St. Vincent Williamsport Hospital, Inc.
St. Vincent Williamsport Hospital, Inc. in Williamsport, IN publishes cash prices for 31 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
412 N Monroe St Williamsport IN 47993 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C | $3,297.00 | $5,495.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C | $3,297.00 | $5,495.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/C | $3,297.00 | $5,495.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $1,314.60 | $2,191.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $1,314.60 | $2,191.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO/C | $1,314.60 | $2,191.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $1,631.40 | $2,719.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $1,631.40 | $2,719.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C | $1,631.40 | $2,719.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $379.20 | $632.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $313.20 | $522.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $3,595.20 | $5,992.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $3,595.20 | $5,992.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $1,797.60 | $2,996.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $1,797.60 | $2,996.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $3,595.20 | $5,992.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $1,797.60 | $2,996.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $5,390.40 | $8,984.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $5,390.40 | $8,984.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $2,695.20 | $4,492.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $2,695.20 | $4,492.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $5,390.40 | $8,984.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $2,695.20 | $4,492.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/C | $2,058.00 | $3,430.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $3,086.40 | $5,144.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $3,086.40 | $5,144.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $3,086.40 | $5,144.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $3,086.40 | $5,144.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $3,086.40 | $5,144.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/WC | $3,086.40 | $5,144.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $2,047.20 | $3,412.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $2,047.20 | $3,412.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C | $2,047.20 | $3,412.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO FFD W/WO CAD SCREENING | $308.40 | $514.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO FFD W/WO CAD SCREENING | $308.40 | $514.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO FFD W/WO CAD SCREENING | $308.40 | $514.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $510.00 | $850.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $510.00 | $850.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $510.00 | $850.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $801.00 | $1,335.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $801.00 | $1,335.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $801.00 | $1,335.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $505.80 | $843.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $505.80 | $843.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $505.80 | $843.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $171.60 | $286.00 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $171.60 | $286.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $171.60 | $286.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $215.40 | $359.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $215.40 | $359.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $215.40 | $359.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $27.60 | $46.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $27.60 | $46.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $113.40 | $189.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $113.40 | $189.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $27.60 | $46.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $113.40 | $189.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $21.60 | $36.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $21.60 | $36.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $100.20 | $167.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $100.20 | $167.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $21.60 | $36.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $100.20 | $167.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.20 | $62.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.20 | $62.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $263.40 | $439.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $263.40 | $439.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.20 | $62.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $263.40 | $439.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $252.60 | $421.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $252.60 | $421.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $252.60 | $421.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $194.40 | $324.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $194.40 | $324.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $194.40 | $324.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $297.00 | $495.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $297.00 | $495.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $297.00 | $495.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $60.60 | $101.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $60.60 | $101.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $60.60 | $101.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $65.40 | $109.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $65.40 | $109.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $227.40 | $379.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $227.40 | $379.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $65.40 | $109.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $227.40 | $379.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $20.40 | $34.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $20.40 | $34.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $119.40 | $199.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $119.40 | $199.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $20.40 | $34.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $119.40 | $199.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $13.80 | $23.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $13.80 | $23.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $78.00 | $130.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $78.00 | $130.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 #PROTHROMBIN TIME | $13.80 | $23.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $78.00 | $130.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $224.40 | $374.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $224.40 | $374.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULAT HORMONE(TSH) | $224.40 | $374.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $109.20 | $182.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $109.20 | $182.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALS DIPSTICK AUTO W/MICR | $109.20 | $182.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $82.80 | $138.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $82.80 | $138.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $82.80 | $138.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $48.00 | $80.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $48.00 | $80.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $48.00 | $80.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $123.60 | $206.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $123.60 | $206.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TX EXERCISES EA 15MIN | $123.60 | $206.00 | 40% |