Hospital Price Engine

Sullivan County Community Hospital

Sullivan, Indiana · Critical Access · Government - Local · CCN 151327

480%
median commercial rate vs. Medicare here
46th
highest of 96 Indiana hospitals, by median rate vs. Medicare
53
procedures with published commercial rates
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Basic metabolic panelCPT 80048$84$8991%—15
CT abdomen and pelvis with contrastCPT 74177$1,940$356544%—15
CT head without contrastCPT 70450$781$107732%—15
CT pelvis with contrastCPT 72193$1,073$179599%—15
Complete blood count with differentialCPT 85025$38$8491%—15
Complete blood count, automatedCPT 85027$35$6541%—15
Comprehensive metabolic panelCPT 80053$95$11901%—15
Diagnostic mammography, both breastsCPT 77066$333———15
Diagnostic mammography, one breastCPT 77065$187———15
ED visit, level 3CPT 99283$380$279136%—15
ED visit, level 4CPT 99284$564$426132%—15
ED visit, level 5CPT 99285$834$608137%—15
Echocardiogram, completeCPT 93306$884$558158%—15
Electrocardiogram with interpretationCPT 93000$75———15
Epidural injection, lumbar/sacral, no imagingCPT 62322$678$90475%—15
Family psychotherapy, with patientCPT 90847$145$18180%—15
Group psychotherapyCPT 90853$50$10448%—15
Kidney function panelCPT 80069$91$91046%—15
Knee arthroscopy with meniscectomyCPT 29881$792$3,34324%—15
Lipid panelCPT 80061$54$13400%—15
Liver function panelCPT 80076$84$81032%—15
Lumbar epidural steroid injectionCPT 62323$230$72132%—15
MRI brain with and without contrastCPT 70553$1,707$356479%—15
MRI lower extremity joint (knee)CPT 73721$1,226$244503%—15
MRI lumbar spine without contrastCPT 72148$1,224$244502%—15
OB global care, cesarean deliveryCPT 59510$2,263———15
OB global care, vaginal deliveryCPT 59400$2,263———15
OB ultrasound, 14+ weeksCPT 76805$439$107411%—15
Office visit, established patient, level 3CPT 99213$102———15
Office visit, established patient, level 4CPT 99214$134———15
Office visit, new patient, level 3CPT 99203$119———15
Office visit, new patient, level 4CPT 99204$175———15
Office visit, new patient, level 5CPT 99205$219———15
PSA (prostate specific antigen), totalCPT 84153$52$18280%—15
Partial thromboplastin timeCPT 85730$38$6624%—15
Physical therapy, therapeutic exerciseCPT 97110$50———15
Preventive visit, new patient, 18-39CPT 99385$132———14
Preventive visit, new patient, 40-64CPT 99386$152———14
Prothrombin timeCPT 85610$26$4611%—15
Psychotherapy, 30 minutesCPT 90832$78$18143%—15
Psychotherapy, 45 minutesCPT 90834$107$18159%—15
Psychotherapy, 60 minutesCPT 90837$151$18184%—15
Screening mammography, bilateralCPT 77067$200———15
Shoulder arthroscopy, subacromial decompressionCPT 29826$153———8
Sleep study (polysomnography)CPT 95810$1,526$877174%—15
Thyroid stimulating hormone (TSH)CPT 84443$62$17368%—15
Transforaminal epidural, lumbar/sacralCPT 64483$257$90428%—15
Ultrasound, abdomen, completeCPT 76700$515$107482%—15
Ultrasound, transvaginalCPT 76830$498$107466%—15
Urinalysis, automated, with microscopyCPT 81001$34$31062%—15
Urinalysis, automated, without microscopyCPT 81003$20$2878%—15
Urinalysis, manual, without microscopyCPT 81002$13$3369%—15
X-ray, lower back, 4+ viewsCPT 72110$188$107176%—15

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.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 15–16, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →