St Joseph Health System, LLC

702 Van Buren St., Fort Wayne, IN 46802 · (260) 425-3000

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

Price file

Prices published

File dated 2026-04-01

142,893 price rows for 66 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $7

cash

$1 to $517

5784 negotiated rates

$27

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 14 lines · metro median $1,470

$2,410

cash

$86 to $10,041

1017 negotiated rates

$10,041

list

CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $541

$726

cash

$98 to $3,025

339 negotiated rates

$3,025

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $764

$1,232

cash

$164 to $5,133

452 negotiated rates

$5,133

list

Cataract surgery with lens implant

CPT 66984 · lowest of 8 lines · metro median $501

$445

cash

$445 to $10,034

776 negotiated rates

$1,854

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $1,578

$1,402

cash

$1,282 to $5,843

264 negotiated rates

$5,843

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,225 to $38,805

48 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 36 lines · metro median $34

$30

cash

$1 to $265

6280 negotiated rates

$127

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 31 lines · metro median $224

$199

cash

$38 to $7,540

6684 negotiated rates

$828

list

Colonoscopy with biopsy

CPT 45380 · lowest of 17 lines · metro median $267

$237

cash

$151 to $12,035

3968 negotiated rates

$989

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 19 lines · metro median $235

$209

cash

$113 to $12,460

3580 negotiated rates

$871

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 14 lines · metro median $8

cash

$1 to $170

15353 negotiated rates

$29

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $10

cash

$1 to $694

4087 negotiated rates

$38

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $224

$224

cash

$91 to $935

228 negotiated rates

$935

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 4 lines · metro median $19

$17

cash

$13 to $69

600 negotiated rates

$69

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $55

$55

cash

$52 to $229

792 negotiated rates

$229

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $64

$64

cash

$42 to $772

291 negotiated rates

$265

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 7 lines · metro median $225

$200

cash

$91 to $135,643

1058 negotiated rates

$834

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 34 lines · metro median $34

$30

cash

$8 to $255

5015 negotiated rates

$127

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,225 to $62,380

48 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,225 to $34,450

48 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,225 to $45,656

47 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 13 lines · metro median $178

$158

cash

$117 to $183,210

2125 negotiated rates

$659

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 8 lines · metro median $139

$123

cash

$123 to $14,226

1455 negotiated rates

$513

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 9 lines · metro median $212

$189

cash

$189 to $65,550

767 negotiated rates

$787

list

Left heart catheterization

CPT 93452 · lowest of 8 lines · metro median $176

$156

cash

$156 to $27,428

836 negotiated rates

$650

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 30 lines · metro median $20

$18

cash

$1 to $356

20564 negotiated rates

$74

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $45

$108

cash

$1 to $452

2987 negotiated rates

$452

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $939

$797

cash

$86 to $3,319

226 negotiated rates

$3,319

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 18 lines · metro median $569

$904

cash

$222 to $3,765

1017 negotiated rates

$3,765

list

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

CPT 72148 · lowest of 6 lines · metro median $430

$430

cash

$222 to $2,807

339 negotiated rates

$1,791

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines · metro median $292

$430

cash

$222 to $4,366

339 negotiated rates

$1,791

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,225 to $74,831

48 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $38

$38

cash

$36 to $159

536 negotiated rates

$159

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $64

$64

cash

$60 to $315

603 negotiated rates

$268

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $83

$83

cash

$78 to $396

871 negotiated rates

$345

list

PSA test (prostate)

CPT 84153 · lowest of 18 lines · metro median $18

$16

cash

$1 to $393

4770 negotiated rates

$67

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 10 lines · metro median $46

$38

cash

$1 to $190

3005 negotiated rates

$160

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 34 lines · metro median $22

$20

cash

$20 to $316

2882 negotiated rates

$83

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $137

$122

cash

$86 to $2,073

912 negotiated rates

$508

list

Preventive visit, new patient age 18 to 39

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

$46

cash

$40 to $192

608 negotiated rates

$192

list

Preventive visit, new patient age 40 to 64

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

$56

cash

$49 to $233

608 negotiated rates

$233

list

Prostate biopsy

CPT 55700 · lowest of 4 lines · metro median $98

$87

cash

$87 to $4,921

301 negotiated rates

$363

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $946

$841

cash

$841 to $46,218

97 negotiated rates

$3,504

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 22 lines · metro median $4

cash

$1 to $135

7830 negotiated rates

$15

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $23

$21

cash

$21 to $772

291 negotiated rates

$89

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $36

$32

cash

$32 to $772

291 negotiated rates

$133

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $54

$48

cash

$48 to $772

291 negotiated rates

$201

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 11 lines · metro median $140

$125

cash

$125 to $29,074

1657 negotiated rates

$520

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $195

$198

cash

$74 to $825

684 negotiated rates

$825

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 8 lines · metro median $54

$54

cash

$40 to $658

990 negotiated rates

$226

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 12 lines · metro median $75

$67

cash

$67 to $10,135

1582 negotiated rates

$278

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$1,225 to $104,396

46 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $185

$165

cash

$119 to $3,846

194 negotiated rates

$686

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $733

$733

cash

$230 to $4,291

336 negotiated rates

$3,056

list

TSH test (thyroid)

CPT 84443 · lowest of 18 lines · metro median $16

$15

cash

$1 to $343

9598 negotiated rates

$61

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $304

$270

cash

$165 to $25,739

388 negotiated rates

$1,125

list

Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $25

$22

cash

$22 to $1,484

1093 negotiated rates

$92

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $93

$83

cash

$25 to $2,657

520 negotiated rates

$344

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 9 lines · metro median $150

$133

cash

$33 to $40,386

2222 negotiated rates

$556

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 11 lines · metro median $177

$158

cash

$79 to $11,620

2319 negotiated rates

$657

list

Urinalysis with microscope

CPT 81001 · lowest of 12 lines · metro median $5

cash

$1 to $136

6139 negotiated rates

$17

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $1,495

$1,329

cash

$1,215 to $5,538

198 negotiated rates

$5,538

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,225 to $31,889

48 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $1,429

$1,271

cash

$680 to $5,294

264 negotiated rates

$5,294

list

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

CPT 72110 · lowest of 10 lines · metro median $11

$10

cash

$10 to $1,928

927 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.lutherandowntownhospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/510382045_lutheran-downtown-hospital_standardcharges.csv
Lutheran Downtown Hospital · parsed · wide v3.0.0 · file dated 2026-04-01 · 1098.6 MB · 142893 price rows read · read Nov 2026