Goshen Hospital

200 High Park Ave, Goshen, IN 46526 · (574) 364-1000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Elkhart, IN metro Website ↗

Price file

Prices published

File dated 2026-08-14

5,062 price rows for 54 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $17

$17

cash

$8 to $29

40 negotiated rates

$24

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,797

$2,797

cash

$426 to $1,168

174 negotiated rates

$3,996

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,238

$1,238

cash

$220 to $1,001

174 negotiated rates

$1,769

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,566

$1,566

cash

$426 to $1,001

174 negotiated rates

$2,237

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · metro median $14,451

$14,451

cash

—

$20,645

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $14,772

$14,772

cash

$8,368 to $22,013

75 negotiated rates

$21,102

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $97

$97

cash

$35 to $120

40 negotiated rates

$139

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $5,011

$5,011

cash

$923 to $1,330

134 negotiated rates

$7,159

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $5,710

$5,710

cash

$1,188 to $1,712

134 negotiated rates

$8,157

list

Colonoscopy with polyp removal

CPT 45385 · metro median $5,761

$5,761

cash

$1,188 to $1,712

67 negotiated rates

$8,231

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $50

$50

cash

$8 to $27

40 negotiated rates

$72

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $170

$170

cash

$11 to $36

40 negotiated rates

$243

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $385

$385

cash

$143 to $250

80 negotiated rates

$550

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $314

$314

cash

—

$449

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $19,683

$19,683

cash

$6,002 to $8,647

134 negotiated rates

$28,119

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $97

$97

cash

$35 to $120

40 negotiated rates

$139

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $36,206

$36,206

cash

$15,448 to $44,286

75 negotiated rates

$51,723

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $24,102

$24,102

cash

$7,060 to $17,899

75 negotiated rates

$34,431

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $26,033

$26,033

cash

$10,426 to $28,485

75 negotiated rates

$37,189

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $9,130

$9,130

cash

$3,554 to $5,121

134 negotiated rates

$13,042

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $26,799

$26,799

cash

$3,248 to $4,680

134 negotiated rates

$38,284

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $9,553

$9,553

cash

$3,218 to $10,518

148 negotiated rates

$13,647

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $90

$90

cash

$13 to $46

174 negotiated rates

$128

list

Liver function panel

CPT 80076 · metro median $16

$16

cash

$8 to $28

20 negotiated rates

$23

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $961

$961

cash

$843 to $1,253

174 negotiated rates

$1,373

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,442

$1,442

cash

$523 to $1,253

87 negotiated rates

$2,060

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $961

$961

cash

$523 to $1,253

174 negotiated rates

$1,373

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $961

$961

cash

$523 to $1,253

174 negotiated rates

$1,373

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $5,620

$5,620

cash

$878 to $2,911

74 negotiated rates

$8,028

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $245

$245

cash

—

$350

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $314

$314

cash

—

$449

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $463

$463

cash

—

$661

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $91

$91

cash

$18 to $63

40 negotiated rates

$130

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $151

$151

cash

$6 to $21

40 negotiated rates

$215

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $109

$109

cash

$27 to $39

67 negotiated rates

$155

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $611

$611

cash

$104 to $348

148 negotiated rates

$873

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $50,167

$50,167

cash

$10,553 to $34,045

74 negotiated rates

$71,667

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $8

cash

$4 to $13

20 negotiated rates

$12

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines · metro median $7,622

$7,622

cash

$3,887 to $5,600

201 negotiated rates

$10,888

list

Screening mammogram (both breasts)

CPT 77067 · metro median $275

$275

cash

$115 to $250

80 negotiated rates

$393

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $28,643

$28,643

cash

—

$40,918

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,655

$3,655

cash

$853 to $3,327

74 negotiated rates

$5,222

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $2,378

$2,378

cash

$701 to $2,265

74 negotiated rates

$3,397

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $94

$94

cash

$17 to $58

40 negotiated rates

$134

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $13,539

$13,539

cash

$5,877 to $8,467

67 negotiated rates

$19,341

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $552

$552

cash

$104 to $373

174 negotiated rates

$788

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $927

$927

cash

$292 to $421

174 negotiated rates

$1,324

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $4,751

$4,751

cash

$900 to $1,297

134 negotiated rates

$6,788

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $6,167

$6,167

cash

$900 to $1,297

134 negotiated rates

$8,811

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $5

cash

$3 to $11

40 negotiated rates

list

Vaginal delivery after a previous cesarean

CPT 59610 · metro median $11,237

$11,237

cash

—

$16,054

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $11,629

$11,629

cash

$6,291 to $15,479

75 negotiated rates

$16,612

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · metro median $11,239

$11,239

cash

—

$16,056

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $477

$477

cash

$104 to $348

174 negotiated rates

$682

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://goshenhealth.com/uploads/PricingDocuments/35-6001540_Goshen-Hospital_standardcharges.csv
Goshen Hospital · parsed · wide v3.0.0 · file dated 2026-08-14 · 213.7 MB · 5062 price rows read · read Nov 2026
https://goshenhealth.com/uploads/PricingDocuments/47-5619052_Goshen-Health-Surgery-Center-LLC_standardcharges.csv
Goshen Health Surgery Center LLC · unmatched · wide v3.0.0 · file dated 2026-08-13 · 43.7 MB · read Oct 2026