Unity Physicians Hospital

4455 Edison Lakes Pkwy, Mishawaka, IN 46545 · (574) 231-6800

Acute Care HospitalsPhysicianSouth Bend, IN-MI metro Website ↗

Price file

Prices published

File dated 2026-10-22

2,923 price rows for 30 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$8 to $27,465

39 negotiated rates

$167

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$162 to $100,000

40 negotiated rates

$2,032

list

CT scan of the head, no contrast

CPT 70450

—

cash

$57 to $53,816

58 negotiated rates

$672

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$123 to $841

27 negotiated rates

$1,052

list

Chlamydia test (DNA)

CPT 87491

—

cash

$35 to $124

8 negotiated rates

$155

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$8 to $100,000

21 negotiated rates

$102

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$11 to $44,703

21 negotiated rates

$260

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$4,995 to $8,155

5 negotiated rates

$10,194

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$5 to $99,310

1643 negotiated rates

$27,465

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$583 to $22,380

35 negotiated rates

$27,975

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$13 to $186

9 negotiated rates

$233

list

Liver function panel

CPT 80076

—

cash

$8 to $183

8 negotiated rates

$229

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$194 to $1,495

27 negotiated rates

$1,869

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$129 to $948

27 negotiated rates

$1,184

list

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

CPT 72148

—

cash

$117 to $948

27 negotiated rates

$1,184

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$117 to $948

27 negotiated rates

$1,184

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$167 to $34,422

93 negotiated rates

$34,422

list

PSA test (prostate)

CPT 84153

—

cash

$18 to $69

8 negotiated rates

$87

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$6 to $27,465

39 negotiated rates

$71

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$34 to $27,465

36 negotiated rates

$68

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$68 to $270

27 negotiated rates

$337

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $27,465

39 negotiated rates

$13

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$489 to $42,217

47 negotiated rates

$52,771

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$909 to $4,144

27 negotiated rates

$5,180

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$11 to $49,159

117 negotiated rates

$49,159

list

TSH test (thyroid)

CPT 84443

—

cash

$17 to $27,465

39 negotiated rates

$191

list

Transvaginal ultrasound

CPT 76830

—

cash

$64 to $270

27 negotiated rates

$337

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$70 to $270

27 negotiated rates

$337

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $27,465

39 negotiated rates

$66

list

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

CPT 72110

—

cash

$23 to $331

27 negotiated rates

$414

list

Source files

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

https://clariti-health.com/csp/clariti/machinereadable/v2/352194353_United-Surgeons-LLC-DBA-Unity-Physicians-Hospital_standardcharges.csv
United Surgeons LLC DBA Unity Physicians Hospital · parsed · wide v3.0.0 · file dated 2026-10-22 · 1.3 MB · 2923 price rows read · read Nov 2026