Parkview DeKalb Hospital
1316 E Seventh St, Auburn, IN · Parkview · · NPI 1902897937
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $455.77 | 8 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $499.76 | 8 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $469.12 | 8 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,403.46 | 8 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $3,316.80 | 8 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $191.54 | $383.08 | $6.95 – $14.88 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $34.16 | $68.33 | $10.99 – $16.68 | 5 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $67.98 – $69.97 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,375.80 | $2,751.60 | $18.98 – $34.80 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $303.50 | $607.00 | $180.25 – $506.27 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $155.03 – $511.97 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $318.50 | $637.00 | $140.88 – $243.34 | 7 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $45,926.98 | $91,853.95 | $674.50 – $1,309.08 | 7 |
| Motion analysis video/3d CPT 96000 | not published | not published | $394.80 – $592.21 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $908.56 – $1,362.83 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $472.64 – $708.96 | 5 |
| Mouth piece HCPCS A4617 | not published | not published | $0.35 – $5.75 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,507.79 – $5,230.00 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $186.50 | $373.00 | $80.89 – $94.56 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $386.00 | $772.00 | $180.25 – $581.52 | 7 |
| M/phmtrc alysishquant/semiq CPT 88369 | $156.50 | $313.00 | $122.18 – $165.30 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $175.97 – $243.34 | 7 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $225.50 | 6 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $41.05 | 8 |
| M.pneumon dna quant CPT 87582 | not published | not published | $302.62 – $501.87 | 8 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $0.02 – $147.69 | 2 |
| MRA abdomen post contrast CPT 74185 | $1,090.00 | $2,180.00 | $641.15 – $641.15 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $984.00 | $1,968.00 | $632.74 – $632.74 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $369.11 – $553.67 | 5 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $252.44 – $378.67 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $369.11 – $553.67 | 5 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,035.00 | $2,070.00 | $637.34 – $637.34 | 1 |
| MRA pelvis CPT 72198 | $1,035.00 | $2,070.00 | $638.10 – $638.10 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $369.11 – $553.67 | 5 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $252.44 – $378.67 | 5 |
| MRA spinal canal CPT 72159 | $995.50 | $1,991.00 | $662.58 – $662.58 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $662.58 – $662.58 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $369.11 – $553.67 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $369.11 – $553.67 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $369.11 – $553.67 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $369.11 – $553.67 | 5 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $252.44 – $378.67 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $252.44 – $378.67 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $252.44 – $378.67 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $252.44 – $378.67 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $369.11 – $553.67 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $369.11 – $553.67 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $369.11 – $553.67 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $369.11 – $553.67 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $369.11 – $553.67 | 5 |
| Mr elastography CPT 76391 | not published | not published | $252.44 – $378.67 | 5 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $35,039.00 | $70,078.00 | $11,789.08 – $17,683.63 | 5 |
| MRI brain w/dye CPT 70558 | not published | not published | $185.58 – $278.36 | 5 |
| MRI brain without dye CPT 70557 | not published | not published | $578.11 – $867.17 | 5 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $185.58 – $278.36 | 5 |
| MRI breast c- unilateral CPT 77046 | $764.00 | $1,528.00 | $252.44 – $487.64 | 7 |
| MRI breast c-+ w/cad uni CPT 77048 | $915.00 | $1,830.00 | $609.01 – $609.01 | 1 |
| MRI breast without cont bi CPT 77047 | $1,088.50 | $2,177.00 | $252.44 – $487.64 | 7 |
| MRI breast w IV cont bi CPT 77049 | $1,438.00 | $2,876.00 | $606.72 – $606.72 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $797.50 | $1,595.00 | $252.44 – $378.67 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,043.50 | $2,087.00 | $369.11 – $553.67 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,252.50 | $2,505.00 | $829.40 – $1,244.09 | 5 |
| MRI chest without contrast CPT 71550 | $728.50 | $1,457.00 | $252.44 – $487.64 | 7 |
| MRI chest without & w/contrast CPT 71552 | $952.00 | $1,904.00 | $369.11 – $799.03 | 7 |
| MRI chest w IV cont CPT 71551 | not published | not published | $829.40 – $1,244.09 | 5 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,399.89 – $2,099.84 | 5 |
| MRI fetal sngl/1st gestation CPT 74712 | $739.50 | $1,479.00 | $252.44 – $487.64 | 7 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,294.99 – $1,942.49 | 5 |
| MRI loex nonjt w IV cont CPT 73719 | $877.00 | $1,754.00 | $369.11 – $553.67 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $960.00 | $1,920.00 | $252.44 – $487.64 | 7 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,344.50 | $2,689.00 | $369.11 – $799.03 | 7 |
| MRI orbit/face/neck without contrast CPT 70540 | $652.50 | $1,305.00 | $252.44 – $487.64 | 7 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $896.50 | $1,793.00 | $369.11 – $799.03 | 7 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $369.11 – $553.67 | 5 |
| MRI tmj CPT 70336 | $670.00 | $1,340.00 | $252.44 – $487.64 | 7 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $960.00 | $1,920.00 | $252.44 – $487.64 | 7 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,344.50 | $2,689.00 | $369.11 – $799.03 | 7 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $369.11 – $553.67 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $369.11 – $553.67 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $185.58 – $278.36 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $369.11 – $553.67 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $369.11 – $553.67 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $92.07 – $138.11 | 5 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $100.59 – $150.88 | 5 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $62.41 – $93.62 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $30.60 – $45.90 | 5 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $252.44 – $378.67 | 5 |
| Mr spectroscopy CPT 76390 | $825.00 | $1,650.00 | $92.07 – $138.11 | 5 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $353.74 | 8 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $633.01 | 8 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $560.08 | 8 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $394.70 | 8 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $1,064.44 | 8 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $510.79 | 8 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,677.15 – $11,515.72 | 5 |
| Mthfr gene analy common variants CPT 81291 | $541.00 | $1,082.00 | $65.34 – $108.38 | 8 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $44.57 | 8 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $87.69 | 8 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $12.02 | 8 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $47.26 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.