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.

13 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC Arthrocnt/Asp/Inj Med Jt Burs Inpatient & outpatient	PX-76120605 CDM	$1,378	$1,240	$285 – $1,378	$73.30
HC Aspiration Joint Major Inpatient & outpatient	PX-76120610 CDM	$1,396	$1,256	$285 – $1,396	$319
HC Brief Emotional/Behav/Assmt Outpatient	CASE-96127 LOCAL	$1,672	$1,505	$53.00 – $1,672	$40.80
HC Clsd Tx Clavicle Fx W/O Manip Inpatient & outpatient	PX-76123500 CDM	$699	$629	$260 – $699	$319
HC Drain/Inj Intermed Jnt/Bursa W/US Inpatient & outpatient	PX-36120606 CDM	$2,315	$2,084	$648 – $2,315	$166
HC Drain/Inj Major Joint/Bursa W/US Inpatient & outpatient	PX-36120611 CDM	$1,392	$1,253	$324 – $1,392	$319
HC Excise Bone/Tarsal/Metatarsal Inpatient & outpatient	PX-76128122 CDM	$8,390	$7,551	$1,905 – $8,390	$23,058
HC MRI Cerv Spine W & W/O Contr Inpatient & outpatient	PX-61272156 CDM	$2,735	$2,462	$369 – $2,735	$940
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 Inpatient & outpatient	PX-61272148 CDM	$2,201	$1,981	$252 – $2,201	$261
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory ConditionMAJOR Inpatient	612 APR-DRG	$172,866	$107,139	$45,551 – $172,866	$190,987
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory ConditionMINOR Inpatient	612 APR-DRG	$93,295	$45,551	$45,551 – $93,295	$149,469
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Major Respiratory ConditionMODERATE Inpatient	612 APR-DRG	$134,780	$67,305	$45,551 – $134,780	$144,073