Sullivan County Community Hospital
Sullivan, IN · Critical Access Hospital
Posts prices for 46 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-02.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) | $292.50 | $390 | — |
| Knee arthroscopy with meniscectomy (29881) | $958.50 | $1,278 | 0.3× |
| Obstetric care, vaginal delivery (global) (59400) | $3,989.25 | $5,319 | — |
| Obstetric care, cesarean delivery (global) (59510) | $4,427.25 | $5,903 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$281.60–$1,140.75 | $375.47–$1,521 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) | $257.34 | $343.12 | 0.3× |
| CT head/brain without contrast (70450) | $1,644.24 | $2,192.32 | 14.9× |
| MRI brain without contrast (70551) | $2,581.04 | $3,441.39 | 10.2× |
| MRI brain with contrast (70552) | $3,221.25 | $4,295 | 8.7× |
| MRI brain without and with contrast (70553) | $3,592.31 | $4,789.75 | 9.7× |
| X-ray lower spine, 4+ views (72110) | $394.79 | $526.38 | 3.6× |
| MRI lumbar spine without contrast (72148) | $2,574.88 | $3,433.17 | 10.2× |
| CT pelvis with contrast (72193) | $2,257.50 | $3,010 | 12.2× |
| MRI lower-extremity joint without contrast (73721) | $2,579.24 | $3,438.98 | 10.2× |
| CT abdomen and pelvis with contrast (74177) | $4,081.45 | $5,441.93 | 11.1× |
| Ultrasound, abdomen complete (76700) | $1,082.75 | $1,443.66 | 9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$916.31–$931.50 | $1,221.75–$1,242 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$1,040–$1,054.50 | $1,386.66–$1,406 | varies |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$392.25–$393.90 | $523–$525.20 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$604.58–$798.75 | $806.10–$1,065 | varies |
| Mammography, screening (bilateral) (77067) | $420.43 | $560.57 | 4.6× |
| Basic metabolic panel (80048) | $176.45 | $235.27 | 20.9× |
| Comprehensive metabolic panel (80053) | $200.31 | $267.08 | 19.0× |
| Lipid panel (80061) range across 2 matching MRF lines |
$60.75–$164.82 | $81–$219.76 | varies |
| Renal function panel (80069) | $190.97 | $254.62 | 22.0× |
| Hepatic function panel (80076) | $177.40 | $236.53 | 21.7× |
| Urinalysis, non-automated, without microscopy (81002) | $27 | $36 | 7.8× |
| PSA, total (84153) range across 2 matching MRF lines |
$78.79–$138.05 | $105.05–$184.07 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $130.13 | $173.50 | 7.7× |
| CBC with automated differential (85025) | $80.27 | $107.03 | 10.3× |
| CBC, automated (85027) | $73.61 | $98.15 | 11.4× |
| Prothrombin time (PT) (85610) | $55.14 | $73.52 | 12.9× |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$66.38–$91.50 | $88.50–$122 | varies |
| Psychotherapy, 30 minutes (90832) range across 4 matching MRF lines |
$108.75–$132.48 | $145–$176.64 | varies |
| Psychotherapy, 45 minutes (90834) range across 5 matching MRF lines |
$132–$329 | $176–$438.67 | varies |
| Psychotherapy, 60 minutes (90837) range across 5 matching MRF lines |
$162.75–$353.34 | $217–$471.12 | varies |
| Family psychotherapy, with patient (50 min) (90847) range across 2 matching MRF lines |
$187.50–$225 | $250–$300 | varies |
| Group psychotherapy (90853) range across 5 matching MRF lines |
$44.25–$302.63 | $59–$403.50 | varies |
| Electrocardiogram (ECG), complete (93000) | $126 | $168 | 2.0× |
| Sleep study (attended polysomnography) (95810) | $3,210.75 | $4,281 | 3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 3 matching MRF lines |
$84.80–$86.25 | $113.06–$115 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 9 matching MRF lines |
$126.75–$396.75 | $169–$529 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 12 matching MRF lines |
$252.23–$443.25 | $336.31–$591 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 9 matching MRF lines |
$293.25–$491.25 | $391–$655 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$137.25–$204 | $183–$272 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 2 matching MRF lines |
$147–$220.50 | $196–$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.
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: 179 codes with posted prices and Medicare benchmarks
- Lab & pathology: 446 codes with posted prices and Medicare benchmarks
- Visits & medical services: 119 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 527 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 28 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 24.8 MB) ↓ — 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.