Lutheran Hospital of Indiana
Fort Wayne, IN
Posts prices for 64 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-02.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 12 matching MRF lines |
$348.30–$9,948.05 | $520–$33,160.18 | varies |
| Shoulder arthroscopy with decompression (29826) range across 5 matching MRF lines |
$49.50–$197.40 | $165–$658 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 11 matching MRF lines |
$153.90–$615.60 | $513–$2,052 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) range across 4 matching MRF lines |
$337.50–$8,474.59 | $689–$28,248.64 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 12 matching MRF lines |
$102.30–$2,922.58 | $139–$9,741.93 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 14 matching MRF lines |
$98.70–$3,414.02 | $329–$11,380.08 | varies |
| Diagnostic colonoscopy (45378) range across 39 matching MRF lines |
$165.60–$2,177.37 | $158–$7,257.89 | varies |
| Colonoscopy with biopsy (45380) range across 24 matching MRF lines |
$188.70–$3,382.02 | $629–$11,273.40 | varies |
| Colonoscopy with lesion removal (45385) range across 22 matching MRF lines |
$140.70–$3,220.61 | $469–$10,735.38 | varies |
| Colonoscopy with endoscopic ultrasound (45391) range across 2 matching MRF lines |
$226.20–$1,689.71 | $754–$5,632.36 | varies |
| Laparoscopic gallbladder removal (47562) range across 8 matching MRF lines |
$369.90–$19,561.63 | $378–$65,205.43 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 13 matching MRF lines |
$197.70–$14,053.82 | $489–$46,846.08 | varies |
| Laparoscopic radical prostatectomy (55866) likely a partial charge, not the full procedure |
$1,051.20 | $3,504 | 0.1× |
| Obstetric care, vaginal delivery (global) (59400) range across 3 matching MRF lines |
$850.50–$1,588.20 | $2,835–$5,294 | varies |
| Obstetric care, cesarean delivery (global) (59510) range across 2 matching MRF lines |
$1,602.60–$1,752.90 | $5,342–$5,843 | varies |
| Obstetric care, VBAC delivery (global) (59610) range across 2 matching MRF lines |
$1,518.90–$1,661.40 | $5,063–$5,538 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 3 matching MRF lines |
$205.80–$1,536.16 | $686–$5,120.52 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$169.20–$1,160.40 | $564–$3,868 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) range across 7 matching MRF lines |
$236.10–$354.30 | $787–$1,181 | varies |
| Cataract removal with lens insertion (66984) range across 5 matching MRF lines |
$556.20–$8,369.63 | $1,854–$27,898.77 | varies |
| CT head/brain without contrast (70450) range across 5 matching MRF lines |
$362.70–$832.80 | $1,209–$2,776 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$569.40–$842.10 | $1,898–$2,807 | varies |
| MRI brain with contrast (70552) | $842.10 | $2,807 | 2.3× |
| MRI brain without and with contrast (70553) range across 3 matching MRF lines |
$107.09–$995.70 | $356.98–$3,319 | varies |
| X-ray lower spine, 4+ views (72110) range across 6 matching MRF lines |
$12.60–$545.40 | $42–$1,818 | varies |
| MRI lumbar spine without contrast (72148) range across 6 matching MRF lines |
$537.30–$842.10 | $1,791–$2,807 | varies |
| CT pelvis with contrast (72193) range across 5 matching MRF lines |
$492.60–$1,274.40 | $1,642–$4,248 | varies |
| MRI lower-extremity joint without contrast (73721) range across 12 matching MRF lines |
$569.40–$1,129.50 | $1,898–$3,765 | varies |
| CT abdomen and pelvis with contrast (74177) range across 11 matching MRF lines |
$106.94–$2,728.50 | $356.45–$9,095 | varies |
| Ultrasound, abdomen complete (76700) range across 4 matching MRF lines |
$31.02–$910.80 | $103.40–$3,036 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 8 matching MRF lines |
$107.40–$680.70 | $358–$2,269 | varies |
| Ultrasound, transvaginal (76830) range across 6 matching MRF lines |
$27.60–$383.10 | $92–$1,277 | varies |
| Mammography, one breast (diagnostic) (77065) range across 11 matching MRF lines |
$28.27–$150 | $94.23–$500 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 6 matching MRF lines |
$147.60–$195.30 | $492–$651 | varies |
| Mammography, screening (bilateral) (77067) range across 8 matching MRF lines |
$142.80–$194.10 | $476–$647 | varies |
| Basic metabolic panel (80048) range across 18 matching MRF lines |
$2.54–$55.80 | $2.11–$186 | varies |
| Comprehensive metabolic panel (80053) range across 15 matching MRF lines |
$1.06–$146.70 | $3.27–$489 | varies |
| Obstetric panel (80055) range across 2 matching MRF lines |
$60.60–$84.30 | $202–$281 | varies |
| Lipid panel (80061) range across 71 matching MRF lines |
$1.04–$64.80 | $3.46–$216 | varies |
| Renal function panel (80069) range across 8 matching MRF lines |
$2.60–$134.10 | $3–$447 | varies |
| Hepatic function panel (80076) range across 9 matching MRF lines |
$1.50–$79.80 | $2.02–$266 | varies |
| Urinalysis, non-automated, with microscopy (81000) range across 9 matching MRF lines |
$1.21–$86.70 | $4.02–$289 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 10 matching MRF lines |
$1.04–$72 | $3.48–$240 | varies |
| PSA, total (84153) range across 17 matching MRF lines |
$1.35–$72 | $4.50–$240 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 37 matching MRF lines |
$1.20–$78.60 | $4–$262 | varies |
| CBC with automated differential (85025) range across 52 matching MRF lines |
$1.35–$32.40 | $2.47–$108 | varies |
| CBC, automated (85027) range across 49 matching MRF lines |
$1.05–$32.40 | $3.50–$108 | varies |
| Prothrombin time (PT) (85610) range across 28 matching MRF lines |
$1.29–$17.40 | $4.29–$58 | varies |
| Partial thromboplastin time (PTT) (85730) range across 14 matching MRF lines |
$1.80–$57 | $6.01–$190 | varies |
| Psychotherapy, 30 minutes (90832) range across 2 matching MRF lines |
$26.70–$49.50 | $89–$165 | varies |
| Psychotherapy, 45 minutes (90834) range across 2 matching MRF lines |
$39.90–$65.70 | $133–$219 | varies |
| Psychotherapy, 60 minutes (90837) range across 3 matching MRF lines |
$60.30–$120.30 | $201–$401 | varies |
| Family psychotherapy, without patient (50 min) (90846) range across 3 matching MRF lines |
$52.80–$80.10 | $176–$267 | varies |
| Electrocardiogram (ECG), complete (93000) range across 4 matching MRF lines |
$20.70–$22.20 | $69–$74 | varies |
| Left heart catheterization (93452) range across 4 matching MRF lines |
$195–$8,228.40 | $650–$27,428 | varies |
| Sleep study (attended polysomnography) (95810) range across 10 matching MRF lines |
$83.40–$3,040.50 | $278–$10,135 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 13 matching MRF lines |
$24.90–$94.50 | $83–$315 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 7 matching MRF lines |
$38.40–$61.80 | $128–$206 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 7 matching MRF lines |
$58.50–$94.50 | $195–$315 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 10 matching MRF lines |
$74.10–$118.80 | $247–$396 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 12 matching MRF lines |
$60–$74.70 | $200–$249 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 8 matching MRF lines |
$95.40–$112.20 | $318–$374 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 9 matching MRF lines |
$47.70–$76.20 | $159–$254 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 9 matching MRF lines |
$55.20–$88.20 | $184–$294 | 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.
More prices at this hospital
- Imaging: 401 codes with posted prices and Medicare benchmarks
- Lab & pathology: 841 codes with posted prices and Medicare benchmarks
- Visits & medical services: 410 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 2029 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 112 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.2 GB) ↓ — captured 2026-10-02
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.