Kosciusko Community Hospital

2101 E Dubois Dr, Warsaw, IN 46580 · (574) 267-3200

Acute Care HospitalsProprietaryCMS rating 4/5Warsaw, IN metro Website ↗

Price file

Prices published

File dated 2026-04-01

87,723 price rows for 67 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $6

cash

$1 to $351

1534 negotiated rates

$27

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 12 lines · metro median $2,189

$2,189

cash

$329 to $9,798

848 negotiated rates

$10,423

list

CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $974

$974

cash

$98 to $4,361

636 negotiated rates

$4,639

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $1,001

$1,001

cash

$164 to $4,481

530 negotiated rates

$4,767

list

Cataract surgery with lens implant

CPT 66984 · lowest of 8 lines · metro median $389

$389

cash

$389 to $10,034

720 negotiated rates

$1,854

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $1,227

$1,227

cash

$1,122 to $5,492

280 negotiated rates

$5,843

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,202 to $21,652

39 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 34 lines · metro median $3

cash

$2 to $318

3176 negotiated rates

$13

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 31 lines · metro median $174

$174

cash

$33 to $8,686

7642 negotiated rates

$828

list

Colonoscopy with biopsy

CPT 45380 · lowest of 17 lines · metro median $208

$208

cash

$132 to $11,960

4582 negotiated rates

$989

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 19 lines · metro median $183

$183

cash

$98 to $12,036

4042 negotiated rates

$871

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 14 lines · metro median $6

cash

$1 to $163

2820 negotiated rates

$29

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $8

cash

$1 to $444

1550 negotiated rates

$38

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $159

$159

cash

$91 to $712

214 negotiated rates

$757

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 4 lines · metro median $14

$14

cash

$13 to $69

650 negotiated rates

$69

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $53

$53

cash

$45 to $236

840 negotiated rates

$251

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $56

$56

cash

$37 to $772

360 negotiated rates

$265

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 7 lines · metro median $175

$175

cash

$79 to $71,292

1162 negotiated rates

$834

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 32 lines · metro median $3

cash

$2 to $318

2744 negotiated rates

$12

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,202 to $43,558

39 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,202 to $17,605

39 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,202 to $28,017

38 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 13 lines · metro median $138

$138

cash

$103 to $56,940

2242 negotiated rates

$659

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 9 lines · metro median $108

$108

cash

$108 to $41,529

1702 negotiated rates

$513

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 8 lines · metro median $165

$165

cash

$165 to $2,391

630 negotiated rates

$787

list

Left heart catheterization

CPT 93452 · lowest of 8 lines · metro median $137

$137

cash

$137 to $24,497

572 negotiated rates

$650

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 30 lines · metro median $16

$16

cash

$1 to $375

5200 negotiated rates

$74

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $5

cash

$2 to $342

848 negotiated rates

$26

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,860

$1,860

cash

$329 to $8,324

424 negotiated rates

$8,855

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 12 lines · metro median $1,387

$1,387

cash

$222 to $6,208

1908 negotiated rates

$6,604

list

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

CPT 72148 · lowest of 4 lines · metro median $1,379

$1,379

cash

$68 to $6,172

742 negotiated rates

$6,566

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,387

$1,387

cash

$222 to $6,208

318 negotiated rates

$6,604

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,202 to $55,129

39 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 6 lines · metro median $118

$118

cash

$94 to $5,640

286 negotiated rates

$564

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $40

$40

cash

$31 to $178

570 negotiated rates

$189

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $60

$60

cash

$53 to $271

570 negotiated rates

$288

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $75

$75

cash

$68 to $337

855 negotiated rates

$358

list

PSA test (prostate)

CPT 84153 · lowest of 16 lines · metro median $14

$14

cash

$1 to $360

2434 negotiated rates

$67

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $5

cash

$1 to $165

1820 negotiated rates

$22

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 38 lines · metro median $34

$34

cash

$17 to $225

2306 negotiated rates

$164

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 10 lines · metro median $70

$70

cash

$70 to $2,128

1234 negotiated rates

$332

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines · metro median $47

$47

cash

$35 to $226

660 negotiated rates

$226

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 4 lines · metro median $55

$55

cash

$43 to $261

660 negotiated rates

$261

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $112

$112

cash

$76 to $532

260 negotiated rates

$532

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $736

$736

cash

$736 to $46,218

90 negotiated rates

$3,504

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 20 lines · metro median $5

cash

$1 to $114

3700 negotiated rates

$22

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $19

$19

cash

$19 to $772

270 negotiated rates

$89

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $28

$28

cash

$28 to $772

270 negotiated rates

$133

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $42

$42

cash

$42 to $772

270 negotiated rates

$201

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 11 lines · metro median $109

$109

cash

$109 to $30,575

1812 negotiated rates

$520

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $128

$128

cash

$74 to $574

642 negotiated rates

$611

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 9 lines · metro median $47

$47

cash

$35 to $79,700

1055 negotiated rates

$226

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 10 lines · metro median $58

$58

cash

$58 to $8,533

1636 negotiated rates

$278

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$1,202 to $82,602

39 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $144

$144

cash

$70 to $3,846

180 negotiated rates

$686

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 12 lines · metro median $124

$124

cash

$84 to $3,227

620 negotiated rates

$591

list

TSH test (thyroid)

CPT 84443 · lowest of 14 lines · metro median $13

$13

cash

$1 to $299

2944 negotiated rates

$61

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $236

$236

cash

$145 to $25,739

360 negotiated rates

$1,125

list

Transvaginal ultrasound

CPT 76830 · lowest of 10 lines · metro median $19

$19

cash

$19 to $483

1382 negotiated rates

$92

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $72

$72

cash

$72 to $3,083

482 negotiated rates

$344

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 9 lines · metro median $117

$117

cash

$29 to $14,166

2422 negotiated rates

$556

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 11 lines · metro median $138

$138

cash

$69 to $12,161

2602 negotiated rates

$657

list

Urinalysis with microscope

CPT 81001 · lowest of 10 lines · metro median $4

cash

$1 to $103

1997 negotiated rates

$17

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $1,163

$1,163

cash

$1,063 to $5,206

224 negotiated rates

$5,538

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,202 to $15,225

39 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $1,112

$1,112

cash

$595 to $4,976

280 negotiated rates

$5,294

list

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

CPT 72110 · lowest of 10 lines · metro median $9

cash

$9 to $1,675

1340 negotiated rates

$42

list

Source files

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

https://www.lutherankosciuskohospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621764613_lutheran-kosciusko-hospital_standardcharges.csv
Lutheran Kosciusko Hospital · parsed · wide v3.0.0 · file dated 2026-04-01 · 853.2 MB · 87723 price rows read · read Nov 2026