Parkview Whitley Hospital & Parkview Kosciusko Hospital
1260 E Sr 205, Columbia City, IN · Parkview · · NPI 1205844495
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 |
|---|---|---|---|---|
| X-ray bone survey infant CPT 77076 | $425.00 | $850.00 | $110.61 – $243.77 | 7 |
| X-ray cervical spine 2-3 views CPT 72040 | $207.00 | $414.00 | $92.07 – $173.59 | 7 |
| X-ray cervical spine 4-5 views CPT 72050 | $287.50 | $575.00 | $110.61 – $243.77 | 7 |
| X-ray cervical spine >= 6 views CPT 72052 | $304.00 | $608.00 | $110.61 – $243.77 | 7 |
| X-ray clavicle complete (both sides) CPT 73000 | $238.00 | $476.00 | $92.07 – $173.59 | 7 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $520.50 | $1,041.00 | $185.58 – $278.36 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $870.00 | $1,740.00 | $185.58 – $278.36 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $239.50 | $479.00 | $92.07 – $173.59 | 7 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $262.00 | $524.00 | $92.07 – $173.59 | 7 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $460.50 | $921.00 | $185.58 – $278.36 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $110.61 – $243.77 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray exam of arm infant CPT 73092 | $241.50 | $483.00 | $110.61 – $243.77 | 7 |
| X-ray exam of eye sockets CPT 70200 | $224.00 | $448.00 | $110.61 – $243.77 | 7 |
| X-ray exam of femur 1 CPT 73551 | $102.00 | $204.00 | $92.07 – $173.59 | 7 |
| X-ray exam of jaw joint CPT 70328 | $169.50 | $339.00 | $92.07 – $173.59 | 7 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $578.11 – $867.17 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $92.07 – $138.11 | 5 |
| X-ray exam of sinuses CPT 70210 | $185.00 | $370.00 | $92.07 – $173.59 | 7 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.07 – $138.11 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $281.00 | $562.00 | $110.61 – $243.77 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $209.50 | $419.00 | $92.07 – $173.59 | 7 |
| X-ray facial bones complete > 3 views CPT 70150 | $236.50 | $473.00 | $110.61 – $243.77 | 7 |
| X-ray femur >=2 views (both sides) CPT 73552 | $314.00 | $628.00 | $92.07 – $173.59 | 7 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $153.50 | $307.00 | $92.07 – $173.59 | 7 |
| X-ray foot 2 views (both sides) CPT 73620 | $240.50 | $481.00 | $92.07 – $173.59 | 7 |
| X-ray forearm 2 views (both sides) CPT 73090 | $238.50 | $477.00 | $92.07 – $173.59 | 7 |
| X-ray hand 2 views (both sides) CPT 73120 | $230.00 | $460.00 | $110.61 – $243.77 | 7 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.07 – $138.11 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $252.50 | $505.00 | $92.07 – $173.59 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $231.50 | $463.00 | $110.61 – $243.77 | 7 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $282.50 | $565.00 | $110.61 – $243.77 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $153.00 | $306.00 | $92.07 – $173.59 | 7 |
| X-ray humerus >= 2 views left CPT 73060 | $262.00 | $524.00 | $92.07 – $173.59 | 7 |
| X-ray joint survey 1 view CPT 77077 | $238.50 | $477.00 | $110.61 – $165.92 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $239.50 | $479.00 | $92.07 – $173.59 | 7 |
| X-ray knee 3 views (both sides) CPT 73562 | $284.00 | $568.00 | $92.07 – $173.59 | 7 |
| X-ray knee ap standing bilateral CPT 73565 | $142.50 | $285.00 | $92.07 – $173.59 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $241.50 | $483.00 | $92.07 – $173.59 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $238.00 | $476.00 | $110.61 – $243.77 | 7 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $310.00 | $620.00 | $110.61 – $243.77 | 7 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $359.00 | $718.00 | $110.61 – $243.77 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $260.50 | $521.00 | $110.61 – $243.77 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $92.07 – $138.11 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $198.50 | $397.00 | $92.07 – $173.59 | 7 |
| X-ray neck soft tissue CPT 70360 | $158.00 | $316.00 | $92.07 – $173.59 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | $176.00 | $352.00 | $92.07 – $173.59 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $252.44 – $378.67 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $92.07 – $138.11 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $192.00 | $384.00 | $110.61 – $243.77 | 7 |
| X-ray pelvis complete > 3 views CPT 72190 | $240.00 | $480.00 | $110.61 – $243.77 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $369.11 – $553.67 | 5 |
| X-ray ribs 2 views left CPT 71100 | $192.50 | $385.00 | $92.07 – $173.59 | 7 |
| X-ray ribs 3 views bilateral CPT 71110 | $225.50 | $451.00 | $110.61 – $243.77 | 7 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $233.50 | $467.00 | $110.61 – $243.77 | 7 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $305.50 | $611.00 | $110.61 – $243.77 | 7 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $192.50 | $385.00 | $110.61 – $243.77 | 7 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $198.00 | $396.00 | $92.07 – $173.59 | 7 |
| X-ray scapula complete (both sides) CPT 73010 | $270.50 | $541.00 | $110.61 – $243.77 | 7 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.07 – $173.59 | 7 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $196.00 | $392.00 | $92.07 – $173.59 | 7 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $261.50 | $523.00 | $92.07 – $173.59 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $578.11 – $867.17 | 5 |
| X-ray skull < 4 views CPT 70250 | $193.50 | $387.00 | $110.61 – $243.77 | 7 |
| X-ray skull > 4 views complete CPT 70260 | $297.00 | $594.00 | $110.61 – $243.77 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $110.61 – $165.92 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $530.50 | $1,061.00 | $185.58 – $278.36 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $224.50 | $449.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $157.50 | $315.00 | $92.07 – $173.59 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $159.50 | $319.00 | $92.07 – $173.59 | 7 |
| X-ray sternum > 2 views CPT 71120 | $191.50 | $383.00 | $92.07 – $173.59 | 7 |
| X-ray surgical specimen CPT 76098 | $423.50 | $847.00 | $578.11 – $1,047.44 | 7 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $439.00 | $878.00 | $185.58 – $278.36 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $92.07 – $173.59 | 7 |
| X-ray thoracic spine 2 views CPT 72070 | $213.00 | $426.00 | $110.61 – $243.77 | 7 |
| X-ray thoracic spine 3 views CPT 72072 | $257.00 | $514.00 | $110.61 – $243.77 | 7 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $227.50 | $455.00 | $92.07 – $173.59 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $321.50 | $643.00 | $92.07 – $173.59 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $372.00 | $744.00 | $110.61 – $243.77 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $284.00 | $568.00 | $92.07 – $173.59 | 7 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $152.00 | $304.00 | $92.07 – $173.59 | 7 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $571.00 | $1,142.00 | $185.58 – $278.36 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $511.00 | $1,022.00 | $185.58 – $278.36 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $238.50 | $477.00 | $92.07 – $173.59 | 7 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $185.58 – $278.36 | 5 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $131.66 – $4,582.80 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $24.25 | 8 |
| Xyntha inj HCPCS J7185 | $2,555.95 | $5,111.90 | $1.37 – $2.98 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $26.99 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $109,033.19 | 6 |
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.