Elkhart General Hospital — price list

← Hospital overviewVerified from Elkhart General Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

314 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
83021 HEMOGLOBIN FRACTJ/QUANT CHROMOTOGRAPHY Inpatient	83021 CPT	$60.00	$39.00	$12.00 – $78.00	—
83704 LIPOPROTEIN BLD QUAN PART Inpatient	83704 CPT	$113	$73.45	$22.60 – $147	—
84479 THYROID HORM (T3/T4) UPTK OR THBR Inpatient	84479 CPT	$87.00	$56.55	$17.40 – $113	—
85018 IH HEMOGLOBIN Inpatient	85018 CPT	$26.00	$16.90	$5.20 – $33.80	—
85410 FIBRINOLYTIC ANTIPLASMIN Inpatient	85410 CPT	$129	$83.85	$25.80 – $168	—
85415 FIBRINOLYTIC PLASMINOGEN Inpatient	85415 CPT	$57.00	$37.05	$11.40 – $74.10	—
85732 THROMBOPLASTI TIME PRTL SUBSTIT FRACTIONS, EA Inpatient	85732 CPT	$22.00	$14.30	$4.40 – $28.60	—
86037 ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB Inpatient	86037 CPT	$97.00	$63.05	$19.40 – $126	—
86041 ACETYLCHOLN RCPTR BNDNG ANTB Inpatient	86041 CPT	$36.00	$23.40	$7.20 – $46.80	—
86042 ACETYLCHOLN RCPTR BLCKG ANTB Inpatient	86042 CPT	$55.00	$35.75	$11.00 – $71.50	—
86051 AQUAPORIN-4 ANTIBODY ELISA Inpatient	86051 CPT	$109	$70.85	$21.80 – $142	—
86258 GLIADIN ANTIBODY EA IMMUNOGLOBULIN CL Inpatient	86258 CPT	$95.00	$61.75	$19.00 – $124	—
86364 TISSUE TRANSGLUTAMINASE EA IMMUNOGL CL Inpatient	86364 CPT	$95.00	$61.75	$19.00 – $124	—
86381 MITOCHONDRIAL ANTIBODY EACH Inpatient	86381 CPT	$102	$66.30	$20.40 – $133	—
Actin (Smooth Muscle) Antibody (ASMA) Inpatient	86015 CPT	$95.00	$61.75	$19.00 – $124	—
Allergen Weed, Rough Marshelder W016-IgE Inpatient	86003 CPT	$37.00	$24.05	$7.40 – $48.10	—
ANCHOR CROSSFT GENESYS TWO HI-FI SUTURES 4.5MM Inpatient	C1713 CPT	$3,970	$2,581	$794 – $5,161	—
ANCHOR LUMBAR 25MM Inpatient	C1713 CPT	$4,550	$2,958	$910 – $5,915	—
ANCHOR SWIVELOCK C 4.75X22MM Inpatient	C1713 CPT	$4,625	$3,006	$925 – $6,013	—
BALLOON WOLVERINE CUTTING 2.0MM X 15MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 2.25MM X 10MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 2.75MM X 15MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 3.0MM X 10MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 3.0MM X 15MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 3.25MM X 10MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 3.25MM X 15MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
BALLOON WOLVERINE CUTTING 4.00MM X 15MM Inpatient	C1725 CPT	$4,960	$3,224	$992 – $6,448	—
Beta 2 Transferrin IFE Inpatient	86335 CPT	$243	$158	$48.60 – $316	—
BIOGLUE SOL CARTRIDGE 10 ML Inpatient	565317 CDM	$6,432	$4,181	$1,286 – $8,362	—
Bravo Return Inpatient	91035 CPT	$1,454	$945	$291 – $1,890	—