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Community Hospital of Bremen prices. From its own published file.

Community Hospital of Bremen in Bremen, IN publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

10,316prices published
Jan 2026file last updated
$2,587cash price for ct abdomen and pelvis with contrast (list $3,980)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$537$826$256–$1,074
Emergency visit, high (level 4)
99284
$839$1,291$400–$1,678
Emergency visit, highest (level 5)
99285
$1,251$1,925$597–$2,503
Comprehensive metabolic panel
80053
$9.75$76.50$4.65–$179
Basic metabolic panel
80048
$5.85$89.50$2.79–$221
Complete blood count (CBC)
85025
$7.15$47.00$3.41–$108
Blood draw (venipuncture)
36415
$1.95$28.00$0.93–$36.40
Urinalysis
81001
$2.60$46.50$1.24–$116
Troponin (heart test)
84484
$125$193$12.47–$251
EKG tracing
93005
$181$291$86.49–$378
Chest X-ray, 2 views
71046
$196$302$93.62–$393
CT head without contrast
70450
$892$1,373$221–$1,785
CT abdomen and pelvis with contrast
74177
$2,587$3,980$632–$5,173
MRI lower back without contrast
72148
$1,321$2,032$458–$2,642
Ultrasound, abdomen
76700
$667$1,026$274–$1,334
IV push, single drug
96374
$148$238$70.68–$309
IV fluids, first hour
96360
$239$383$114–$498
Ketorolac injection, 15 mg
J1885
$29.25$45.00$13.95–$58.50
Ondansetron injection
J2405
$16.25$35.00$7.75–$58.50
Colonoscopy, diagnostic
45378
——$2,274–$2,274
Upper GI endoscopy with biopsy
43239
——$2,274–$2,274
Knee arthroscopy
29881
——$2,274–$2,274

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Community Hospital of Bremen price transparency page.

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