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.
42 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Appendectomy With Complex Principal DiagnosisMINOR Inpatient | 233 APR-DRG | $57,307 | $15,207 | $15,207 – $57,307 | $65,308 | |
| Appendectomy With Complex Principal DiagnosisMODERATE Inpatient | 233 APR-DRG | $76,921 | $19,521 | $15,207 – $76,921 | $61,332 | |
| Appendectomy Without Complex Principal DiagnosisMINOR Inpatient | 234 APR-DRG | $44,005 | $12,146 | $12,146 – $44,005 | $489 | |
| HC Be S/N/H/F/G 2.1-3.0 Cm Outpatient | CASE-11423 LOCAL | $12,235 | $11,012 | $1,044 – $12,235 | $1,045 | |
| HC Beta-2 Microglobulin Outpatient | CASE-82232 LOCAL | $1,383 | $1,245 | $16.00 – $1,383 | $16.67 | |
| HC Clsd Tx Clavicle Fx W/O Manip Outpatient | CASE-23500 LOCAL | $896 | $806 | $53.00 – $896 | $319 | |
| HC Clsd Tx Clavicle Fx W/O Manip Inpatient & outpatient | PX-76123500 CDM | $699 | $629 | $260 – $699 | $319 | |
| HC Cysto Rem Stent/Stone/FB Simpl Outpatient | CASE-52310 LOCAL | $5,375 | $4,838 | $1,728 – $5,375 | $2,210 | |
| HC Cysto Rem Stent/Stone/FB Simpl Inpatient & outpatient | PX-76152310 CDM | $5,280 | $4,752 | $1,728 – $5,280 | $2,210 | |
| HC Drug Assay Lacosamide Outpatient | CASE-80235 LOCAL | $698 | $628 | $27.00 – $698 | $27.11 | |
| HC Egd Biopsy Single/Multiple Outpatient | CASE-43239 LOCAL | $9,025 | $8,123 | $63.00 – $9,025 | $1,031 | |
| HC Egd Biopsy Single/Multiple Inpatient & outpatient | PX-75043239 CDM | $4,063 | $3,657 | $153 – $4,063 | $1,031 | |
| HC Egd Diagnostic Brush Wash Inpatient & outpatient | PX-75043235 CDM | $4,217 | $3,795 | $153 – $4,217 | $1,012 | |
| HC Egd Diagnostic Brush Wash Outpatient | CASE-43235 LOCAL | $7,679 | $6,911 | $959 – $7,679 | $1,012 | |
| HC Ema Each Ig Class Outpatient | CASE-86231 LOCAL | $857 | $771 | $12.00 – $857 | $12.09 | |
| HC Modified Barium Swallow Outpatient | CASE-74230 LOCAL | $1,379 | $1,241 | $179 – $1,379 | $192 | |
| HC Modified Barium Swallow Inpatient & outpatient | PX-32074230 CDM | $584 | $526 | $179 – $584 | $192 | |
| HC Myelography Lumbar Inj 2+Regions Outpatient | CASE-62305 LOCAL | $8,675 | $7,808 | $829 – $8,675 | $852 | |
| HC Myelography Lumbar Inj 2+Regions Inpatient & outpatient | PX-36162305 CDM | $2,824 | $2,542 | $829 – $2,824 | $852 | |
| HC Nasal Endo W/Bld Control Outpatient | CASE-31238 LOCAL | $14,013 | $12,612 | $53.00 – $14,013 | $319 | |
| HC Nasal Endoscopy Diagnostic Outpatient | CASE-31231 LOCAL | $1,408 | $1,267 | $53.00 – $1,408 | $214 | |
| HC Nasal Endoscopy Diagnostic Inpatient & outpatient | PX-76131231 CDM | $1,211 | $1,090 | $211 – $1,211 | $214 | |
| HC Njx Interlaminar Lmbr/Sac Outpatient | CASE-62323 LOCAL | $4,857 | $4,371 | $746 – $4,857 | $489 | |
| HC Scapular Fracture W/O Manip Outpatient | CASE-23570 LOCAL | $1,548 | $1,393 | $53.00 – $1,548 | $319 | |
| HC Tiss/Cult-Bone Marrow Blood Cells Outpatient | CASE-88237 LOCAL | $23,503 | $21,153 | $162 – $23,503 | $144 | |
| HC Upr/Lwr Extremity Art 3 + Levels Inpatient & outpatient | PX-92193923 CDM | $1,417 | $1,275 | $228 – $1,417 | $172 | |
| HC Upr/Lwr Extremity Art 3 + Levels Outpatient | CASE-93923 LOCAL | $2,222 | $2,000 | $228 – $2,222 | $172 | |
| Inborn Errors Of MetabolismMODERATE Inpatient | 423 APR-DRG | $24,814 | $13,877 | $13,877 – $24,814 | $47,939 | |
| Litholapaxy Smpl/Sm <2.5 Cm Outpatient | CASE-52317 LOCAL | $27,462 | $24,715 | $1,242 – $27,462 | $159 | |
| Lymphoma And Non-Acute Leukemia With Other Procedures With McC Inpatient | 823 MS-DRG | $142,966 | $128,670 | $34,498 – $142,966 | $41,206 |