Pulaski Memorial Hospital
Pulaski Memorial Hospital in Winamac, IN publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated Jul 7, 2026. Click a procedure to compare it with other hospitals nearby.
616 E 13th St Winamac IN 46996 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $96.39 | $137.70 | 30% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $78.26 | $111.80 | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $262.50 | $375.00 | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $417.62 | $596.60 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $4,043.90 | $5,777.00 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $96.95 | $138.50 | 30% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $73.99 | $105.70 | 30% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $78.26 | $111.80 | 30% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $160.02 | $228.60 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $160.37 | $229.10 | 30% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $95.06 | $135.80 | 30% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $95.06 | $135.80 | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $213.22 | $304.60 | 30% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $168.84 | $241.20 | 30% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $168.84 | $241.20 | 30% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $488.46 | $697.80 | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $160.79 | $229.70 | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $163.66 | $233.80 | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $115.50 | $165.00 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $63.42 | $90.60 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $175.77 | $251.10 | 30% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $71.12 | $101.60 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $51.66 | $73.80 | 30% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $21.84 | $31.20 | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $644.00 | $920.00 | 30% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $646.10 | $923.00 | 30% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $427.70 | $611.00 | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $425.60 | $608.00 | 30% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $865.20 | $1,236.00 | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $482.30 | $689.00 | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $741.30 | $1,059.00 | 30% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser | $1,209.67 | $1,728.10 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $220.50 | $315.00 | 30% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $451.50 | $645.00 | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | $790.30 | $1,129.00 | 30% |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $2,024.40 | $2,892.00 | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $371.70 | $531.00 | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $291.90 | $417.00 | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $287.42 | $410.60 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $239.47 | $342.10 | 30% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $359.10 | $513.00 | 30% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $180.18 | $257.40 | 30% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $154.00 | $220.00 | 30% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $193.90 | $277.00 | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $106.61 | $152.30 | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $178.15 | $254.50 | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $207.76 | $296.80 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $204.26 | $291.80 | 30% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $263.48 | $376.40 | 30% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $383.11 | $547.30 | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $256.62 | $366.60 | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $378.35 | $540.50 | 30% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPMHWINAMACIN&type=CDMWithoutLabel&fileType=CSV