Supplies, drugs & other prices at The Orthopaedic Hospital of Lutheran Health Network
Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.
71 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 |
$6.75–$35.91 | $25–$133 | varies |
| 2d tee w or w/o fol w/con,in (C8925) | $1,390.23 | $5,149 | 1.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,116.45 | $4,135 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $682.56 | $2,528 | 1.8× |
| Adm tocilizu covid-19 1st (M0249) | $289.44 | $1,072 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $289.44 | $1,072 | 0.6× |
| Admin hepatitis b vaccine (G0010) range across 4 matching MRF lines |
$6.75–$54 | $25–$200 | varies |
| Admin influenza virus vac (G0008) range across 5 matching MRF lines |
$6.75–$36.18 | $25–$134 | varies |
| Admin pneumococcal vaccine (G0009) range across 5 matching MRF lines |
$6.75–$36.18 | $25–$134 | varies |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$5.94–$6.75 | $22–$25 | varies |
| Behavior counsel obesity 15m (G0447) | $16.20 | $60 | 0.2× |
| Brief alcohol misuse counsel (G0443) | $16.20 | $60 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) range across 3 matching MRF lines |
$40.50–$66.15 | $150–$245 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$12.96–$24.03 | $48–$89 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 6 matching MRF lines |
$111.78–$223.56 | $414–$828 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 9 matching MRF lines |
$136.89–$223.56 | $507–$828 | varies |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$5.94–$6.75 | $22–$25 | varies |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$32.40–$36.72 | $120–$136 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$9.99–$11.07 | $37–$41 | varies |
| Direct refer hospital observ (G0379) | $572.94 | $2,122 | 0.9× |
| Eia hiv-1/hiv-2 screen (G0432) | $30.51 | $113 | 1.6× |
| Ekg tracing for initial prev (G0404) | $9.99 | $37 | 0.3× |
| Elec stim other than wound (G0283) range across 34 matching MRF lines |
$9.72–$77.76 | $36–$288 | varies |
| Elec stim unattend for press (G0281) | $9.72 | $36 | 0.8× |
| Extrnl counterpulse, per tx (G0166) | $103.95 | $385 | 0.7× |
| Fecal blood scrn immunoassay (G0328) range across 8 matching MRF lines |
$14.58–$65.88 | $54–$244 | varies |
| Fecal microbiota prep instil (G0455) | $135 | $500 | 0.1× |
| High inten beh couns std 30m (G0445) | $16.47 | $61 | 0.2× |
| Hiv combination assay (G0475) | $79.65 | $295 | 3.3× |
| Home sleep test/type 2 porta (G0398) | $43.74 | $162 | 0.2× |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$69.93–$83.70 | $259–$310 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$74.52–$96.93 | $276–$359 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,710.11 | $6,333.74 | 2.3× |
| Intens behave ther cardio dx (G0446) | $16.20 | $60 | 0.4× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$674.19–$714.96 | $2,497–$2,648 | varies |
| Mra w/cont, chest (C8909) range across 3 matching MRF lines |
$612.47–$688.23 | $2,268.40–$2,549 | varies |
| Mra w/cont, lwr ext (C8912) range across 11 matching MRF lines |
$611.04–$686.61 | $2,263.10–$2,543 | varies |
| Mra w/cont, pelvis (C8918) range across 3 matching MRF lines |
$636.23–$714.96 | $2,356.40–$2,648 | varies |
| Mra w/o cont, abd (C8901) range across 7 matching MRF lines |
$565.25–$635.04 | $2,093.50–$2,352 | varies |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$630.72–$668.52 | $2,336–$2,476 | varies |
| Mra w/o cont, lwr ext (C8913) range across 6 matching MRF lines |
$613.62–$689.58 | $2,272.65–$2,554 | varies |
| Mra w/o cont, pelvis (C8919) range across 4 matching MRF lines |
$514.35–$649.35 | $1,905–$2,405 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 6 matching MRF lines |
$1,032.03–$1,217.43 | $3,822.35–$4,509 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$1,209.33–$1,281.96 | $4,479–$4,748 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 13 matching MRF lines |
$1,041.77–$1,170.45 | $3,858.40–$4,335 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 3 matching MRF lines |
$733.54–$824.31 | $2,716.80–$3,053 | varies |
| Mra, w/dye, spinal canal (C8931) range across 3 matching MRF lines |
$978.24–$1,098.90 | $3,623.10–$4,070 | varies |
| Mra, w/dye, upper extremity (C8934) range across 6 matching MRF lines |
$635.36–$713.88 | $2,353.20–$2,644 | varies |
| Mra, w/o dye, spinal canal (C8932) range across 3 matching MRF lines |
$733.54–$824.31 | $2,716.80–$3,053 | varies |
| Mra, w/o dye, upper extr (C8935) range across 6 matching MRF lines |
$613.62–$689.58 | $2,272.65–$2,554 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) range across 3 matching MRF lines |
$1,105.60–$1,242 | $4,094.80–$4,600 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 6 matching MRF lines |
$733.54–$824.31 | $2,716.80–$3,053 | varies |
| Njx bone sub matrl into subchondral bone defect (0707T) | $29,130.27 | $107,889.90 | 8.4× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$16,486.54 | $57–$61,061.26 | 34.9× |
| Obtaining screen pap smear (Q0091) range across 6 matching MRF lines |
$12.15–$13.77 | $45–$51 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$7.02–$45.90 | $26–$170 | varies |
| Pathogen test for platelets (P9100) | $46.44 | $172 | 0.7× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$95.04–$117.99 | $352–$437 | varies |
| Ppps, subseq visit (G0439) range across 4 matching MRF lines |
$63.45–$79.65 | $235–$295 | varies |
| Prostate biopsy, any mthd (G0416) | $205.74 | $762 | 0.5× |
| Psa screening (G0103) range across 2 matching MRF lines |
$18.09–$75.33 | $67–$279 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) | $63.18 | $234 | 2.4× |
| Screen cerv/vag thin layer (G0123) | $82.08 | $304 | 4.1× |
| Screen pap by tech w md supv (P3000) | $9.72 | $36 | 0.5× |
| Therapeutic procd strg endur (G0237) | $7.02 | $26 | 0.2× |
| Trim nail(s) (G0127) | $5.67 | $21 | 0.1× |
| Trluml Perip Athrc Brchiocph (0237T) likely a partial charge, not the full procedure |
$320.22 | $1,186 | 0.0× |
| Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure |
$1,822.50 | $6,750 | 0.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,508.76 | $5,588 | 1.8× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,011.15 | $3,745 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,640.25 | $6,075 | 2.0× |
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.