Daviess Community Hospital prices
Daviess Community Hospital in Washington, IN publishes its standard charges, as every US hospital must under the federal Hospital Price Transparency Rule. Below is what its own file lists for common services, next to what it has agreed to accept from insurers.
What Daviess Community Hospital publishes for common services
ER visit, level 3 (moderate): listed at $146 to $955. Insurers pay a median of $65.36, across 11 insurers.
If you were billed the list price, you may have been charged far more than insurers typically pay. See how to use these numbers below.
| Service | List price | Cash price | Insurers pay (median) |
|---|---|---|---|
| ER visit, level 1 (minor)CPT 99281, listed as "Emergency department visit for problem that may not require health care professional" | $44.50 to $269 | $31.15 to $188 | $10.39$10.35 to $19.95, 11 insurers |
| ER visit, level 2 (low-moderate)CPT 99282, listed as "Emergency department visit with straightforward medical decision making" | $86.00 to $531 | $60.20 to $371 | $38.21$38.11 to $73.17, 11 insurers |
| ER visit, level 3 (moderate)CPT 99283, listed as "Emergency department visit with low level of medical decision making" | $146 to $955 | $102 to $669 | $65.36$64.70 to $125, 11 insurers |
| ER visit, level 4 (high)CPT 99284, listed as "Emergency department visit with moderate level of medical decision making" | $247 to $1,433 | $173 to $1,003 | $111$110 to $213, 11 insurers |
| ER visit, level 5 (critical)CPT 99285, listed as "Emergency department visit with high level of medical decision making" | $358 to $2,122 | $251 to $1,485 | $162$160 to $310, 11 insurers |
| Office visit, established patient, low complexityCPT 99213, listed as "Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more" | $107 to $308 | $74.90 to $216 | $68.88$55.10 to $308, 8 insurers |
| Office visit, established patient, moderate complexityCPT 99214, listed as "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more" | $165 to $389 | $116 to $272 | $93.09$80.95 to $389, 8 insurers |
| Routine venipuncture (blood draw)CPT 36415, listed as "Insertion of needle into vein for collection of blood sample" | $15.00 to $18.50 | $10.50 to $12.95 | - |
| Vitamin B12 injectionCPT J3420, listed as "INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG" | $20.00 | $14.00 | - |
| Comprehensive metabolic panelCPT 80053, listed as "Blood test, comprehensive group of blood chemicals" | $27.00 to $143 | $18.90 to $99.75 | $10.56$2.85 to $15.05, 3 insurers |
| Basic metabolic panelCPT 80048, listed as "Blood test, basic group of blood chemicals (Calcium, total)" | $82.00 | $57.40 | $8.46$6.94 to $8.46, 3 insurers |
| CBC with differentialCPT 85025, listed as "Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count" | $12.50 to $72.50 | $8.75 to $50.75 | $7.77$7.77 to $7.77, 3 insurers |
| Lipid panelCPT 80061, listed as "Blood test, lipids (cholesterol and triglycerides)" | $17.00 to $76.50 | $11.90 to $53.55 | $13.39$2.28 to $13.39, 3 insurers |
| Hepatic function panelCPT 80076, listed as "Liver function blood test panel" | $70.50 | $49.35 | $8.17$5.76 to $8.17, 3 insurers |
| X-ray, ankle, 3 viewsCPT 73610, listed as "X-ray of ankle, minimum of 3 views" | $41.50 to $383 | $29.05 to $268 | $17.51$8.01 to $200, 11 insurers |
| CT abdomen, without contrastCPT 74176, listed as "CT scan of abdomen and pelvis without contrast" | $202 to $2,941 | $141 to $2,059 | $122$76.82 to $1,303, 16 insurers |
| CT abdomen and pelvis, with contrastCPT 74177, listed as "CT scan of abdomen and pelvis with contrast" | $201 to $3,730 | $140 to $2,611 | $101$80.41 to $1,303, 16 insurers |
| CT abdomen and pelvis, with and without contrastCPT 74178, listed as "CT scan of abdomen and pelvis before and after contrast" | $232 to $4,333 | $162 to $3,033 | $193$89.09 to $1,303, 16 insurers |
| MRI brain, without contrastCPT 70551, listed as "MRI scan of brain without contrast" | $172 to $2,574 | $120 to $1,802 | $122$65.19 to $1,956, 16 insurers |
| MRI brain, with and without contrastCPT 70553, listed as "MRI scan of brain before and after contrast" | $252 to $3,504 | $176 to $2,453 | $293$101 to $1,956, 16 insurers |
| MRI pelvis, without contrastCPT 72195, listed as "MRI scan of pelvis without contrast" | $2,474 | $1,731 | $1,858$212 to $1,956, 9 insurers |
| MRI pelvis, with and without contrastCPT 72197, listed as "MRI scan of pelvis before and after contrast" | $3,556 | $2,489 | $1,858$282 to $1,956, 9 insurers |
| Complete echocardiogram with DopplerCPT 93306, listed as "Ultrasound of heart with color-depicted blood flow, rate, direction and valve function" | $2,219 | $1,553 | - |
| Echocardiogram, completeCPT 93307, listed as "Ultrasound of heart" | $1,400 | $980 | - |
| Electrocardiogram, tracing only (technical component)CPT 93005, listed as "Routine electrocardiogram (ECG) using at least 12 leads with tracing" | $25.00 to $236 | $17.50 to $165 | - |
| Electrocardiogram, interpretation and report onlyCPT 93010, listed as "Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report only" | $63.50 | $44.45 | $8.01$7.45 to $15.38, 11 insurers |
| Laparoscopic cholecystectomyCPT 47562, listed as "Removal of gallbladder using an endoscope" | $1,300 | $910 | $588$571 to $1,097, 11 insurers |
| Knee arthroscopy, meniscectomyCPT 29881, listed as "Removal of knee cartilage using an endoscope" | $670 to $1,073 | $469 to $751 | $494$474 to $1,147, 11 insurers |
Source: Daviess Community Hospital's standard charges file, which the hospital dated August 18, 2026. Read on October 1, 2026. View the hospital's file (a large data file). Hospitals must publish this file under 45 CFR § 180.
List price
The hospital's full charge (its "gross charge") before any discount. Few people pay it, but it is often the starting point on a bill.
Cash price
What the hospital says it accepts from patients paying without insurance.
Insurers pay
The median of the per-service rates the hospital has negotiated with insurers, shown only when at least 3 insurers report one. Your plan's rate may differ.
How to use these numbers
Uninsured or paying yourself? You can ask Daviess Community Hospital to bill you its published cash price, and ask about financial assistance, which nonprofit hospitals must offer.
Insured, and the hospital is in your network? Your share should be based on your plan's negotiated rate, not the list price. If your bill or explanation of benefits shows the list price, ask the billing office why.
These figures summarize what the hospital publishes. They are not a quote, and they don't include separate physician bills.
Check your Daviess Community Hospital bill for errors
The free check looks for duplicate charges, unbundling, upcoding and surprise billing. Its price comparison uses national reference pricing, separate from the hospital's published prices above.
BillMender is a document-preparation tool, not a law firm, and does not provide legal advice. We don't guarantee any outcome or dollar amount. Estimates are based on public reference pricing, not your hospital's actual contract rates.