▸ Hospital · IN · CCN 150011

Marion General Hospital

441 WABASH AVENUE, MARION, IN, 46952-

82 bedsAcute Care Hospitals2

Compliance grade

89/100

Rates published

1,448

last crawl 2026-05-22

Procedures tracked

177

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IN hospitals JSON

Source MRF: https://www.marionhealth.com/documents/35-0868130_Marion-Health_Standard-Charges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$243	$145.8	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$272	$163.2	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$115	$69	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$152	$91.2	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$225	$135	—	—	—
emergency
ED visit level 1	CPT	99281	0	$384	$230.4	—	—	—
ED visit level 2	CPT	99282	0	$774	$464.4	—	—	—
ED visit level 3	CPT	99283	0	$1,363	$817.8	—	—	—
ED visit level 4	CPT	99284	0	$2,568	$1,540.8	—	—	—
ED visit level 5	CPT	99285	0	$50,899	$30,539	—	—	—
Critical care, first hour	CPT	99291	0	$5,699	$3,419.4	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,291	$774.6	—	—	—
CT head with contrast	CPT	70460	0	$1,376	$825.6	—	—	—
CT head with and without contrast	CPT	70470	0	$1,572	$943.2	—	—	—
CT neck with contrast	CPT	70491	0	$1,523	$913.8	—	—	—
MRI brain without contrast	CPT	70551	0	$1,193	$715.8	—	—	—
MRI brain with contrast	CPT	70552	0	$1,192	$715.2	—	—	—
MRI brain with and without contrast	CPT	70553	0	$1,192	$715.2	—	—	—
Chest X-ray single view	CPT	71045	0	$295	$177	—	—	—
Chest X-ray 2 views	CPT	71046	0	$295	$177	—	—	—
Chest X-ray 3 views	CPT	71047	0	$295	$177	—	—	—
CT chest without contrast	CPT	71250	0	$1,115	$669	—	—	—
CT chest with contrast	CPT	71260	0	$1,769	$1,061.4	—	—	—
CT chest with and without contrast	CPT	71270	0	$1,916	$1,149.6	—	—	—
MRI chest without contrast	CPT	71550	0	$1,193	$715.8	—	—	—
MRI chest with contrast	CPT	71551	0	$1,192	$715.2	—	—	—
MRI chest with and without contrast	CPT	71552	0	$1,192	$715.2	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$295	$177	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,761	$1,056.6	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,526	$915.6	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,291	$774.6	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$1,193	$715.8	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,193	$715.8	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$1,193	$715.8	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$1,192	$715.2	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$1,192	$715.2	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$1,192	$715.2	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,350	$810	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,720	$1,032	—	—	—
Shoulder X-ray	CPT	73030	0	$374	$224.4	—	—	—
Humerus X-ray	CPT	73060	0	$249	$149.4	—	—	—
Hand X-ray 3 views	CPT	73130	0	$443	$265.8	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$1,193	$715.8	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$1,192	$715.2	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$374	$224.4	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$443	$265.8	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$1,193	$715.8	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$1,192	$715.2	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,350	$810	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,621	$972.6	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$1,720	$1,032	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$2,295	$1,377	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,484	$1,490.4	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$3,351	$2,010.6	—	—	—
MRI abdomen without contrast	CPT	74181	0	$1,193	$715.8	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$1,192	$715.2	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,192	$715.2	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$1,057	$634.2	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$886	$531.6	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$939	$563.4	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$998	$598.8	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,188	$712.8	—	—	—
Transvaginal ultrasound	CPT	76830	0	$986	$591.6	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$999	$599.4	—	—	—
Scrotal ultrasound	CPT	76870	0	$886	$531.6	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$447	$268.2	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$573	$343.8	—	—	—
Screening mammography bilateral	CPT	77067	0	$473	$283.8	—	—	—
EKG complete	CPT	93000	0	$24	$14.4	—	—	—
EKG tracing only	CPT	93005	0	$319	$191.4	—	—	—
EKG interpretation only	CPT	93010	0	$11	$6.6	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,724	$1,634.4	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,134	$680.4	—	—	—
Stress echocardiogram	CPT	93350	0	$1,907	$1,144.2	—	—	—
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	0	$32,748	$19,649	—	—	—
Respiratory infections & inflammations w MCC	MS-DRG	177	0	$32,976	$19,786	—	—	—
COPD w MCC	MS-DRG	190	0	$25,921	$15,552	—	—	—
COPD w CC	MS-DRG	191	0	$15,455	$9,273	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	$44,250	$26,550	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	$33,439	$20,063	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	$46,683	$28,010	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	$34,775	$20,865	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	$45,923	$27,554	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	$28,267	$16,960	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	$15,397	$9,238.2	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	$31,176	$18,706	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	$36,568	$21,941	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	$10,954	$6,572.64	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	$22,343	$13,406	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	$22,976	$13,785	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	$17,169	$10,301	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	$26,470	$15,882	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$24,699	$14,819	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	$44,408	$26,645	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	$29,112	$17,467	—	—	—
Initial hospital care, low complexity	CPT	99221	0	$114	$68.4	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$179	$107.4	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$239	$143.4	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$111	$66.6	—	—	—
Hospital discharge, >30 min	CPT	99239	0	$158	$94.8	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$16	$9.6	—	—	—
General health panel	CPT	80050	0	$67	$40.2	—	—	—
Electrolyte panel	CPT	80051	0	$13	$7.8	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$20	$12	—	—	—
Lipid panel	CPT	80061	0	$25	$15	—	—	—
Renal function panel	CPT	80069	0	$16	$9.6	—	—	—
Hepatic function panel	CPT	80076	0	$15	$9	—	—	—
Urinalysis non-automated	CPT	81002	0	$4	$2.4	—	—	—
Urinalysis automated	CPT	81003	0	$4	$2.4	—	—	—
Glucose quantitative	CPT	82947	0	$7	$4.2	—	—	—
Hemoglobin A1c	CPT	83036	0	$18	$10.8	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$31	$18.6	—	—	—
Complete blood count with automated differential	CPT	85025	0	$14	$8.4	—	—	—
Complete blood count without differential	CPT	85027	0	$12	$7.2	—	—	—
Urine culture bacterial	CPT	87086	0	$15	$9	—	—	—
Urine culture identification	CPT	87088	0	$15	$9	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$112	$67.2	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$8,621	$5,172.6	—	—	—
Routine obstetric care including vaginal delivery	CPT	59400	0	$8,143.67	$4,886.2	—	—	—
Vaginal delivery only	CPT	59409	0	$8,143.07	$4,885.84	—	—	—
Vaginal delivery with postpartum	CPT	59410	0	$8,143.07	$4,885.84	—	—	—
Routine obstetric care with C-section	CPT	59510	0	$64,048	$38,429	—	—	—
C-section delivery only	CPT	59514	0	$64,048	$38,429	—	—	—
C-section with postpartum	CPT	59515	0	$64,048	$38,429	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$102	$61.2	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$157	$94.2	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$236	$141.6	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$311	$186.6	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$80	$48	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$129	$77.4	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$182	$109.2	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$256	$153.6	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$29,801	$17,881	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$32,718	$19,631	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$7,775.5	$4,665.3	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$32,660	$19,596	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$6,648.38	$3,989.03	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$19,377	$11,626	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$30,870	$18,522	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$129,752	$77,851	—	—	—
Hip hemiarthroplasty	CPT	27125	0	$90,137	$54,082	—	—	—
Total hip replacement	CPT	27130	0	$144,289	$86,574	—	—	—
Total knee replacement	CPT	27447	0	$118,691	$71,214	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$1,894	$1,136.4	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$117,838	$70,703	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$68,411	$41,047	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$70,345	$42,207	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$58,298	$34,979	—	—	—
ACL reconstruction	CPT	29888	0	$113,658	$68,195	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	$260,746	$156,448	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	$184,799	$110,880	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	$135,763	$81,458	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	$123,075	$73,845	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	$80,084	$48,051	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	$28,507	$17,104	—	—	—
Open appendectomy	CPT	44950	0	$88,530	$53,118	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$100,987	$60,592	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	$60,630	$36,378	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	$127,698	$76,619	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$87,376	$52,426	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$111,179	$66,707	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	$93,365	$56,019	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	$77,118	$46,271	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	$64,548	$38,729	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$77,864	$46,719	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$1,377	$826.2	—	—	—
Vaginal hysterectomy	CPT	58260	0	$1,134	$680.4	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$1,214	$728.4	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$92,569	$55,541	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$104,661	$62,796	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	$92,184	$55,310	—	—	—
PCI single major coronary artery	CPT	92920	0	$34,261	$20,557	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$35,397	$21,238	—	—	—
PCI bypass graft	CPT	92937	0	$35,397	$21,238	—	—	—
Left heart catheterization	CPT	93452	0	$1,146	$687.6	—	—	—
Coronary angiography with cath	CPT	93455	0	$10,946	$6,567.3	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$29,505	$17,703	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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