Pulaski Memorial Hospital

Winamac, IN · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$451.50–$1,281.49 $645–$1,830.70 varies
Shoulder arthroscopy with decompression (29826) $790.30 $1,129 —
Knee arthroscopy with meniscectomy (29881) $741.30 $1,059 0.2×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$301 $430 0.0×
Upper GI endoscopy (EGD), diagnostic (43235) $291.90 $417 0.3×
Upper GI endoscopy (EGD) with biopsy (43239) $371.70 $531 0.4×
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$425.60–$1,413.51 $608–$2,019.30 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$427.70–$1,512.77 $611–$2,161.10 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$646.10–$1,815.24 $923–$2,593.20 varies
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines
$865.20–$3,993.99 $1,236–$5,705.70 varies
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$482.30–$2,297.19 $689–$3,281.70 varies
Transforaminal epidural injection, lumbar/sacral (64483) $220.50 $315 0.2×
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 3 matching MRF lines
$320.60–$1,294.51 $458–$1,849.30 varies
Cataract removal with lens insertion (66984) $644 $920 0.3×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$82.39–$1,790.60 $117.70–$2,558 varies
MRI brain without contrast (70551) $4,043.90 $5,777 16.0×
MRI brain with contrast (70552)
range across 2 matching MRF lines
$172.48–$4,615.87 $246.40–$6,594.10 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$221.76–$5,279.19 $316.80–$7,541.70 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$26.11–$741.16 $37.30–$1,058.80 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$143.50–$4,043.90 $205–$5,777 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$112.07–$2,398.34 $160.10–$3,426.20 varies
MRI lower-extremity joint without contrast (73721)
range across 4 matching MRF lines
$131.25–$5,173.91 $187.50–$7,391.30 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$176.68–$3,962.49 $252.40–$5,660.70 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$78.26–$1,360.45 $111.80–$1,943.50 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$96.95–$906.85 $138.50–$1,295.50 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$45.29–$927.29 $64.70–$1,324.70 varies
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$78.26–$404.32 $111.80–$577.60 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$96.39–$450.03 $137.70–$642.90 varies
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$73.99–$390.60 $105.70–$558 varies
Basic metabolic panel (80048) $160.02 $228.60 18.9×
Comprehensive metabolic panel (80053) $213.22 $304.60 20.2×
Obstetric panel (80055)
range across 2 matching MRF lines
$488.46–$560.84 $697.80–$801.20 varies
Lipid panel (80061) $160.37 $229.10 12.0×
Renal function panel (80069) $168.84 $241.20 19.5×
Hepatic function panel (80076) $168.84 $241.20 20.7×
Urinalysis, non-automated, without microscopy (81002) $21.84 $31.20 6.3×
PSA, total (84153) $163.66 $233.80 8.9×
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines
$42.56–$175.77 $60.80–$251.10 varies
CBC with automated differential (85025) $95.06 $135.80 12.2×
CBC, automated (85027)
range across 2 matching MRF lines
$71.12–$95.06 $101.60–$135.80 varies
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$50.47–$74.90 $72.10–$107 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$50.47–$115.50 $72.10–$165 varies
Psychotherapy, 30 minutes (90832) $204.26 $291.80 1.1×
Psychotherapy, 45 minutes (90834) $263.48 $376.40 1.4×
Psychotherapy, 60 minutes (90837) $383.11 $547.30 2.0×
Family psychotherapy, without patient (50 min) (90846) $239.47 $342.10 1.3×
Family psychotherapy, with patient (50 min) (90847) $287.42 $410.60 1.5×
Group psychotherapy (90853) $359.10 $513 3.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $106.61 $152.30 3.7×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$101.50–$298.55 $145–$426.50 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$154–$395.64 $220–$565.20 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$193.90–$541.31 $277–$773.30 varies
Office consultation (low complexity, ~30 min) (99243) $256.62 $366.60 1.8×
Office consultation (moderate complexity, ~40 min) (99244) $378.35 $540.50 2.7×
Preventive visit, new patient (age 18–39) (99385) $178.15 $254.50 —
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$207.76–$237.23 $296.80–$338.90 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, 132.7 MB) ↓ — captured 2026-10-01

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