Adams County Memorial Hospital
Adams County Memorial Hospital in Decatur, IN publishes cash prices for 67 common procedures listed here, from its own machine-readable price file updated Aug 14, 2026. Click a procedure to compare it with other hospitals nearby.
1100 Mercer Ave Decatur IN 46733 Collected Sep 22, 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 scan of abdomen and pelvis with contrast | $2,596.00 | $2,596.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,331.00 | $1,331.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,598.00 | $1,598.00 | — |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $435.00 | $435.00 | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $217.00 | $217.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $2,214.00 | $2,214.00 | — |
| 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 | $2,789.00 | $2,789.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $2,240.00 | $2,240.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $3,013.00 | $3,013.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $2,079.00 | $2,079.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $761.00 | $761.00 | — |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $432.00 | $432.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $2,613.00 | $2,613.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $779.00 | $779.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $782.00 | $782.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $486.00 | $486.00 | — |
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) | $126.00 | $126.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $183.00 | $183.00 | — |
| 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 | $73.00 | $73.00 | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $59.00 | $59.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $193.00 | $193.00 | — |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $160.00 | $160.00 | — |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $137.00 | $137.00 | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $271.00 | $271.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $101.00 | $101.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $101.00 | $101.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $34.00 | $34.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $25.00 | $25.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $86.00 | $86.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $18.00 | $18.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $15.00 | $15.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $22.00 | $22.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean delivery with care before and after delivery | $4,397.00 | $4,397.00 | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $1,591.00 | $1,591.00 | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $1,243.00 | $1,243.00 | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $1,130.00 | $1,130.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $3,167.00 | $3,167.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $1,607.00 | $1,607.00 | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $3,526.00 | $3,526.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $1,000.00 | $1,000.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $920.00 | $920.00 | — |
| 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 | $875.00 | $875.00 | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $600.00 | $600.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope | $6,848.00 | $6,848.00 | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $1,112.00 | $1,112.00 | — |
| 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 | $3,505.00 | $3,505.00 | — |
| Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis | $5,600.00 | $5,600.00 | — |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $7,538.00 | $7,538.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $781.00 | $781.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $771.00 | $771.00 | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vaginal delivery and care before and after delivery after previous cesarean delivery | $4,000.00 | $4,000.00 | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal delivery with care before and after delivery | $3,499.00 | $3,499.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $198.00 | $198.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $154.00 | $154.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $150.00 | $150.00 | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $81.00 | $81.00 | — |
| 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 | $197.00 | $197.00 | — |
| 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 | $299.00 | $299.00 | — |
| 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 | $379.00 | $379.00 | — |
| 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 | $123.00 | $123.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $269.00 | $269.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $303.00 | $303.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $119.00 | $119.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $149.00 | $149.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $221.00 | $221.00 | — |
| 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 | $292.00 | $292.00 | — |
| 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 | $377.00 | $377.00 | — |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAMHDECATURIN&type=CDMWithoutLabel&fileType=CSV