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Memorial Hospital

1101 Michigan Ave, Logansport, IN 46947 · (574) 753-7541

Acute Care HospitalsGovernment - LocalCMS rating 4/5Logansport, IN metroPart of Parkview Health System · 4 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-09-01

2,935 price rows for 60 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 5 lines · metro median $23

$23
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 5 lines · metro median $669

$669
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 15 lines · metro median $437

$437
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 5 lines · metro median $499

$499
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 10 lines · metro median $80

$80
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 5 lines · metro median $21

$21
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 5 lines · metro median $34

$34
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 5 lines · metro median $224

$224
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 5 lines · metro median $47

$47
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 5 lines · metro median $55

$55
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 5 lines · metro median $36

$36
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 10 lines · metro median $95

$95
cash
Group psychotherapy

CPT 90853 · lowest of 5 lines · metro median $13

$13
cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines · metro median $75

$75
cash
Liver function panel

CPT 80076 · lowest of 5 lines · metro median $43

$43
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 30 lines · metro median $772

$772
cash
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cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 15 lines · metro median $743

$743
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 15 lines · metro median $728

$728
cash
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New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $38

$38
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $54

$54
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 5 lines · metro median $71

$71
cash
PSA test (prostate)

CPT 84153 · lowest of 10 lines · metro median $69

$69
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 15 lines · metro median $41

$41
cash
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Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 5 lines · metro median $430

$430
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 5 lines · metro median $47

$47
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 5 lines · metro median $53

$53
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $11

$11
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 5 lines · metro median $23

$23
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 5 lines · metro median $37

$37
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 5 lines · metro median $55

$55
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 5 lines · metro median $226

$226
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 5 lines · metro median $188

$188
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 5 lines · metro median $2,001

$2,001
cash
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TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $43

$43
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 10 lines · metro median $173

$173
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 5 lines · metro median $226

$226
cash
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Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $18

$18
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 5 lines · metro median $313

$313
cash

Source files

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