IU Health White Memorial Hospital — price list
← Hospital overviewVerified from IU Health White Memorial 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.
286 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABCC2 GENOTYPING Outpatient | 53102331 CDM | $1,115 | $348 | $0.01 – $1,026 | — | |
| ABCC2 GENOTYPING PANEL Outpatient | 53053567 CDM | $107 | $33.36 | $0.01 – $98.44 | — | |
| ABCC4 GENOTYPING Outpatient | 53102349 CDM | $1,115 | $348 | $0.01 – $1,026 | — | |
| ABCC4 GENOTYPING PANEL Outpatient | 53053575 CDM | $107 | $33.36 | $0.01 – $98.44 | — | |
| APOL1 GENOTYPING Outpatient | 53106498 CDM | $1,496 | $466 | $0.01 – $1,376 | — | |
| CYP2B6 GENOTYPING Outpatient | 53102257 CDM | $1,496 | $466 | $0.01 – $1,376 | — | |
| CYP2B6 GENOTYPING PANEL Outpatient | 53053484 CDM | $926 | $289 | $0.01 – $852 | — | |
| CYP2C8 GENOTYPING Outpatient | 53102323 CDM | $1,496 | $466 | $0.01 – $1,376 | — | |
| CYP2C8 INDIVDL GENOTYP Outpatient | 53053559 CDM | $926 | $289 | $0.01 – $852 | — | |
| CYP4F2 GENOTYPING Outpatient | 53102307 CDM | $1,496 | $466 | $0.01 – $1,376 | — | |
| CYP4F2 WARFN GENOTYP Outpatient | 53053534 CDM | $926 | $289 | $0.01 – $852 | — | |
| FAMILIAL A FIB Outpatient | 53105359 CDM | $2,761 | $861 | $0.01 – $2,540 | — | |
| FYA FYB AG GENO SO Outpatient | 53105490 CDM | $763 | $238 | $0.01 – $702 | — | |
| HEMOGLOBIN LEPORE 3MUT BILL SO Outpatient | 53107512 CDM | $527 | $164 | $0.01 – $485 | — | |
| IBD SG DIAGNOSTIC AFC GEN SO Outpatient | 53105508 CDM | $130 | $40.53 | $0.01 – $120 | — | |
| IN HOUSE MOLECULAR 6 Outpatient | 53052700 CDM | $1,529 | $477 | $146 – $1,407 | — | |
| IN HOUSE UNLISTED MOLEC PROC Outpatient | 53052742 CDM | $77.00 | $24.01 | $0.01 – $70.84 | — | |
| ITPA GENOTYPING Outpatient | 53102273 CDM | $1,496 | $466 | $0.01 – $1,376 | — | |
| ITPA GENOTYPING PANEL Outpatient | 53053500 CDM | $926 | $289 | $0.01 – $852 | — | |
| KCNA5 Outpatient | 53105326 CDM | $556 | $173 | $0.01 – $512 | — | |
| KCNE2 Outpatient | 53105334 CDM | $556 | $173 | $0.01 – $512 | — | |
| LONG QT Outpatient | 53105342 CDM | $2,761 | $861 | $0.01 – $2,540 | — | |
| MOL DX NNP SO Outpatient | 53113569 CDM | $1,011 | $315 | $0.01 – $930 | — | |
| MOL DX PATH PROC FDGS SO Outpatient | 53112538 CDM | $2,469 | $770 | $0.01 – $2,271 | — | |
| MOL DX PATH PROC SO Outpatient | 53112520 CDM | $2,469 | $770 | $0.01 – $2,271 | — | |
| MOL DX PROC SO Outpatient | 53129482 CDM | $1,902 | $593 | $0.01 – $1,750 | — | |
| MOL DX PROGRAM DPP SO Outpatient | 53124707 CDM | $1,011 | $315 | $0.01 – $930 | — | |
| MOL PATH C9ORF72 SO Outpatient | 53108007 CDM | $820 | $256 | $0.01 – $754 | — | |
| MOL PATH CDLS SO Outpatient | 53108064 CDM | $2,469 | $770 | $0.01 – $2,271 | — | |
| MOL PATH CP SO Outpatient | 53108205 CDM | $1,866 | $582 | $0.01 – $1,717 | — |