Riverview Health
Riverview Health in Noblesville, IN publishes cash prices for 46 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
395 Westfield Rd, Noblesville, IN 46060 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 PELVIS WITH CONTRAST | $1,508.40 | $2,514.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS WITH CONTRAST | $1,508.40 | $2,514.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONT | $454.20 | $757.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONT | $454.20 | $757.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT | $1,206.60 | $2,011.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT | $1,206.60 | $2,011.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMM DIAGNOSTIC BILAT W CAD | $378.60 | $631.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMM DIAGNOSTIC BILAT W CAD | $378.60 | $631.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT | $1,347.00 | $2,245.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT | $1,347.00 | $2,245.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT | $2,256.60 | $3,761.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT | $2,256.60 | $3,761.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONT | $1,296.00 | $2,160.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONT | $1,296.00 | $2,160.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER 14 WKS OR> | $530.40 | $884.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER 14 WKS OR> | $530.40 | $884.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMM SCRN BILATERAL W CAD | $313.80 | $523.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMM SCRN BILAT IMPLANT W CAD | $313.80 | $523.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMM SCRN BILATERAL W CAD | $313.80 | $523.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMM SCRN BILAT IMPLANT W CAD | $313.80 | $523.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM ATTENDED >3 CHN 6/> YRS | $2,166.60 | $3,611.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM ATTENDED >3 CHN 6/> YRS | $2,166.60 | $3,611.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $520.20 | $867.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $520.20 | $867.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $470.40 | $784.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $470.40 | $784.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR MIN 4 VIEWS | $423.60 | $706.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR MIN 4 VIEWS | $423.60 | $706.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL CALCIUM TOTAL | $51.60 | $86.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL CALCIUM TOTAL | $51.60 | $86.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $82.20 | $137.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC LIPID PANEL | $82.20 | $137.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC LIPID PANEL | $82.20 | $137.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $82.20 | $137.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 POC CBC W AUTO DIFF | $48.00 | $80.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF | $48.00 | $80.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC CBC W AUTO DIFF | $48.00 | $80.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W AUTO DIFF | $48.00 | $80.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED WO DIFF | $39.60 | $66.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED WO DIFF | $39.60 | $66.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $64.80 | $108.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $64.80 | $108.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $52.80 | $88.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $52.80 | $88.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $49.80 | $83.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $49.80 | $83.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $292.80 | $488.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $292.80 | $488.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $112.80 | $188.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $112.80 | $188.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC | $112.80 | $188.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC | $112.80 | $188.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MIXING | $36.60 | $61.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN TIME | $36.60 | $61.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT MIXING | $36.60 | $61.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THROMBOPLASTIN TIME | $36.60 | $61.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME | $26.40 | $44.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $26.40 | $44.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME MIXING TEST | $26.40 | $44.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $26.40 | $44.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME | $26.40 | $44.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME MIXING TEST | $26.40 | $44.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NEWBORN | $22.20 | $37.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH | $102.60 | $171.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIMULATING HORMONE | $102.60 | $171.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH NEWBORN | $22.20 | $37.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH | $102.60 | $171.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIMULATING HORMONE | $102.60 | $171.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED W MICRO | $24.60 | $41.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTOMATED W MICRO | $24.60 | $41.00 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NON AUTOMATED W MICRO | $30.60 | $51.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NON AUTOMATED W MICRO | $30.60 | $51.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE PH AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE KETONES AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 POC URINALYSIS AUTOMATED W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE KETONES AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC URINALYSIS AUTOMATED W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE AUTOMATED | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINALYSIS NON-AUTO | $27.00 | $45.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTOMATED WO MICRO | $27.00 | $45.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON AUTOMATED WO MICRO | $27.00 | $45.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINALYSIS NON-AUTO | $27.00 | $45.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 GI COLONOSCOPY | $2,166.00 | $3,610.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 GI COLONOSCOPY | $2,166.00 | $3,610.00 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 LASER YAG TREATMENT | $1,230.60 | $2,051.00 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 LASER YAG TREATMENT | $1,230.60 | $2,051.00 | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LT HEART CATH INCLUDING INJ LT VENTRICULOGRAPHY, S/I | $6,858.60 | $11,431.00 | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LT HEART CATH INCLUDING INJ LT VENTRICULOGRAPHY, S/I | $6,858.60 | $11,431.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG | $1,807.20 | $3,012.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG | $1,807.20 | $3,012.00 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/TX EPID/SUBARACR LMBR/SAC WO IMAG | $2,389.80 | $3,983.00 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/TX EPID/SUBARACR LMBR/SAC WO IMAG | $2,389.80 | $3,983.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORMINAL EPI/LUMB/SACRAL SNGL LEVEL | $2,389.80 | $3,983.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORMINAL EPI/LUMB/SACRAL SNGL LEVEL | $2,389.80 | $3,983.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI UPPER ENDOSCOPY COMPLEX | $2,373.60 | $3,956.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 GI UPPER ENDOSCOPY COMPLEX | $2,373.60 | $3,956.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 PSYCH FAM THER W PT 50MIN (MAX QTY 2) | $304.20 | $507.00 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCH FAM THER W PT 50MIN (MAX QTY 2) | $304.20 | $507.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCH FAM THER WO PT 50MIN (MAX QTY 2) | $304.20 | $507.00 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH FAM THER WO PT 50MIN (MAX QTY 2) | $304.20 | $507.00 | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $158.40 | $264.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $158.40 | $264.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 RVHH OP UC VISIT LEVEL III NEW PT | $195.60 | $326.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 RVHH LD OP NEW LEVEL 3 | $207.00 | $345.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL III NEW PT | $235.20 | $392.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 RVHH OP UC VISIT LEVEL III NEW PT | $195.60 | $326.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 RVHH LD OP NEW LEVEL 3 | $207.00 | $345.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT LEVEL III NEW PT | $235.20 | $392.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 RVHH OP UC VISIT LEVEL IV NEW PT | $224.40 | $374.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 RVHH LD OP NEW LEVEL 4 | $273.00 | $455.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL IV NEW PT | $310.80 | $518.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 RVHH OP UC VISIT LEVEL IV NEW PT | $224.40 | $374.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 RVHH LD OP NEW LEVEL 4 | $273.00 | $455.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT LEVEL IV NEW PT | $310.80 | $518.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 RVHH OP UC VISIT LEVEL V NEW PT | $253.80 | $423.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 RVHH LD OP NEW LEVEL 5 | $375.00 | $625.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL V NEW PT | $426.60 | $711.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 RVHH OP UC VISIT LEVEL V NEW PT | $253.80 | $423.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 RVHH LD OP NEW LEVEL 5 | $375.00 | $625.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT LEVEL V NEW PT | $426.60 | $711.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCH THER 30 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THER 30 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH THER 45 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THER 45 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCH THER 60 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THER 60 MIN WITH PATIENT | $304.20 | $507.00 | 40% |
Source file: https://riverview.org/sites/default/files/pdf/25-005054-1_riverview-health_standardcharges.csv