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.
49 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC Alpha-Fetoprotein Serum Outpatient | CASE-82105 LOCAL | $922 | $830 | $16.00 – $922 | $17.27 | |
| HC Amylase Outpatient | CASE-82150 LOCAL | $12,080 | $10,872 | $6.00 – $12,080 | $6.67 | |
| HC Be S/N/H/F/G 0.6-1.0 Cm Outpatient | CASE-11421 LOCAL | $4,418 | $3,976 | $648 – $4,418 | $83.10 | |
| HC Carotid Duplex Scan Bilateral Inpatient & outpatient | PX-92193880 CDM | $2,227 | $2,004 | $252 – $2,227 | $266 | |
| HC Cerumen Removal Unilateral Outpatient | CASE-69210 LOCAL | $700 | $630 | $53.00 – $700 | $73.30 | |
| HC Cmptr Ophth Img Optic Nerve Inpatient & outpatient | PX-92092133 CDM | $1,022 | $920 | $45.00 – $1,022 | $64.10 | |
| HC Cmptr Ophth Img Optic Nerve Outpatient | CASE-92133 LOCAL | $1,517 | $1,365 | $120 – $1,517 | $64.10 | |
| HC Colposcopy Entire Vagina W/Bx Outpatient | CASE-57421 LOCAL | $5,249 | $4,724 | $151 – $5,249 | $166 | |
| HC Cptr Ophth Dx Img Post Segmt Outpatient | CASE-92134 LOCAL | $1,353 | $1,218 | $140 – $1,353 | $65.34 | |
| HC Cptr Ophth Dx Img Post Segmt Inpatient & outpatient | PX-92092134 CDM | $341 | $307 | $62.00 – $341 | $65.34 | |
| HC CT Cervical Spine W/O Outpatient | CASE-72125 LOCAL | $1,946 | $1,751 | $53.00 – $1,946 | $242 | |
| HC CT Cervical Spine W/O Inpatient & outpatient | PX-35272125 CDM | $1,749 | $1,574 | $110 – $1,749 | $242 | |
| HC CT Thoracic Spine W/O Outpatient | CASE-72128 LOCAL | $6,823 | $6,141 | $829 – $6,823 | $98.51 | |
| HC Duplex Scan Arterial Flow Limited Inpatient & outpatient | PX-92193976 CDM | $805 | $725 | $110 – $805 | $115 | |
| HC Duplex Scan Ext Veins Comp Bilat Inpatient & outpatient | PX-92193970 CDM | $2,672 | $2,405 | $252 – $2,672 | $266 | |
| HC Duplex Scan Lwr Ext Art/Bpg Bilat Inpatient & outpatient | PX-92193925 CDM | $1,615 | $1,454 | $252 – $1,615 | $266 | |
| HC Exam/Biopsy of Vulva W/Scope Outpatient | CASE-56821 LOCAL | $2,779 | $2,501 | $120 – $2,779 | $166 | |
| HC Exam/Biopsy of Vulva W/Scope Inpatient & outpatient | PX-76156821 CDM | $832 | $748 | $316 – $832 | $166 | |
| HC Ig Light Chains Free Each Outpatient | CASE-83521 LOCAL | $1,821 | $1,639 | $34.00 – $1,821 | $17.79 | |
| HC MRI Cerv Spine W & W/O Contr Inpatient & outpatient | PX-61272156 CDM | $2,735 | $2,462 | $369 – $2,735 | $940 | |
| HC MRI Pelvis W/O & W/Dye Outpatient | CASE-72197 LOCAL | $3,647 | $3,282 | $369 – $3,647 | $393 | |
| HC MRI Pelvis W/O & W/Dye Inpatient & outpatient | PX-61072197 CDM | $3,144 | $2,830 | $369 – $3,144 | $393 | |
| HC MRI Spine Cervical W/O Contr Outpatient | CASE-72141 LOCAL | $2,201 | $1,981 | $252 – $2,201 | $261 | |
| HC MRI Spine Cervical W/O Contr Inpatient & outpatient | PX-61272141 CDM | $2,201 | $1,981 | $252 – $2,201 | $261 | |
| HC MRI Spine Lumbar W/O Cont Outpatient | CASE-72148 LOCAL | $2,201 | $1,981 | $252 – $2,201 | $261 | |
| HC MRI Spine Lumbar W/O Cont Inpatient & outpatient | PX-61272148 CDM | $2,201 | $1,981 | $252 – $2,201 | $261 | |
| HC Ophthalmic Biometry-Iol Master Inpatient & outpatient | PX-92092136 CDM | $404 | $364 | $140 – $404 | $139 | |
| HC Ophthalmic Biometry-Iol Master Outpatient | CASE-92136 LOCAL | $745 | $671 | $140 – $745 | $139 | |
| HC Pelvis 2 Views (Ap & Frog) Outpatient | CASE-72170 LOCAL | $55,748 | $50,173 | $13,583 – $55,748 | $13.79 | |
| HC Radex Hips Bilateral With Pelvis 2 Views Outpatient | CASE-73521 LOCAL | $734 | $661 | $53.00 – $734 | $115 |