Indiana Orthopaedic Hospital LLC
Indiana Orthopaedic Hospital LLC in Indianapolis, IN publishes cash prices for 25 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
8400 Northwest Blvd.,,Indianapolis,IN,46278 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 ABDOMEN/PELVIS WITH CONTRAS | $1,103.58 | $4,481.48 | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAS | $58,783.19 | $130,302.62 | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $253.25 | $1,367.74 | 81% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $37,273.01 | $81,383.25 | 54% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $411.68 | $2,027.32 | 80% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C | $18,084.84 | $40,901.28 | 56% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $568.47 | $3,404.79 | 83% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST | $969.74 | $5,529.11 | 82% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST | $18,084.84 | $40,901.28 | 56% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $568.47 | $3,967.39 | 86% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C | $18,084.84 | $40,901.28 | 56% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMIN | $273.02 | $951.73 | 71% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMIN | $18,084.84 | $40,901.28 | 56% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4 VIEWS | $253.25 | $582.03 | 56% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4 VIEWS | $18,084.84 | $40,901.28 | 56% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL | $108.64 | $155.20 | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL | $18,084.84 | $40,901.28 | 56% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $156.17 | $223.10 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $18,084.84 | $40,901.28 | 56% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLUS DIFF/PLT | $108.64 | $155.20 | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC PLUS DIFF/PLT | $44,263.98 | $102,429.68 | 57% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED (NO DIFF) | $88.26 | $126.09 | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED (NO DIFF) | $33,506.51 | $77,568.88 | 57% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PNL | $169.76 | $242.51 | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PNL | $33,506.51 | $77,568.88 | 57% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTIONAL PANEL | $38.28 | $54.69 | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTIONAL PANEL | $18,084.84 | $40,901.28 | 56% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL | $142.59 | $203.70 | 30% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL | $18,084.84 | $40,901.28 | 56% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $176.54 | $252.20 | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $18,084.84 | $40,901.28 | 56% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT LA | $51.80 | $74.00 | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT LA | $18,084.84 | $40,901.28 | 56% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DIL PROTIME | $48.35 | $69.07 | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 DIL PROTIME | $18,084.84 | $40,901.28 | 56% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH FT4 REFLEX | $54.33 | $77.61 | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH FT4 REFLEX | $18,084.84 | $40,901.28 | 56% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Knee arthroscopy with meniscus trim CPT 29881 KNEE SCOPE | $7,952.82 | $6,549.62 | -21% |
| Lower-back epidural injection, without imaging guidance CPT 62322 BLOCK ESI | $2,513.51 | $3,580.59 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 BLOCK ESI | $2,513.51 | $3,600.95 | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER SCOPE | $4,584.73 | $6,549.62 | 30% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $18,829.31 | $11,551.39 | -63% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE | $108.64 | $190.00 | 43% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE | $18,084.84 | $40,901.28 | 56% |
Source file: https://www.orthoindy.com/wp-content/uploads/470933538_INDIANA-ORTHOPAEDIC-HOSPITAL-LLC_standardcharges.csv