Caresource: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Caresource appears in disclosed negotiated rates across 3 hospitals and 775 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

775 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
83021 HEMOGLOBIN FRACTJ/QUANT CHROMOTOGRAPHY Inpatient	Elkhart General Hospital	83021 CPT	$60.00	$39.00	$12.00 – $78.00	—
83704 LIPOPROTEIN BLD QUAN PART Inpatient	Elkhart General Hospital	83704 CPT	$113	$73.45	$22.60 – $147	—
84479 THYROID HORM (T3/T4) UPTK OR THBR Inpatient	Elkhart General Hospital	84479 CPT	$87.00	$56.55	$17.40 – $113	—
85018 IH HEMOGLOBIN Inpatient	Elkhart General Hospital	85018 CPT	$26.00	$16.90	$5.20 – $33.80	—
85385 FIBRINOGEN ANTIGEN Inpatient	Community Hospital of Bremen	85385 CPT	$62.00	$40.30	$31.00 – $80.60	—
85410 FIBRINOLYTIC ANTIPLASMIN Inpatient	Elkhart General Hospital	85410 CPT	$129	$83.85	$25.80 – $168	—
85415 FIBRINOLYTIC PLASMINOGEN Inpatient	Elkhart General Hospital	85415 CPT	$57.00	$37.05	$11.40 – $74.10	—
85732 THROMBOPLASTI TIME PRTL SUBSTIT FRACTIONS, EA Inpatient	Elkhart General Hospital	85732 CPT	$22.00	$14.30	$4.40 – $28.60	—
86037 ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB Inpatient	Elkhart General Hospital	86037 CPT	$97.00	$63.05	$19.40 – $126	—
86041 ACETYLCHOLN RCPTR BNDNG ANTB Inpatient	Elkhart General Hospital	86041 CPT	$36.00	$23.40	$7.20 – $46.80	—
86042 ACETYLCHOLN RCPTR BLCKG ANTB Inpatient	Elkhart General Hospital	86042 CPT	$55.00	$35.75	$11.00 – $71.50	—
86051 AQUAPORIN-4 ANTIBODY ELISA Inpatient	Elkhart General Hospital	86051 CPT	$109	$70.85	$21.80 – $142	—
86258 GLIADIN ANTIBODY EA IMMUNOGLOBULIN CL Inpatient	Elkhart General Hospital	86258 CPT	$95.00	$61.75	$19.00 – $124	—
86364 TISSUE TRANSGLUTAMINASE EA IMMUNOGL CL Inpatient	Elkhart General Hospital	86364 CPT	$95.00	$61.75	$19.00 – $124	—
86381 MITOCHONDRIAL ANTIBODY EACH Inpatient	Elkhart General Hospital	86381 CPT	$102	$66.30	$20.40 – $133	—
86603 ADENOVIRUS ANTIBODY Inpatient	Elkhart General Hospital	86603 CPT	$110	$71.50	$22.00 – $143	—
Actin (Smooth Muscle) Antibody (ASMA) Inpatient	Elkhart General Hospital	86015 CPT	$95.00	$61.75	$19.00 – $124	—
ADDL HR-Cumulative > 30 MIN Inpatient	Community Hospital of Bremen	96361 CPT	$194	$126	$97.00 – $252	—
Alcohol (Ethanol) Breath Inpatient	Community Hospital of Bremen	82075 CPT	$62.00	$40.30	$31.00 – $80.60	—
Allergen Weed, Rough Marshelder W016-IgE Inpatient	Elkhart General Hospital	86003 CPT	$37.00	$24.05	$7.40 – $48.10	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	Lutheran Downtown Hospital	007-4 APR-DRG	—	—	$333,375 – $337,885	—
ANCHOR CROSSFT GENESYS TWO HI-FI SUTURES 4.5MM Inpatient	Elkhart General Hospital	C1713 CPT	$3,970	$2,581	$794 – $5,161	—
ANCHOR D 5.5MM HEALIX TI 3 W/ORTHOCORD Inpatient	Community Hospital of Bremen	C1713 CPT	$2,096	$1,362	$1,048 – $2,725	—
ANCHOR D 6.5MM HEALIX TI 3 W / ORTHOCORD Inpatient	Community Hospital of Bremen	C1713 CPT	$2,096	$1,362	$1,048 – $2,725	—
ANCHOR LUMBAR 25MM Inpatient	Elkhart General Hospital	C1713 CPT	$4,550	$2,958	$910 – $5,915	—