SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 2 cities for code 84154, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Parkview Whitley Hospital
COLUMBIA CITY, IN HC PSFT - PSA FREE |
$48.00 | $96.00 | 50% | — file |
|
| Parkview Whitley Hospital
COLUMBIA CITY, IN HC PHIDX - PHI12 PSA FREE |
$48.00 | $96.00 | 50% | — file |
|
| Parkview Ortho Hospital
FORT WAYNE, IN HC PSFT - PSA FREE |
$50.50 | $101.00 | 50% | — file |
|
| Parkview Ortho Hospital
FORT WAYNE, IN HC PHIDX - PHI12 PSA FREE |
$50.50 | $101.00 | 50% | — file |
|
| Parkview Regional Medical Center
FORT WAYNE, IN HC PSFT - PSA FREE |
$50.50 | $101.00 | 50% | — file |
|
| Parkview Regional Medical Center
FORT WAYNE, IN HC PHIDX - PHI12 PSA FREE |
$50.50 | $101.00 | 50% | — file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN 84154 L480780 PSA, FREE 889 |
$82.89 | $307.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN 84154 PSA, FREE |
$82.89 | $307.00 | 73% | Apr 1, 2026 file |
|
| Lutheran Musculoskeletal Center LLC
FORT WAYNE, IN %fPSA Reflex (LC) |
$82.89 | $307.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN 84154 L480947 PSA, FREE |
$87.48 | $324.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN 84154 PSA, FREE |
$87.48 | $324.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN %fPSA Reflex (LC) |
$87.48 | $324.00 | 73% | Apr 1, 2026 file |
|
| Dupont Hospital LLC
FORT WAYNE, IN 84154 L480780 PSA, FREE 889 |
$87.48 | $324.00 | 73% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN 84154 L480780 PSA, FREE 889 |
$96.90 | $323.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN 84154 PSA, FREE |
$96.90 | $323.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN %fPSA Reflex (LC) |
$96.90 | $323.00 | 70% | Apr 1, 2026 file |
|
| IOM Health System LP
FORT WAYNE, IN 84154 L480947 PSA, FREE |
$96.90 | $323.00 | 70% | Apr 1, 2026 file |
Outpatient: lowest $48.00, median $82.89, highest $96.90 — a 2.0× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $82.89. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.