Witham Memorial Hospital prices. From its own published file.

Witham Memorial Hospital in Lebanon, 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.

3,826prices published

Mar 2026file last updated

$4,807cash price for ct abdomen and pelvis with contrast (list $6,867)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$127	$737	$48.00–$3,229
Emergency visit, high (level 4) `99284`	$212	$1,260	$48.00–$5,544
Emergency visit, highest (level 5) `99285`	$258	$1,764	$48.00–$7,899
Comprehensive metabolic panel `80053`	$66.15	$94.50	$10.56–$236
Basic metabolic panel `80048`	$54.39	$77.70	$8.46–$194
Complete blood count (CBC) `85025`	$50.72	$72.45	$7.77–$181
Blood draw (venipuncture) `36415`	$17.64	$63.00	$9.09–$215
Urinalysis `81001`	$118	$168	$3.17–$420
Troponin (heart test) `84484`	$308	$440	$12.47–$1,100
EKG tracing `93005`	$106	$458	$5.53–$1,145
Chest X-ray, 2 views `71046`	$347	$496	$62.12–$1,239
CT head without contrast `70450`	$1,678	$2,397	$56.64–$5,993
CT abdomen and pelvis with contrast `74177`	$4,807	$6,867	$162–$17,168
MRI lower back without contrast `72148`	$2,496	$3,566	$117–$8,915
Ultrasound, abdomen `76700`	$1,114	$1,592	$70.27–$3,980
IV push, single drug `96374`	$274	$393	$225–$998
IV fluids, first hour `96360`	$258	$369	$225–$1,583
Ketorolac injection, 15 mg `J1885`	$7.35	$11.55	$0.31–$243
Ondansetron injection `J2405`	$38.96	$55.65	$34.50–$139
Colonoscopy, diagnostic `45378`	$341	$487	$302–$1,869
Upper GI endoscopy with biopsy `43239`	$654	$935	$579–$2,336
Knee arthroscopy `29881`	$91.14	$529	$80.72–$6,577
Vaginal delivery, routine care `59400`	$2,195	$3,136	$1,945–$7,841
Cesarean delivery, routine care `59510`	$2,561	$3,658	$2,201–$9,146

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: Witham Memorial Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.