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.

38 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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
Diverticulitis And DiverticulosisMAJOR Inpatient	244 APR-DRG	$40,952	$17,387	$2,943 – $40,952	$41,158
Diverticulitis And DiverticulosisMINOR Inpatient	244 APR-DRG	$25,885	$9,352	$2,943 – $25,885	$41,658
Diverticulitis And DiverticulosisMODERATE Inpatient	244 APR-DRG	$42,957	$12,121	$2,943 – $42,957	$23,520
HC Assay of Total Testosterone Outpatient	CASE-84403 LOCAL	$835	$751	$25.00 – $835	$27.10
HC Be F/E/E/N/L 1.1-2.0 Cm Outpatient	CASE-11442 LOCAL	$5,731	$5,158	$53.00 – $5,731	$166
HC Be F/E/E/N/L 1.1-2.0 Cm Inpatient & outpatient	PX-76111442 CDM	$3,125	$2,813	$648 – $3,125	$166
HC Chemodenerv 1 Extrem >5 Muscles Outpatient	CASE-64644 LOCAL	$11,512	$10,361	$746 – $11,512	$329
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 Debride Skin to Bone 20cm or Less Outpatient	CASE-11044 LOCAL	$37,830	$34,047	$25.00 – $37,830	$443
HC Debride Skin to Bone 20cm or Less Inpatient & outpatient	PX-76111044 CDM	$4,328	$3,895	$1,648 – $4,328	$443
HC Ia by Eia-Multi Step Outpatient	CASE-87449 LOCAL	$1,210	$1,089	$11.00 – $1,210	$12.34
HC Marsupialization Bartholin Cyst Inpatient & outpatient	PX-45056440 CDM	$5,706	$5,135	$1,728 – $5,706	$443
HC Sgpt Outpatient	CASE-84460 LOCAL	$664	$598	$5.00 – $664	$5.46
HC Small Bowel Endoscopy Outpatient	CASE-44360 LOCAL	$12,681	$11,413	$2,030 – $12,681	$6,916
HC Small Bowel Endoscopy Inpatient & outpatient	PX-75044360 CDM	$5,046	$4,542	$153 – $5,046	$6,916
HC Small Intestine Endo W/Bx Sngl/Multi Outpatient	CASE-44361 LOCAL	$13,796	$12,416	$63.00 – $13,796	$1,107
HC T-3 Total Lvl Outpatient	CASE-84480 LOCAL	$857	$771	$14.00 – $857	$14.61
HC Thyroid Stim Immunoglob Outpatient	CASE-84445 LOCAL	$1,342	$1,208	$50.00 – $1,342	$53.40
HC Transferase (Ast) (Sgot) Outpatient	CASE-84450 LOCAL	$786	$708	$5.00 – $786	$5.34
Intracranial HemorrhageEXTREME Inpatient	44 APR-DRG	$78,620	$55,137	$14,451 – $78,620	$692,975
Intracranial HemorrhageMAJOR Inpatient	44 APR-DRG	$77,369	$33,464	$14,451 – $77,369	$141,601
Intracranial HemorrhageMODERATE Inpatient	44 APR-DRG	$82,314	$16,919	$14,451 – $82,314	$50,867
Kidney And Urinary Tract Procedures For Non-MalignancyEXTREME Inpatient	443 APR-DRG	$441,382	$38,277	$2,036 – $441,382	$32,594
Kidney And Urinary Tract Procedures For Non-MalignancyMAJOR Inpatient	443 APR-DRG	$54,747	$38,093	$2,036 – $54,747	$104,021
Kidney And Urinary Tract Procedures For Non-MalignancyMODERATE Inpatient	443 APR-DRG	$82,380	$25,028	$2,036 – $82,380	$82,669
Laparoscopic Appendectomy Outpatient	CASE-44970 LOCAL	$44,600	$40,140	$25.00 – $44,600	$489
Marsupialization Bartholins Gland Cyst Outpatient	CASE-56440 LOCAL	$24,153	$21,737	$1,728 – $24,153	$443
Osteomyelitis Septic Arthritis And Other Musculoskeletal InfectionsMAJOR Inpatient	344 APR-DRG	$19,548	$25,884	$2,036 – $19,548	$21,456