Parkview Ortho Hospital
11130 Parkview Circle Dr, Fort Wayne, IN · Parkview · · NPI 1568664613
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 hip with pelvis when performed bilateral 2 views CPT 73521 | $243.00 | $486.00 | $110.61 – $243.77 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $296.50 | $593.00 | $110.61 – $243.77 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $110.61 – $165.92 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $160.50 | $321.00 | $92.07 – $173.59 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $275.00 | $550.00 | $92.07 – $173.59 | 6 |
| X-ray joint survey 1 view CPT 77077 | $250.50 | $501.00 | $110.61 – $165.92 | 4 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $251.50 | $503.00 | $92.07 – $173.59 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $298.50 | $597.00 | $92.07 – $173.59 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $149.50 | $299.00 | $92.07 – $173.59 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $253.50 | $507.00 | $92.07 – $173.59 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $250.00 | $500.00 | $110.61 – $243.77 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $325.50 | $651.00 | $110.61 – $243.77 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $377.00 | $754.00 | $110.61 – $243.77 | 6 |
| X-ray male genital tract CPT 74440 | not published | not published | $252.44 – $378.67 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $273.50 | $547.00 | $110.61 – $243.77 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $92.07 – $138.11 | 4 |
| X-ray nasal bones complete > 3 views CPT 70160 | $208.50 | $417.00 | $92.07 – $173.59 | 6 |
| X-ray neck soft tissue CPT 70360 | $166.00 | $332.00 | $92.07 – $173.59 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | $185.00 | $370.00 | $92.07 – $173.59 | 6 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $252.44 – $378.67 | 4 |
| X-ray optic foramina CPT 70190 | not published | not published | $92.07 – $138.11 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $201.50 | $403.00 | $110.61 – $243.77 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $252.00 | $504.00 | $110.61 – $243.77 | 6 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $369.11 – $553.67 | 4 |
| X-ray ribs 2 views left CPT 71100 | $202.00 | $404.00 | $92.07 – $173.59 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $237.00 | $474.00 | $110.61 – $243.77 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $245.50 | $491.00 | $110.61 – $243.77 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $321.00 | $642.00 | $110.61 – $243.77 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $202.00 | $404.00 | $110.61 – $243.77 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $208.00 | $416.00 | $92.07 – $173.59 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $284.00 | $568.00 | $110.61 – $243.77 | 6 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.07 – $173.59 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $206.00 | $412.00 | $92.07 – $173.59 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $274.50 | $549.00 | $92.07 – $173.59 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $578.11 – $867.17 | 4 |
| X-ray skull < 4 views CPT 70250 | $203.00 | $406.00 | $110.61 – $243.77 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $312.00 | $624.00 | $110.61 – $243.77 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $110.61 – $165.92 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $557.50 | $1,115.00 | $185.58 – $278.36 | 4 |
| X-ray small intestine follow-through study CPT 74248 | $236.00 | $472.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $165.50 | $331.00 | $92.07 – $173.59 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $167.50 | $335.00 | $92.07 – $173.59 | 6 |
| X-ray sternum > 2 views CPT 71120 | $201.00 | $402.00 | $92.07 – $173.59 | 6 |
| X-ray surgical specimen CPT 76098 | $445.00 | $890.00 | $578.11 – $1,047.44 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $461.00 | $922.00 | $185.58 – $278.36 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $92.07 – $173.59 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $224.00 | $448.00 | $110.61 – $243.77 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $270.00 | $540.00 | $110.61 – $243.77 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $239.00 | $478.00 | $92.07 – $173.59 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $337.50 | $675.00 | $92.07 – $173.59 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $391.00 | $782.00 | $110.61 – $243.77 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $298.50 | $597.00 | $92.07 – $173.59 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $159.50 | $319.00 | $92.07 – $173.59 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $600.00 | $1,200.00 | $185.58 – $278.36 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $537.00 | $1,074.00 | $185.58 – $278.36 | 4 |
| X-ray wrist 2 views (both sides) CPT 73100 | $250.50 | $501.00 | $92.07 – $173.59 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $185.58 – $278.36 | 4 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $131.66 – $7,549.55 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $24.25 | 6 |
| Xyntha inj HCPCS J7185 | $2,555.95 | $5,111.90 | $1.37 – $2.98 | 6 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $26.99 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $109,033.19 | 5 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $131.66 – $1,527.60 | 6 |
| Ziconotide injection HCPCS J2278 | $7,426.56 | $14,853.13 | $10.79 – $20.92 | 6 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $167.16 | $334.32 | $1.51 – $3.02 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.36 – $2.44 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $105.06 | 6 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $34.49 | 6 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $2.69 – $2.69 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $95.89 | $191.78 | $6.28 – $11.74 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $2,026.00 | $4,052.00 | $8.67 – $17.22 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.92 – $67.30 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $171.40 | $342.80 | $5.04 – $61.76 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.02 – $235.88 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $289.88 | 4 |
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.