Monroe Hospital
Monroe Hospital in Bloomington, IN publishes cash prices for 41 common procedures listed here, from its own machine-readable price file updated Mar 17, 2026. Click a procedure to compare it with other hospitals nearby.
4011 South Monroe Medical Park Boulevard Bloomington, IN 47403 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 ABD AND PEL W CONTRAST | $367.00 | $5,307.25 | 93% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY | $367.00 | $5,307.25 | 93% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $110.00 | $2,282.40 | 95% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO STROKE EVAL | $110.00 | $2,282.40 | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $184.00 | $2,978.46 | 94% |
| Diagnostic mammogram, both breasts CPT 77066 MM IMPLANT BIL DIAG | $102.00 | $860.00 | 88% |
| Diagnostic mammogram, both breasts CPT 77066 MM BIL DIAG MAMMO | $102.00 | $860.00 | 88% |
| Diagnostic mammogram, one breast one side CPT 77065 MM UNI DIAG MAMMO RT | $79.00 | $690.00 | 89% |
| Diagnostic mammogram, one breast one side CPT 77065 MM IMPLANT DIAG LT | $79.00 | $690.00 | 89% |
| Diagnostic mammogram, one breast one side CPT 77065 MM UNI DIAG MAMMO LT | $79.00 | $690.00 | 89% |
| Diagnostic mammogram, one breast one side CPT 77065 MM IMPLANT DIAG RT | $79.00 | $690.00 | 89% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTREM ANY JOINT WO BIL | $251.00 | $1,015.23 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE PRE-OP RT | $251.00 | $1,015.23 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE PRE-OP LT | $251.00 | $1,015.23 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXTREM ANY JOINT WO RT | $251.00 | $3,309.00 | 92% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXTREM ANY JOINT WO LT | $251.00 | $3,309.00 | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTREM ANY JOINT WO&W BIL | $367.00 | $1,602.09 | 77% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXTREM ANY JOINT WO and W LT | $367.00 | $4,780.00 | 92% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXTREM ANY JOINT WO and W RT | $367.00 | $4,780.00 | 92% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO | $251.00 | $4,390.00 | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST | $367.00 | $5,940.00 | 94% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE WO | $251.00 | $3,900.00 | 94% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG > 14 WKS SINGLE | $110.00 | $1,054.94 | 90% |
| Screening mammogram, both breasts CPT 77067 MM IMPLANT BIL SCRN | $84.00 | $860.00 | 90% |
| Screening mammogram, both breasts CPT 77067 MM BIL SCRN MAMMO | $84.00 | $860.00 | 90% |
| Screening mammogram, both breasts one side CPT 77067 MM UNIL SCRN MAMMO LT | $84.00 | $690.00 | 88% |
| Screening mammogram, both breasts one side CPT 77067 MM UNIL SCRN MAMMO RT | $84.00 | $690.00 | 88% |
| Screening mammogram, both breasts one side CPT 77067 MM IMPLANT UNIL SCRN RT | $84.00 | $690.00 | 88% |
| Screening mammogram, both breasts one side CPT 77067 MM IMPLANT UNIL SCRN LT | $84.00 | $384.00 | 78% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRPHY,ANTHEM | $904.00 | $3,308.00 | 73% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRPHY GLOBAL | $904.00 | $3,830.00 | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRPHY, SLP STGING W4 PROF | $904.00 | $522.00 | -73% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $110.00 | $810.00 | 86% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $110.00 | $1,293.73 | 91% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VWS | $110.00 | $814.00 | 86% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 LC BMP | $8.00 | $262.00 | 97% |
| Basic metabolic panel (blood test) CPT 80048 CL BASIC METABOLIC PANEL | $8.00 | $99.00 | 92% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $8.00 | $262.00 | 97% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CL LIPID PROFILE | $13.00 | $263.80 | 95% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LC LIPID PANEL | $13.00 | $263.80 | 95% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $13.00 | $263.80 | 95% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE 884000 | $13.00 | $240.84 | 95% |
| Complete blood count (CBC) with differential CPT 85025 CBC wAUTO D | $7.00 | $174.17 | 96% |
| Complete blood count (CBC) with differential CPT 85025 CHARGE CBC WAUTO DIFF | $7.00 | $14.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 CL HEMOGRAM | $6.00 | $12.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $6.00 | $154.76 | 96% |
| Kidney function blood test panel CPT 80069 LC RENAL FUNCTION PANEL | $8.00 | $264.43 | 97% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $8.00 | $264.43 | 97% |
| Liver function blood test panel CPT 80076 LC HEPATIC FUNCTION PANEL | $8.00 | $271.52 | 97% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $8.00 | $271.52 | 97% |
| Liver function blood test panel CPT 80076 CL HEPATIC FUNCTION PANEL | $8.00 | $11.00 | 27% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA ULTRASENSITIVE | $18.00 | $65.20 | 72% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $18.00 | $178.16 | 90% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-DIAGNOSTIC - 84153 - 5080110 | $18.00 | $32.00 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-DIAGNOSTIC - 84153 - 5001992 | $18.00 | $206.99 | 91% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC -ALL COMMERCIAL PAYERS | $18.00 | $206.99 | 91% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LC PSA | $18.00 | $206.99 | 91% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CL PSA DIAGNOSTIC | $18.00 | $206.99 | 91% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHARGE ONLY PSA TOTAL-DIAGNOSTIC ONLY | $18.00 | $32.00 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $18.00 | $206.99 | 91% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA | $6.00 | $164.19 | 96% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CL PT | $4.00 | $7.00 | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PTINR - CC | $4.00 | $40.00 | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $4.00 | $134.60 | 97% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PTINR - CAPILLARY | $4.00 | $40.00 | 90% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE - T3 FREE | $16.00 | $103.80 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w reflex to FT4 | $16.00 | $211.92 | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CL TSH | $16.00 | $211.92 | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $16.00 | $211.92 | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LC TSH | $16.00 | $211.92 | 92% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE INITIAL | $16.00 | $37.10 | 57% |
| Urinalysis without microscope exam, manual CPT 81002 CL CLINITEST CHARGE | $3.00 | $6.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 CL CLINITEST | $3.00 | $5.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE URINE, DIPSTICK | $3.00 | $5.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 SP GRAVITY, URINE | $3.00 | $5.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 CL ICTOTEST | $3.00 | $6.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,259.00 | $2,495.41 | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX WCOLL SPEC | $979.00 | $3,368.68 | 71% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $6,364.00 | $13,365.02 | 52% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp ihern init reduc >5 yr | $3,769.00 | $9,416.67 | 60% |
| Left heart catheterization, diagnostic CPT 93452 L HRT CATH WVENTRCLGRPHY | $3,413.00 | $12,272.00 | 72% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ SPINE LS WFL | $743.00 | $3,221.70 | 77% |
| Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR EPIDURAL INJ | $931.00 | $1,714.00 | 46% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE LUMBARSACRAL | $931.00 | $1,714.00 | 46% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ AASTRD LUMBARSACRAL ADDL - 64483 - 13064483 | $931.00 | $4,260.90 | 78% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE | $2,111.00 | $2,904.51 | 27% |
| Prostate biopsy CPT 55700 US PERCU PROSTATE BIOPSY | $2,111.00 | $2,904.51 | 27% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $4,122.00 | $46,328.10 | 91% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD - FLEX TR ORAL WBIOPSY | $954.00 | $937.00 | -2% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD - FLEXIBLE TRANSORAL - 43235 - 1420006 | $954.00 | $808.00 | -18% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXERCISES EA 15 | $27.00 | $172.97 | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXERCISES OTA COMPLEX EA 15 | $27.00 | $172.97 | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE PTA COMPLEX EA 15 | $27.00 | $172.97 | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $27.00 | $172.97 | 84% |
Source file: https://monroehospital.com/wp-content/uploads/2026/09/250139071_MonroeHospital_standardcharges.json