Shelbyville, Indiana · Acute Care · Government - Local · CCN 150097
| Procedure | Commercial median | Medicare | % of Medicare | Est. cost* | Plan rates |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,738 | $11,217 | 212% | $9,289 | 3 |
| Basic metabolic panelCPT 80048 | $101 | $8 | 1193% | ~$50 | 13 |
| COPD with MCCMS-DRG 190 | $16,392 | $7,377 | 222% | $8,055 | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,275 | $369 | 616% | ~$1,122 | 13 |
| CT head without contrastCPT 70450 | $998 | $111 | 902% | ~$492 | 13 |
| CT pelvis with contrastCPT 72193 | $1,271 | $186 | 685% | ~$627 | 13 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,377 | $3,269 | 256% | $4,224 | 3 |
| Cardiac stress testCPT 93017 | $1,139 | $228 | 499% | $481 | 13 |
| Cellulitis, no MCCMS-DRG 603 | $12,888 | $5,675 | 227% | $7,696 | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,189 | — | — | $14,105 | 3 |
| Cesarean section, with CCMS-DRG 787 | $16,527 | — | — | $15,806 | 3 |
| Chest painMS-DRG 313 | $10,655 | — | — | $7,842 | 3 |
| Complete blood count with differentialCPT 85025 | $74 | $8 | 947% | ~$36 | 13 |
| Complete blood count, automatedCPT 85027 | $57 | $6 | 885% | ~$28 | 13 |
| Comprehensive metabolic panelCPT 80053 | $150 | $11 | 1418% | ~$74 | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $437 | — | — | ~$215 | 13 |
| Diagnostic mammography, one breastCPT 77065 | $335 | — | — | ~$165 | 13 |
| ED visit, level 3CPT 99283 | $1,319 | $289 | 457% | $557 | 13 |
| ED visit, level 4CPT 99284 | $2,508 | $441 | 568% | $1,059 | 13 |
| ED visit, level 5CPT 99285 | $3,754 | $630 | 596% | $1,585 | 13 |
| Echocardiogram, completeCPT 93306 | $2,269 | $578 | 393% | $959 | 13 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,537 | $4,899 | 235% | $7,062 | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $12,564 | $5,927 | 212% | $10,658 | 3 |
| Heart failure with MCCMS-DRG 291 | $18,998 | $9,503 | 200% | $10,098 | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $30,996 | $13,876 | 223% | $21,426 | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,361 | $10,098 | 182% | $12,004 | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,979 | $5,697 | 210% | $6,938 | 3 |
| Kidney function panelCPT 80069 | $112 | $9 | 1290% | ~$55 | 13 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $20,212 | $8,977 | 225% | $20,971 | 3 |
| Lipid panelCPT 80061 | $120 | $13 | 899% | ~$59 | 13 |
| Liver function panelCPT 80076 | $134 | $8 | 1641% | ~$66 | 13 |
| MRI brain with and without contrastCPT 70553 | $2,129 | $369 | 577% | ~$1,050 | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $1,878 | $252 | 744% | ~$926 | 13 |
| MRI lumbar spine without contrastCPT 72148 | $1,848 | $252 | 732% | ~$911 | 13 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $28,545 | $13,045 | 219% | $31,403 | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $44,887 | $22,346 | 201% | $46,148 | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $35,475 | $16,202 | 219% | $23,941 | 3 |
| Medical back problems, no MCCMS-DRG 552 | $14,226 | $6,142 | 232% | $8,939 | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $853 | $111 | 772% | ~$421 | 13 |
| Obstetric blood test panelCPT 80055 | $400 | $48 | 836% | ~$197 | 13 |
| PSA (prostate specific antigen), totalCPT 84153 | $160 | $18 | 867% | ~$79 | 13 |
| Partial thromboplastin timeCPT 85730 | $61 | $6 | 1018% | ~$30 | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $139 | — | — | $59 | 13 |
| Prothrombin timeCPT 85610 | $40 | $4 | 941% | ~$20 | 13 |
| Renal failure, with CCMS-DRG 683 | $12,961 | $6,582 | 197% | $6,015 | 3 |
| Screening mammography, bilateralCPT 77067 | $254 | — | — | ~$125 | 13 |
| Sepsis with MCCMS-DRG 871 | $28,746 | $13,941 | 206% | $12,257 | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,926 | $5,177 | 230% | $7,193 | 3 |
| Sleep study (polysomnography)CPT 95810 | $4,458 | $909 | 491% | $2,198 | 13 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $54,132 | $25,413 | 213% | $61,485 | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,128 | $3,679 | 275% | $8,299 | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,951 | $6,559 | 228% | $8,794 | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $132 | $17 | 783% | ~$65 | 13 |
| Ultrasound, abdomen, completeCPT 76700 | $820 | $111 | 742% | ~$404 | 13 |
| Ultrasound, transvaginalCPT 76830 | $534 | $111 | 483% | ~$264 | 13 |
| Urinalysis, automated, with microscopyCPT 81001 | $51 | $3 | 1622% | ~$25 | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $36 | $2 | 1620% | ~$18 | 13 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,977 | — | — | $5,152 | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,158 | — | — | $5,896 | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $469 | $111 | 424% | ~$231 | 13 |
Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.