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INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest prices. From its own published file.

INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest in In, 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.

182prices published
Jun 2026file last updated
$568cash price for mri lower back without contrast (list $3,967)

Common services

ServiceCash priceList priceInsurers pay
Comprehensive metabolic panel
80053
$170$243$126–$211
Basic metabolic panel
80048
$109$155$80.32–$135
Complete blood count (CBC)
85025
$109$155$80.32–$135
CT head without contrast
70450
$253$1,368$169–$1,196
CT abdomen and pelvis with contrast
74177
$1,104$4,481$736–$3,899
MRI lower back without contrast
72148
$568$3,967$379–$3,452
Ultrasound, abdomen
76700
$273$952$182–$828
Knee arthroscopy
29881
$7,953$6,550$4,013–$10,506

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: INDIANA ORTHOPAEDIC HOSPITAL LLC Northwest price transparency page.

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