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 |
|---|---|---|---|---|
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $13,304.50 | $26,609.00 | $131.66 – $324.28 | 6 |
| Drug assay caffeine CPT 80155 | not published | not published | $38.57 – $63.97 | 8 |
| Drug assay posaconazole CPT 80187 | $77.50 | $155.00 | $27.11 – $44.94 | 8 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $40.66 | 6 |
| Drug assay vedolizumab CPT 80280 | $148.50 | $297.00 | $38.57 – $63.97 | 8 |
| Drug assay voriconazole CPT 80285 | $70.00 | $140.00 | $27.11 – $44.94 | 8 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $27.96 | 6 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $22.31 | 8 |
| Drug screening tapentadol CPT 80372 | not published | not published | $19.80 – $22.60 | 3 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $44.94 | 8 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $35.08 – $40.06 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | $440.00 | $880.00 | $125.64 – $268.30 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | $146.50 | $293.00 | $114.43 – $154.48 | 8 |
| Drug test def 22+ classes HCPCS G0483 | $586.50 | $1,173.00 | $125.64 – $333.34 | 8 |
| Drug test def 8-14 classes HCPCS G0481 | $293.00 | $586.00 | $125.64 – $211.40 | 8 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $119.11 | 8 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $29.77 | 8 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $113.50 | $227.00 | $62.14 – $119.11 | 8 |
| Drvvt confirm - quest CPT 85597 | $40.00 | $80.00 | $17.98 – $36.82 | 8 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $4,159.46 – $6,239.19 | 5 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,066.00 – $3,099.00 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $430.10 – $645.15 | 5 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $430.10 – $645.15 | 5 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $781.95 – $1,172.92 | 5 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $781.95 – $1,172.92 | 5 |
| Ductogram sgl duct CPT 77053 | not published | not published | $252.44 – $378.67 | 5 |
| Duodenal exclusion CPT 48547 | not published | not published | $16,283.00 – $16,283.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $394.80 – $592.21 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $252.44 – $378.67 | 5 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $110.61 – $165.92 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $260.00 | $520.00 | $110.61 – $243.77 | 7 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,973.00 | $3,946.00 | $228.45 – $325.58 | 7 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $908.50 | $1,817.00 | $252.44 – $506.86 | 7 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $30.55 – $30.55 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $8,148.82 | $16,297.63 | $131.66 – $197.50 | 5 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $28,477.76 | $56,955.52 | $87.95 – $172.30 | 7 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $110.61 – $165.92 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $136.14 – $204.21 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,883.15 – $2,824.73 | 5 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,883.15 – $2,824.73 | 5 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,883.15 – $2,824.73 | 5 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $472.64 – $708.96 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $959.60 – $1,439.40 | 5 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $959.60 – $1,439.40 | 5 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $228.45 – $342.67 | 5 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $136.14 – $204.21 | 5 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $413.81 – $620.71 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,883.15 – $2,824.73 | 5 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $264.34 – $396.51 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $228.45 – $342.67 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,641.59 – $2,462.39 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,263.24 – $9,394.86 | 5 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $62.41 – $93.62 | 5 |
| Ear protector evaluation CPT 92596 | not published | not published | $39.52 – $59.28 | 5 |
| Ecallantide injection HCPCS J1290 | $41,575.76 | $83,151.51 | $595.94 – $1,157.50 | 7 |
| Ecg 12 lead tracing only CPT 93005 | $193.50 | $387.00 | $62.41 – $93.62 | 5 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $156.00 | $312.00 | $62.41 – $93.62 | 5 |
| Ecg < 30 days transmission & analysis CPT 93271 | $751.50 | $1,503.00 | $100.59 – $150.88 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $827.00 | $1,654.00 | $140.77 – $211.15 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $414.50 | $829.00 | $62.41 – $93.62 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $39.52 – $59.28 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $39.52 – $59.28 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,651.50 | $3,303.00 | $578.11 – $867.17 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $409.00 | $818.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,729.50 | $3,459.00 | $829.40 – $1,244.09 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $526.50 | $1,053.00 | $252.44 – $378.67 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $557.50 | $1,115.00 | $369.11 – $553.67 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $355.50 | $711.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $110.61 – $165.92 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $110.61 – $165.92 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $92.07 – $138.11 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $30.60 – $45.90 | 5 |
| Echo exam of fetal heart CPT 76825 | $375.50 | $751.00 | $578.11 – $867.17 | 5 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $252.44 – $378.67 | 5 |
| Echo exam of fetal heart CPT 76827 | $375.50 | $751.00 | $110.61 – $165.92 | 5 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $110.61 – $165.92 | 5 |
| Echo exam uterus 76831- CPT 76831 | $452.50 | $905.00 | $252.44 – $378.67 | 5 |
| Echograp trans r pros study CPT 76873 | not published | not published | $110.61 – $165.92 | 5 |
| Echo guide for amniocentesis CPT 76946 | $607.00 | $1,214.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $632.00 | $1,264.00 | $228.45 – $342.67 | 5 |
| Echo stress CPT 93350 | not published | not published | $578.11 – $867.17 | 5 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $578.11 – $867.17 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,337.00 | $2,674.00 | $578.11 – $867.17 | 5 |
| Echo transesophageal CPT 93313 | $955.50 | $1,911.00 | $578.11 – $867.17 | 5 |
| Echo transesophageal CPT 93315 | not published | not published | $578.11 – $867.17 | 5 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $578.11 – $867.17 | 5 |
| Echo transthoracic CPT 93303 | $919.00 | $1,838.00 | $578.11 – $867.17 | 5 |
| Echo transthoracic CPT 93304 | $680.00 | $1,360.00 | $578.11 – $867.17 | 5 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $252.44 – $378.67 | 5 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $6,895.00 – $6,895.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $6,895.00 – $6,895.00 | 1 |
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.