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.
37 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Anal And Perineal ProceduresMINOR Inpatient | 226 APR-DRG | $53,037 | $10,135 | $10,135 – $53,037 | $52,378 | |
| Anal And Perineal ProceduresMODERATE Inpatient | 226 APR-DRG | $75,763 | $10,762 | $10,135 – $75,763 | $76,679 | |
| CholecystectomyMAJOR Inpatient | 263 APR-DRG | $85,584 | $33,776 | $16,448 – $85,584 | $71,426 | |
| CholecystectomyMINOR Inpatient | 263 APR-DRG | $71,216 | $16,448 | $16,448 – $71,216 | $69,016 | |
| CholecystectomyMODERATE Inpatient | 263 APR-DRG | $81,628 | $19,466 | $16,448 – $81,628 | $75,637 | |
| Craniotomy And Endovascular Intracranial Procedures With Cc Inpatient | 26 MS-DRG | $188,592 | $169,733 | $23,395 – $188,592 | $27,110 | |
| Cystourethroscopy W/Dil Bladder General Anesth Outpatient | CASE-52260 LOCAL | $20,494 | $18,444 | $1,728 – $20,494 | $222 | |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct Outpatient | CASE-43264 LOCAL | $58,467 | $52,620 | $4,315 – $58,467 | $1,107 | |
| HC Admin Injection Sq/Im Inpatient & outpatient | PX-26000006 CDM | $193 | $173 | $73.00 – $193 | $76.80 | |
| HC Admin Injection W/O Drug Inpatient & outpatient | PX-26996372 CDM | $193 | $173 | $73.00 – $193 | $76.80 | |
| HC Chrom Analysis 5 Cells Outpatient | CASE-88261 LOCAL | $12,612 | $11,350 | $120 – $12,612 | $1,169 | |
| HC CT Chest Hi-Res W/Con Inpatient & outpatient | PX-35271260 CDM | $1,547 | $1,392 | $185 – $1,547 | $169 | |
| HC Estradiol Outpatient | CASE-82670 LOCAL | $1,013 | $911 | $27.00 – $1,013 | $29.34 | |
| HC Eval Aud Funcj 1st Hour Outpatient | CASE-92626 LOCAL | $400 | $360 | $136 – $400 | $151 | |
| HC Eval Aud Funcj 1st Hour Inpatient & outpatient | PX-47092626 CDM | $400 | $360 | $136 – $400 | $151 | |
| HC Hpv Sep Hi-Rsk Typ&Pool Rslt Outpatient | CASE-87626 LOCAL | $1,002 | $902 | $20.00 – $1,002 | $70.20 | |
| HC IV Hydration Ea Addl Hour Inpatient & outpatient | PX-26096361 CDM | $305 | $275 | $49.00 – $305 | $50.76 | |
| HC IV Infus. Tx/PR/Dx Add Seq. 1 Hr Inpatient & outpatient | PX-26000004 CDM | $411 | $370 | $73.00 – $411 | $76.80 | |
| HC IV Infus. Tx/PR/Dx Ea Addl Hr Inpatient & outpatient | PX-26000003 CDM | $285 | $257 | $49.00 – $285 | $50.76 | |
| HC IV Infus. Tx/PR/Dx Init 1 Hr Inpatient & outpatient | PX-26000002 CDM | $1,688 | $1,519 | $73.00 – $1,688 | $207 | |
| HC Pft-Plethysmography Outpatient | CASE-94726 LOCAL | $3,281 | $2,953 | $141 – $3,281 | $343 | |
| HC Pft-Plethysmography Inpatient & outpatient | PX-46094726 CDM | $1,206 | $1,085 | $141 – $1,206 | $343 | |
| HC Ther/Proph/Diax InjIV Push Inpatient & outpatient | PX-26000007 CDM | $423 | $381 | $73.00 – $423 | $227 | |
| HC Tx/PR/Dx Inj IV Push Ea Addl Inpatient & outpatient | PX-26000008 CDM | $344 | $309 | $49.00 – $344 | $48.34 | |
| Inj methotrexate sodium 50mg Outpatient | CASE-J9260 LOCAL | $1,849 | $1,664 | $4.00 – $1,849 | $4.73 | |
| Laser Enucleation Prostate W/Morcellation Outpatient | CASE-52649 LOCAL | $47,189 | $42,470 | $31.00 – $47,189 | $5,592 | |
| Major Biliary Tract ProceduresMODERATE Inpatient | 261 APR-DRG | $104,000 | $34,776 | $26,887 – $104,000 | $105,318 | |
| Major Pancreas Liver And Shunt ProceduresMODERATE Inpatient | 260 APR-DRG | $98,164 | $37,819 | $24,475 – $98,164 | $99,419 | |
| Neonate Birth Weight 2000-2499 Grams Normal Newborn Or Neonate With Other ProblemMAJOR Inpatient | 626 APR-DRG | $51,441 | $21,076 | $2,036 – $51,441 | $21,807 | |
| Neonate Birth Weight 2000-2499 Grams Normal Newborn Or Neonate With Other ProblemMINOR Inpatient | 626 APR-DRG | $11,460 | $4,434 | $2,036 – $11,460 | $12,697 |