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.
43 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AsthmaMAJOR Inpatient | 141 APR-DRG | $40,860 | $12,846 | $6,694 – $40,860 | $9.79 | |
| AsthmaMODERATE Inpatient | 141 APR-DRG | $43,106 | $9,733 | $6,694 – $43,106 | $51,235 | |
| Disorders Of Liver Except Malignancy Cirrhosis Or Alcoholic Hepatitis With McC Inpatient | 441 MS-DRG | $53,311 | $47,980 | $2,943 – $53,311 | $16,646 | |
| Extensive Third Degree Burns With Skin GraftEXTREME Inpatient | 841 APR-DRG | $724,937 | $2,850 | $2,036 – $724,937 | $1,763,212 | |
| 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 Capillary Blood Draw Outpatient | CASE-36416 LOCAL | $25,664 | $23,098 | $1,905 – $25,664 | $3.81 | |
| HC Chemo Admin InfusionEa Addl Hr Outpatient | CASE-96415 LOCAL | $11,219 | $10,097 | $53.00 – $11,219 | $76.80 | |
| HC Chemo Admin InfusionEa Addl Hr Inpatient & outpatient | PX-33596415 CDM | $606 | $545 | $76.00 – $606 | $76.80 | |
| HC Chemo IV Infus Ea Add Seq Outpatient | CASE-96417 LOCAL | $15,330 | $13,797 | $76.00 – $15,330 | $76.80 | |
| HC Chemo IV Infus Ea Add Seq Inpatient & outpatient | PX-33596417 CDM | $636 | $572 | $76.00 – $636 | $76.80 | |
| HC Chemotherapy Infus Up to 1 Hr Outpatient | CASE-96413 LOCAL | $10,981 | $9,882 | $324 – $10,981 | $326 | |
| HC Chemotherapy Infus Up to 1 Hr Inpatient & outpatient | PX-33596413 CDM | $1,754 | $1,579 | $324 – $1,754 | $326 | |
| HC Circumcision Adult/Youth Outpatient | CASE-54161 LOCAL | $26,022 | $23,420 | $1,728 – $26,022 | $443 | |
| HC CT Abdomen & Pelvis W/Contrast Inpatient & outpatient | PX-35274177 CDM | $2,683 | $2,414 | $369 – $2,683 | $393 | |
| HC CT Abdomen & Pelvis W/O & W/Cont Inpatient & outpatient | PX-35274178 CDM | $2,844 | $2,560 | $369 – $2,844 | $385 | |
| HC CT Abdomen & Pelvis W/O & W/Cont Outpatient | CASE-74178 LOCAL | $3,266 | $2,940 | $369 – $3,266 | $385 | |
| HC CT Abdomen & Pelvis W/O Contrast Inpatient & outpatient | PX-35274176 CDM | $2,136 | $1,922 | $252 – $2,136 | $266 | |
| HC CT Abdomen & Pelvis W/O Contrast Outpatient | CASE-74176 LOCAL | $2,136 | $1,922 | $252 – $2,136 | $266 | |
| HC I&D Abscess Dentoalveolar Outpatient | CASE-41800 LOCAL | $1,757 | $1,581 | $140 – $1,757 | $319 | |
| HC Induced Abortion Dilation & Evacuation Inpatient & outpatient | PX-76159841 CDM | $8,104 | $7,294 | $1,242 – $8,104 | $319 | |
| HC IR Nk/Hnd/Ft/Genitalia<2.5cm Outpatient | CASE-12041 LOCAL | $10,130 | $9,117 | $216 – $10,130 | $83.10 | |
| HC IR Nk/Hnd/Ft/Genitalia<2.5cm Inpatient & outpatient | PX-76112041 CDM | $1,475 | $1,328 | $430 – $1,475 | $83.10 | |
| HC MRI Abd W/O Cntr Flwd by W/Cntr Outpatient | CASE-74183 LOCAL | $3,158 | $2,842 | $369 – $3,158 | $385 | |
| HC MRI Abd W/O Cntr Flwd by W/Cntr Inpatient & outpatient | PX-61074183 CDM | $2,703 | $2,433 | $369 – $2,703 | $385 | |
| 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 Potassium Outpatient | CASE-84132 LOCAL | $19,215 | $17,293 | $1,728 – $19,215 | $5.00 | |
| HC Prealbumin Outpatient | CASE-84134 LOCAL | $58,357 | $52,522 | $13,583 – $58,357 | $14.59 | |
| HC Protein Electrophoresis Outpatient | CASE-84165 LOCAL | $1,361 | $1,225 | $10.00 – $1,361 | $11.06 |