IU Health North Hospital — price list
← Hospital overviewVerified from IU Health North 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.
9 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Aripiprazole Tab 10 mg Outpatient | 52527850 CDM | $239 | $67.94 | $47.86 – $215 | — | |
| busPIRone Tab 10 mg Outpatient | 52512522 CDM | $10.10 | $2.87 | $2.02 – $9.09 | — | |
| Cetirizine Tab 10 mg Outpatient | 52535838 CDM | $18.70 | $5.31 | $3.74 – $16.83 | — | |
| Escitalopram Tab 10 mg Outpatient | 52518537 CDM | $32.80 | $9.31 | $6.56 – $29.52 | — | |
| Ezetimibe Tab 10 mg Outpatient | 52542867 CDM | $92.55 | $26.27 | $18.51 – $83.30 | — | |
| FLUoxetine Cap 10 mg Outpatient | 52521358 CDM | $18.10 | $5.14 | $3.62 – $16.29 | — | |
| Lisinopril Tab 10 mg Outpatient | 52549409 CDM | $9.30 | $2.64 | $1.86 – $8.37 | — | |
| Montelukast Tab 10 mg Outpatient | 52501780 CDM | $41.20 | $11.70 | $8.24 – $37.08 | — | |
| Olanzapine Tab 10 mg Outpatient | 52500691 CDM | $80.30 | $22.80 | $16.06 – $72.27 | — |