Eskenazi Health — price list
← Hospital overviewVerified from Eskenazi Health’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.
25 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC Assay of Phosphorus Outpatient | CASE-84100 LOCAL | $1,342 | $1,208 | $4.00 – $1,342 | $4.74 | |
| HC Assay of Phosphorus Inpatient & outpatient | PX-30184100 CDM | $44.00 | $39.60 | $4.00 – $44.00 | $4.74 | |
| HC Drug Test Def 1-7 Classes Inpatient & outpatient | PX-30100480 CDM | $782 | $703 | $114 – $782 | $114 | |
| HC Endometrial Bx W/O Cervical Dilat Outpatient | CASE-58100 LOCAL | $3,613 | $3,252 | $95.00 – $3,613 | $97.73 | |
| HC Endometrial Bx W/O Cervical Dilat Inpatient & outpatient | PX-76158100 CDM | $2,213 | $1,992 | $95.00 – $2,213 | $97.73 | |
| HC Fna Bx/US Gdn 1st Les Outpatient | CASE-10005 LOCAL | $4,587 | $4,129 | $69.00 – $4,587 | $583 | |
| HC I&D Abscess Simple/Single Outpatient | CASE-10060 LOCAL | $1,953 | $1,758 | $53.00 – $1,953 | $97.73 | |
| HC I&D Abscess Simple/Single Inpatient & outpatient | PX-76110060 CDM | $1,288 | $1,159 | $212 – $1,288 | $48.87 | |
| HC I&D Complex/Multiple Abscess Outpatient | CASE-10061 LOCAL | $1,853 | $1,668 | $53.00 – $1,853 | $268 | |
| HC I&D Complex/Multiple Abscess Inpatient & outpatient | PX-76110061 CDM | $1,610 | $1,449 | $430 – $1,610 | $268 | |
| HC I&D Pilonidal Cyst Compl Inpatient & outpatient | PX-45010081 CDM | $3,235 | $2,912 | $749 – $3,235 | $268 | |
| HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct Outpatient | CASE-15004 LOCAL | $42,046 | $37,842 | $25.00 – $42,046 | $18,350 | |
| HC Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct Inpatient & outpatient | PX-76115004 CDM | $4,804 | $4,324 | $430 – $4,804 | $18,350 | |
| HC Psa Screening Inpatient & outpatient | PX-30100103 CDM | $139 | $125 | $19.00 – $139 | $19.31 | |
| HC Rhophylac Injection 100iu Outpatient | CASE-J2791 LOCAL | $2,678 | $2,410 | $4.00 – $2,678 | $10.83 | |
| HC Urinalysis Routine-Auto Outpatient | CASE-81001 LOCAL | $871 | $784 | $3.00 – $871 | $3.17 | |
| HC Urinalysis Routine-Auto Inpatient & outpatient | PX-30081001 CDM | $52.00 | $46.80 | $3.00 – $52.00 | $3.17 | |
| HC Wound Prep Addl 100 Cm Inpatient & outpatient | PX-76115003 CDM | $2,042 | $1,838 | $778 – $2,042 | $222 | |
| Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major AnomalyMAJOR Inpatient | 602 APR-DRG | $590,101 | $168,888 | $2,036 – $590,101 | $479,710 | |
| Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct Outpatient | CASE-15002 LOCAL | $41,247 | $37,122 | $25.00 – $41,247 | $443 | |
| Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct Outpatient | CASE-15003 LOCAL | $47,312 | $42,581 | $1,728 – $47,312 | $222 | |
| Seizures With McC Inpatient | 100 MS-DRG | $67,128 | $60,416 | $14,573 – $67,128 | $21,527 | |
| Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1% Outpatient | CASE-15120 LOCAL | $42,471 | $38,224 | $1,728 – $42,471 | $864 | |
| Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld Outpatient | CASE-15100 LOCAL | $38,084 | $34,275 | $1,728 – $38,084 | $222 | |
| Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld Outpatient | CASE-15101 LOCAL | $41,593 | $37,434 | $53.00 – $41,593 | $489 |