Hospital Madison, IN

Norton Kings Daughters Health Inc

Norton Kings Daughters Health Inc in Madison, IN publishes cash prices for 33 common procedures listed here, from its own machine-readable price file updated May 5, 2026. Click a procedure to compare it with other hospitals nearby.

1373 E State Rd 62, Madison, IN 47250 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST $673.64 $3,062.00 78%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST $673.64 $3,062.00 78%
CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST $304.26 $1,383.00 78%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST $304.26 $1,383.00 78%
CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTR $303.38 $1,379.00 78%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTR $303.38 $1,379.00 78%
Diagnostic mammogram, both breasts CPT 77066 HB MAMMO DIAG BIL $102.30 $465.00 78%
Diagnostic mammogram, both breasts inpatient CPT 77066 HB MAMMO DIAG BIL $102.30 $465.00 78%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG LT $64.24 $292.00 78%
Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG RT $64.24 $292.00 78%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG LT $64.24 $292.00 78%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG RT $64.24 $292.00 78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT $479.38 $2,179.00 78%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT $479.38 $2,179.00 78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT $479.38 $2,179.00 78%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT $479.38 $2,179.00 78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT $623.04 $2,832.00 78%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT $623.04 $2,832.00 78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT $623.04 $2,832.00 78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT $623.04 $2,832.00 78%
MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST $502.48 $2,284.00 78%
MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST $502.48 $2,284.00 78%
MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN WO & W CONT $643.06 $2,923.00 78%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN WO & W CONT $643.06 $2,923.00 78%
MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTR $450.34 $2,047.00 78%
MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONTR $450.34 $2,047.00 78%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST $266.86 $1,213.00 78%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST $266.86 $1,213.00 78%
Screening mammogram, both breasts CPT 77067 HB MAMMO SCREEN BIL $71.06 $323.00 78%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN RT $48.40 $220.00 78%
Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN LT $48.40 $220.00 78%
Screening mammogram, both breasts inpatient CPT 77067 HB MAMMO SCREEN BIL $71.06 $323.00 78%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN LT $48.40 $220.00 78%
Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN RT $48.40 $220.00 78%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVR PMTR $1,306.36 $5,938.00 78%
Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT $1,306.36 $5,938.00 78%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT $1,306.36 $5,938.00 78%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVR PMTR $1,306.36 $5,938.00 78%
Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL $197.56 $898.00 78%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB US TRANSVAGINAL $197.56 $898.00 78%
Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMP $330.88 $1,504.00 78%
Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMP $330.88 $1,504.00 78%
X-ray of the lower back, 4 or more views CPT 72110 HB L SPINE COMP W OBLIQUES $156.86 $713.00 78%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HB L SPINE COMP W OBLIQUES $156.86 $713.00 78%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 HB BMP W TOTAL CALCIUM $21.56 $98.00 78%
Basic metabolic panel (blood test) inpatient CPT 80048 HB BMP W TOTAL CALCIUM $21.56 $98.00 78%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL-INHSE $28.16 $128.00 78%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL-INHSE $28.16 $128.00 78%
Complete blood count (CBC) with differential CPT 85025 HB CBC/PLT/AUTO DIFF $14.74 $67.00 78%
Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC/PLT/AUTO DIFF $14.74 $67.00 78%
Complete blood count (CBC), no differential CPT 85027 HB H&H PLATELET CT $12.10 $55.00 78%
Complete blood count (CBC), no differential CPT 85027 HB CBC/PLT/NO DIFF $12.10 $55.00 78%
Complete blood count (CBC), no differential inpatient CPT 85027 HB H&H PLATELET CT $12.10 $55.00 78%
Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC/PLT/NO DIFF $12.10 $55.00 78%
Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL $29.26 $133.00 78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL $29.26 $133.00 78%
Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL $50.38 $229.00 78%
Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL $50.38 $229.00 78%
Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL $11.00 $50.00 78%
Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL $11.00 $50.00 78%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE $21.56 $98.00 78%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE $21.56 $98.00 78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL $26.18 $119.00 78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA (SO) $46.20 $210.00 78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL $26.18 $119.00 78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA (SO) $46.20 $210.00 78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB HEPARIN NEUTRALIZATION PTT $8.80 $40.00 78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED $17.60 $80.00 78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB HEPARIN NEUTRALIZATION PTT $8.80 $40.00 78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED $17.60 $80.00 78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PT $8.14 $37.00 78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME $13.20 $60.00 78%
Prothrombin time (PT/INR) clotting test CPT 85610 HB MSO-PT $13.20 $60.00 78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PT $8.14 $37.00 78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MSO-PT $13.20 $60.00 78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME $13.20 $60.00 78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH $25.08 $114.00 78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB NEW SCRN-TSH $25.08 $114.00 78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH $25.08 $114.00 78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB NEW SCRN-TSH $25.08 $114.00 78%
Urinalysis with microscope exam, automated CPT 81001 HB UA AUTO W/MICRO $18.26 $83.00 78%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB UA AUTO W/MICRO $18.26 $83.00 78%
Urinalysis without microscope exam, automated CPT 81003 HB US AUTO W/O MICRO $6.82 $31.00 78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB US AUTO W/O MICRO $6.82 $31.00 78%

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ EPIDURAL L/S WITH IMG $410.52 $1,866.00 78%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ EPIDURAL L/S WITH IMG $410.52 $1,866.00 78%

Doctor visits and therapy

ProcedureCash price List priceOff list
New patient office visit, about 45 minutes CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN $113.30 $515.00 78%
New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN $113.30 $515.00 78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT $44.44 $202.00 78%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT $44.44 $202.00 78%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/10275/350895832-1518916048_norton-kings-daughters-health-inc_standardcharges.csv