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.
83 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm Outpatient | CASE-14301 LOCAL | $53,028 | $47,725 | $2,273 – $53,028 | $583 | |
| Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm Outpatient | CASE-14302 LOCAL | $46,050 | $41,445 | $192 – $46,050 | $291 | |
| Amputation Of Lower Limb Except ToesEXTREME Inpatient | 305 APR-DRG | $240,186 | $64,270 | $2,036 – $240,186 | $374,315 | |
| Amputation Of Lower Limb Except ToesMAJOR Inpatient | 305 APR-DRG | $95,979 | $37,838 | $2,036 – $95,979 | $105,145 | |
| Amputation Of Lower Limb Except ToesMINOR Inpatient | 305 APR-DRG | $68,945 | $19,366 | $2,036 – $68,945 | $74,208 | |
| Amputation Of Lower Limb Except ToesMODERATE Inpatient | 305 APR-DRG | $71,314 | $24,609 | $2,036 – $71,314 | $45,609 | |
| Cardiac Arrhythmia And Conduction Disorders With Cc Inpatient | 309 MS-DRG | $45,801 | $41,221 | $2,036 – $45,801 | $47,778 | |
| Cardiac Arrhythmia And Conduction Disorders With McC Inpatient | 308 MS-DRG | $53,924 | $48,532 | $2,943 – $53,924 | $17,351 | |
| Dorsal And Lumbar Fusion Procedure Except For Curvature Of BackMAJOR Inpatient | 304 APR-DRG | $219,551 | $93,959 | $2,036 – $219,551 | $315,050 | |
| Dorsal And Lumbar Fusion Procedure Except For Curvature Of BackMODERATE Inpatient | 304 APR-DRG | $156,843 | $60,625 | $2,036 – $156,843 | $328,064 | |
| HC 12 Lead Ekg Tracing Only Outpatient | CASE-93005 LOCAL | $836 | $752 | $53.00 – $836 | $65.34 | |
| HC 12 Lead Ekg Tracing Only Inpatient & outpatient | PX-73093005 CDM | $370 | $333 | $62.00 – $370 | $65.34 | |
| HC Abo Blood Typing Serologic Inpatient & outpatient | PX-30086900 CDM | $237 | $213 | $2.00 – $237 | $2.99 | |
| HC Act (POC) Inpatient & outpatient | PX-30585347 CDM | $39.00 | $35.10 | $4.00 – $39.00 | $4.28 | |
| HC Assay of Phosphorus Inpatient & outpatient | PX-30184100 CDM | $44.00 | $39.60 | $4.00 – $44.00 | $4.74 | |
| HC Basic Metabolic Panel Inpatient & outpatient | PX-30180048 CDM | $98.90 | $89.01 | $8.00 – $98.90 | $8.46 | |
| HC Bcp+Platelet Inpatient & outpatient | PX-30085027 CDM | $74.67 | $67.20 | $6.00 – $74.67 | $6.47 | |
| HC Bone/Joint (Whole Body) Outpatient | CASE-78306 LOCAL | $6,857 | $6,172 | $422 – $6,857 | $442 | |
| HC Bone/Joint (Whole Body) Inpatient & outpatient | PX-34078306 CDM | $2,221 | $1,999 | $422 – $2,221 | $442 | |
| HC Burn Dsg/Debride W/O Anes >10% Outpatient | CASE-16030 LOCAL | $3,259 | $2,933 | $430 – $3,259 | $319 | |
| HC Burn Dsg/Debride W/O Anes >10% Inpatient & outpatient | PX-76116030 CDM | $1,822 | $1,640 | $430 – $1,822 | $319 | |
| HC Cftr Gene Com Variants Inpatient & outpatient | PX-30081220 CDM | $974 | $877 | $371 – $974 | $557 | |
| HC Comprehen Metabolic Panel Inpatient & outpatient | PX-30180053 CDM | $169 | $152 | $10.00 – $169 | $10.56 | |
| HC Critical Care (First 30-74 Min Inpatient & outpatient | PX-45099291 CDM | $5,983 | $5,384 | $295 – $5,983 | $2,857 | |
| HC Cryptosporidium Eia Inpatient & outpatient | PX-30087328 CDM | $172 | $155 | $13.00 – $172 | $13.82 | |
| HC Culture Urine Inpatient & outpatient | PX-30687086 CDM | $110 | $99.00 | $8.00 – $110 | $8.07 | |
| HC Cystography Min of 3v Outpatient | CASE-74430 LOCAL | $1,927 | $1,734 | $53.00 – $1,927 | $385 | |
| HC Cystography Min of 3v Inpatient & outpatient | PX-32074430 CDM | $877 | $789 | $70.00 – $877 | $385 | |
| HC Drug Test Def 1-7 Classes Inpatient & outpatient | PX-30100480 CDM | $782 | $703 | $114 – $782 | $114 | |
| HC Echo Transvaginal Outpatient | CASE-76830 LOCAL | $840 | $756 | $110 – $840 | $106 |