IU Health Bloomington Hospital — price list
← Hospital overviewVerified from IU Health Bloomington Hospital’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.
10 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Aripiprazole Tab 10 mg Outpatient | 52527850 CDM | $239 | $58.92 | $50.25 – $227 | — | |
| Cetirizine Tab 10 mg Outpatient | 52535838 CDM | $18.70 | $4.60 | $3.93 – $142 | — | |
| Citalopram Tab 10 mg Outpatient | 52538154 CDM | $18.15 | $4.47 | $3.81 – $142 | — | |
| Escitalopram Tab 10 mg Outpatient | 52518537 CDM | $32.80 | $8.08 | $6.89 – $142 | — | |
| Ezetimibe Tab 10 mg Outpatient | 52542867 CDM | $92.55 | $22.79 | $19.44 – $142 | — | |
| FLUoxetine Cap 10 mg Outpatient | 52521358 CDM | $18.10 | $4.46 | $3.80 – $142 | — | |
| Lisinopril Tab 10 mg Outpatient | 52549409 CDM | $9.30 | $2.29 | $1.95 – $142 | — | |
| Montelukast Tab 10 mg Outpatient | 52501780 CDM | $41.20 | $10.14 | $8.65 – $142 | — | |
| Olanzapine Tab 10 mg Outpatient | 52500691 CDM | $80.30 | $19.77 | $16.86 – $142 | — | |
| Verapamil Inj 10 mg/4 mL (UD) Outpatient | 52553237 CDM | $333 | $82.02 | $69.96 – $316 | — |