Supplies, drugs & other prices at Lutheran Kosciusko Hospital
Warsaw, IN · every code in this section with a posted price and a Medicare benchmark.
76 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) range across 3 matching MRF lines |
$5.25–$29.19 | $25–$139 | varies |
| 2d tee w or w/o fol w/con,in (C8925) | $894.81 | $4,261 | 1.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $948.57 | $4,517 | 1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $416.22 | $1,982 | 1.1× |
| Adm of soc dtr assess 5-15 m (G0136) | $9.24 | $44 | 0.2× |
| Adm tocilizu covid-19 1st (M0249) | $225.12 | $1,072 | 0.5× |
| Admin hepatitis b vaccine (G0010) range across 10 matching MRF lines |
$5.25–$55.65 | $25–$265 | varies |
| Admin influenza virus vac (G0008) range across 10 matching MRF lines |
$5.25–$55.44 | $25–$264 | varies |
| Admin pneumococcal vaccine (G0009) range across 10 matching MRF lines |
$5.25–$55.44 | $25–$264 | varies |
| Annual alcohol screen 15 min (G0442) range across 3 matching MRF lines |
$4.62–$8.82 | $22–$42 | varies |
| Behavior counsel obesity 15m (G0447) | $12.60 | $60 | 0.1× |
| Brief alcohol misuse counsel (G0443) | $12.60 | $60 | 0.1× |
| Ca screen;flexi sigmoidscope (G0104) range across 5 matching MRF lines |
$51.45–$1,805.79 | $150–$8,599 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 4 matching MRF lines |
$10.08–$18.69 | $48–$89 | varies |
| Catheterize for urine spec (P9612) | $3.36 | $16 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 10 matching MRF lines |
$86.94–$1,837.90 | $414–$8,751.90 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 13 matching MRF lines |
$106.47–$1,844.35 | $507–$8,782.63 | varies |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$4.62–$8.82 | $22–$42 | varies |
| Diab manage trn per indiv (G0108) range across 5 matching MRF lines |
$25.20–$33.60 | $120–$160 | varies |
| Diab manage trn ind/group (G0109) range across 7 matching MRF lines |
$7.77–$15.33 | $37–$73 | varies |
| Direct refer hospital observ (G0379) | $474.81 | $2,261 | 0.8× |
| Eia hiv-1/hiv-2 screen (G0432) range across 14 matching MRF lines |
$1.15–$33.18 | $3.42–$158 | varies |
| Ekg tracing for initial prev (G0404) | $7.77 | $37 | 0.3× |
| Elec stim other than wound (G0283) range across 19 matching MRF lines |
$7.56–$50.19 | $36–$239 | varies |
| Elec stim unattend for press (G0281) range across 14 matching MRF lines |
$7.56–$44.94 | $36–$214 | varies |
| Extrnl counterpulse, per tx (G0166) | $80.85 | $385 | 0.6× |
| Fecal blood scrn immunoassay (G0328) range across 8 matching MRF lines |
$11.34–$34.86 | $54–$166 | varies |
| Fecal microbiota prep instil (G0455) | $105 | $500 | 0.1× |
| High inten beh couns std 30m (G0445) | $12.81 | $61 | 0.1× |
| Hiv combination assay (G0475) range across 9 matching MRF lines |
$2.31–$66.99 | $11–$319 | varies |
| Home sleep test/type 2 porta (G0398) | $34.02 | $162 | 0.1× |
| Home sleep test/type 3 porta (G0399) | $34.02 | $162 | 0.1× |
| Hospital outpt clinic visit (G0463) range across 17 matching MRF lines |
$65.31–$413.49 | $311–$1,969 | varies |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
$57.96–$75.39 | $276–$359 | varies |
| Inj for sacroiliac jt anesth (G0260) | $846.30 | $4,030 | 1.1× |
| Intens behave ther cardio dx (G0446) | $12.60 | $60 | 0.3× |
| Mra w/cont, pelvis (C8918) range across 2 matching MRF lines |
$790.44–$1,512.84 | $3,764–$7,204 | varies |
| Mra w/o cont, abd (C8901) | $494.13 | $2,353 | 2.0× |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$790.44–$1,386.84 | $3,764–$6,604 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 4 matching MRF lines |
$820.68–$1,575.84 | $3,908–$7,504 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$820.68–$1,575.84 | $3,908–$7,504 | varies |
| Mri w/cont, breast, bi (C8906) | $854.07 | $4,067 | 2.3× |
| Mri w/o fol w/cont, breast, (C8908) | $932.82 | $4,442 | 2.5× |
| Neuro csf prion prtn qual (0035U) | $568.05 | $2,705 | 1.1× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$6,741.56 | $57–$32,102.67 | 14.3× |
| Obtaining screen pap smear (Q0091) range across 8 matching MRF lines |
$9.45–$22.05 | $45–$105 | varies |
| Oth resp proc, group (G0239) | $98.70 | $470 | 2.5× |
| Oth resp proc, indiv (G0238) range across 3 matching MRF lines |
$5.46–$40.95 | $26–$195 | varies |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$28.46–$36.12 | $135.50–$172 | varies |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,885.48 | $32,788 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $6,885.48 | $32,788 | 0.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,960.49 | $42,669 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $8,933.82 | $42,542 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$2,258.76 | $10,756 | 0.3× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$2,191.98 | $10,438 | 0.3× |
| Ppps, initial visit (G0438) range across 4 matching MRF lines |
$73.92–$91.77 | $352–$437 | varies |
| Ppps, subseq visit (G0439) range across 5 matching MRF lines |
$49.35–$61.95 | $235–$295 | varies |
| Prostate biopsy, any mthd (G0416) | $178.50 | $850 | 0.5× |
| Psa screening (G0103) range across 4 matching MRF lines |
$14.07–$70.56 | $2.51–$336 | varies |
| Revasc intra lithotrip-stent (C9765) | $10,583.79 | $50,399 | 0.5× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,223.75 | $24,875 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) | $16,086 | $76,600 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $10,056.48 | $47,888 | 0.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $51.45 | $245 | 1.9× |
| Screen cerv/vag thin layer (G0123) | $60.06 | $286 | 3.0× |
| Screen pap by tech w md supv (P3000) | $7.56 | $36 | 0.4× |
| Tee w or w/o fol w/cont, mon (C8927) range across 2 matching MRF lines |
$663.99–$838.32 | $3,161.87–$3,992 | varies |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$5.46–$28.98 | $26–$138 | varies |
| Tomosynthesis, mammo (G0279) range across 10 matching MRF lines |
$13.23–$19.32 | $63–$92 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$4.41–$11.34 | $21–$54 | varies |
| Trluml Perip Athrc Brchiocph (0237T) likely a partial charge, not the full procedure |
$249.06 | $1,186 | 0.0× |
| Trluml Perip Athrc Iliac Art (0238T) range across 4 matching MRF lines |
$1,417.50–$11,682.09 | $6,750–$55,629 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $1,311.87 | $6,247 | 1.6× |
| Unsched dialysis esrd pt hos (G0257) | $574.77 | $2,737 | 0.8× |
| Visit to determ ldct elig (G0296) | $16.59 | $79 | 0.2× |
| Wet mounts/ w preparations (Q0111) | $3.15 | $15 | 0.2× |
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.