
$8.45–$153.40 $13–$236 varies
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines
$15.60–$54.60 $24–$84 varies
CBC with automated differential (85025)
range across 2 matching MRF lines
$7.15–$53.95 $11–$83 varies
CBC, automated (85027)
range across 2 matching MRF lines
$5.85–$52 $9–$80 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$3.90–$39.65 $6–$61 varies
Partial thromboplastin time (PTT) (85730)
range across 4 matching MRF lines
$7.80–$98.15 $12–$151 varies
Sleep study (attended polysomnography) (95810) $2,954.25 $4,545 3.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 8 matching MRF lines
$113.90–$118.30 $175.22–$182 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 51.8 MB) ↓ — captured 2026-10-01

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