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.
33 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC Act (POC) Inpatient & outpatient | PX-30585347 CDM | $39.00 | $35.10 | $4.00 – $39.00 | $4.28 | |
| HC Dgp Antibody Each Ig Class Outpatient | CASE-86258 LOCAL | $1,147 | $1,032 | $11.00 – $1,147 | $12.05 | |
| HC Dilation and Curettage Nonobstetric Outpatient | CASE-58120 LOCAL | $16,055 | $14,449 | $31.00 – $16,055 | $291 | |
| HC Dilation and Curettage Nonobstetric Inpatient & outpatient | PX-76158120 CDM | $8,255 | $7,430 | $2,273 – $8,255 | $291 | |
| 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 Hysteroscopy W/Rem Impacted FB Outpatient | CASE-58562 LOCAL | $20,768 | $18,691 | $1,728 – $20,768 | $443 | |
| HC Hysterscopy W/Bx Endom or Polypec Outpatient | CASE-58558 LOCAL | $26,217 | $23,595 | $31.00 – $26,217 | $3,431 | |
| HC Hysterscopy W/Bx Endom or Polypec Inpatient & outpatient | PX-76158558 CDM | $8,104 | $7,294 | $1,905 – $8,104 | $3,431 | |
| HC Ins Tunneled Cv Cath Age 5/> Outpatient | CASE-36558 LOCAL | $16,876 | $15,188 | $3,340 – $16,876 | $1,107 | |
| HC Intro Contrast Mat-Hsg Outpatient | CASE-58340 LOCAL | $2,562 | $2,306 | $252 – $2,562 | $73.30 | |
| HC Iud Insertion Outpatient | CASE-58300 LOCAL | $7,046 | $6,341 | $53.00 – $7,046 | $83.10 | |
| HC Iud Insertion Inpatient & outpatient | PX-76158300 CDM | $867 | $780 | $227 – $867 | $83.10 | |
| HC Iud Removal Outpatient | CASE-58301 LOCAL | $4,260 | $3,834 | $120 – $4,260 | $73.30 | |
| HC L Hrt Artery/Ventricle Angio Outpatient | CASE-93458 LOCAL | $37,382 | $33,644 | $3,430 – $37,382 | $2,227 | |
| HC L Hrt Artery/Ventricle Angio Inpatient & outpatient | PX-48093458 CDM | $31,740 | $28,566 | $3,430 – $31,740 | $2,227 | |
| HC Remove Tunneled Cv Catheter Outpatient | CASE-36589 LOCAL | $3,860 | $3,474 | $53.00 – $3,860 | $319 | |
| HC Replace Tunneled Cv Cath Outpatient | CASE-36581 LOCAL | $16,181 | $14,563 | $3,340 – $16,181 | $1,107 | |
| HC Replace Tunneled Cv Cath Inpatient & outpatient | PX-36136581 CDM | $8,262 | $7,436 | $3,147 – $8,262 | $1,107 | |
| Infections Female Reproductive System With Cc Inpatient | 758 MS-DRG | $23,377 | $21,039 | $1,307 – $23,377 | $8,976 | |
| Laparoscopy W/Lysis of Adhesions Outpatient | CASE-58660 LOCAL | $35,109 | $31,598 | $3,121 – $35,109 | $800 | |
| Laps Fulg/Exc Ovary Viscera/Peritoneal Surface Outpatient | CASE-58662 LOCAL | $57,066 | $51,359 | $192 – $57,066 | $800 | |
| Laps Myomectomy Exc 1-4 Myomas 250 Gm/< Outpatient | CASE-58545 LOCAL | $87,918 | $79,126 | $127 – $87,918 | $42,658 | |
| Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing Outpatient | CASE-55866 LOCAL | $86,558 | $77,903 | $384 – $86,558 | $12,181 | |
| Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational Age <24 Weeks Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaining InterventionEXTREME Inpatient | 589 APR-DRG | $2,646 | $132,058 | $132,058 – $2,646 | $18,027 | |
| Neonate Transferred < 5 Days Old Born HereEXTREME Inpatient | 581 APR-DRG | $16,473 | $9,189 | $2,036 – $16,473 | $1,976 | |
| Neonate Transferred < 5 Days Old Born HereMAJOR Inpatient | 581 APR-DRG | $19,626 | $9,189 | $2,036 – $19,626 | $32,291 | |
| Neonate Transferred < 5 Days Old Born HereMINOR Inpatient | 581 APR-DRG | $9,563 | $4,885 | $2,036 – $9,563 | $1,174 | |
| Neonate Transferred < 5 Days Old Born HereMODERATE Inpatient | 581 APR-DRG | $9,303 | $6,570 | $2,036 – $9,303 | $8,623 | |
| Other Disorders Of Nervous SystemEXTREME Inpatient | 58 APR-DRG | $180,616 | $44,664 | $2,036 – $180,616 | $163,721 |