Indiana University Health Paoli Hospital
Paoli, IN · Critical Access Hospital
Posts prices for 49 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $2,433.04 | $6,341 | 0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 3 matching MRF lines |
$605.48–$2,836.69 | $1,578–$7,393 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) | $2,270.74 | $5,918 | 2.4× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$493.44–$2,836.69 | $1,286–$7,393 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$710.23–$819.20 | $1,851–$2,135 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $882.89 | $2,301 | 0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,146.88 | $2,989 | 1.2× |
| CT head/brain without contrast (70450) | $341.11 | $889 | 3.1× |
| MRI brain without contrast (70551) | $497.28 | $1,296 | 2.0× |
| MRI brain with contrast (70552) | $831.86 | $2,168 | 2.3× |
| MRI brain without and with contrast (70553) | $831.86 | $2,168 | 2.3× |
| X-ray lower spine, 4+ views (72110) | $285.86 | $745 | 2.6× |
| MRI lumbar spine without contrast (72148) | $497.28 | $1,296 | 2.0× |
| CT pelvis with contrast (72193) | $435.50 | $1,135 | 2.3× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$497.28–$745.53 | $1,296–$1,943 | varies |
| CT abdomen and pelvis with contrast (74177) | $831.86 | $2,168 | 2.3× |
| Ultrasound, abdomen complete (76700) | $164.61 | $429 | 1.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $164.61 | $429 | 1.5× |
| Ultrasound, transvaginal (76830) | $164.61 | $429 | 1.5× |
| Mammography, one breast (diagnostic) (77065) | $221.01 | $576 | 2.6× |
| Mammography, both breasts (diagnostic) (77066) | $279.33 | $728 | 2.5× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$224.46–$336.89 | $585–$878 | varies |
| Basic metabolic panel (80048) | $19.19 | $50 | 2.3× |
| Comprehensive metabolic panel (80053) | $23.02 | $60 | 2.2× |
| Obstetric panel (80055) | $104.37 | $272 | 2.2× |
| Lipid panel (80061) | $29.54 | $77 | 2.2× |
| Renal function panel (80069) | $19.57 | $51 | 2.3× |
| Hepatic function panel (80076) | $18.80 | $49 | 2.3× |
| Urinalysis, non-automated, without microscopy (81002) | $7.29 | $19 | 2.1× |
| PSA, total (84153) range across 4 matching MRF lines |
$9.59–$40.67 | $25–$106 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$9.59–$36.84 | $25–$96 | varies |
| CBC with automated differential (85025) | $18.03 | $47 | 2.3× |
| CBC, automated (85027) | $14.96 | $39 | 2.3× |
| Prothrombin time (PT) (85610) | $9.59 | $25 | 2.2× |
| Partial thromboplastin time (PTT) (85730) | $13.81 | $36 | 2.3× |
| Psychotherapy, 30 minutes (90832) | $71.75 | $187 | 0.4× |
| Psychotherapy, 45 minutes (90834) | $131.23 | $342 | 0.7× |
| Psychotherapy, 60 minutes (90837) | $278.95 | $727 | 1.5× |
| Family psychotherapy, without patient (50 min) (90846) | $170.75 | $445 | 0.9× |
| Family psychotherapy, with patient (50 min) (90847) | $173.05 | $451 | 0.9× |
| Group psychotherapy (90853) | $99.76 | $260 | 0.9× |
| Left heart catheterization (93452) range across 2 matching MRF lines |
$10,684.89–$18,791.71 | $27,847–$48,975 | varies |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$1,933.46–$2,753.81 | $5,039–$7,177 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $50.26 | $131 | 1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$66.38–$76.74 | $173–$200 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$90.94–$105.13 | $237–$274 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$123.17–$142.35 | $321–$371 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 4 matching MRF lines |
$56.79–$119.71 | $148–$312 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$56.79–$119.71 | $148–$312 | 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.
More prices at this hospital
- Imaging: 479 codes with posted prices and Medicare benchmarks
- Lab & pathology: 1136 codes with posted prices and Medicare benchmarks
- Visits & medical services: 505 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1222 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 245 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 64.1 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.