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.
44 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Alteration In ConsciousnessEXTREME Inpatient | 52 APR-DRG | $64,459 | $39,119 | $3,472 – $64,459 | $113,337 | |
| Alteration In ConsciousnessMAJOR Inpatient | 52 APR-DRG | $45,658 | $21,444 | $3,472 – $45,658 | $57,225 | |
| Alteration In ConsciousnessMODERATE Inpatient | 52 APR-DRG | $26,353 | $13,333 | $3,472 – $26,353 | $22,206 | |
| Bx/Exc Lymph Node Open Deep Axillary Node Outpatient | CASE-38525 LOCAL | $63,855 | $57,470 | $384 – $63,855 | $222 | |
| Conization Cervix W/WO D&C Rpr Knife/Laser Outpatient | CASE-57520 LOCAL | $28,160 | $25,344 | $331 – $28,160 | $443 | |
| Cystourethroscopy W/Dil Bladder General Anesth Outpatient | CASE-52260 LOCAL | $20,494 | $18,444 | $1,728 – $20,494 | $222 | |
| Cystourethroscopy W/Internal Urethrotomy Outpatient | CASE-52276 LOCAL | $26,846 | $24,161 | $1,905 – $26,846 | $489 | |
| Cystourethroscopy W/Ureteral Catheterization Outpatient | CASE-52005 LOCAL | $32,019 | $28,817 | $1,728 – $32,019 | $443 | |
| HC Colposcopy Outpatient | CASE-57452 LOCAL | $1,418 | $1,276 | $118 – $1,418 | $97.73 | |
| HC Compl Rep Wnd E/N/E/L 2.6-7.5cm Outpatient | CASE-13152 LOCAL | $34,847 | $31,363 | $63.00 – $34,847 | $1,905 | |
| HC Conization W Loop Elect Leep Outpatient | CASE-57522 LOCAL | $23,275 | $20,948 | $284 – $23,275 | $319 | |
| HC Conization W Loop Elect Leep Inpatient & outpatient | PX-76157522 CDM | $9,075 | $8,168 | $284 – $9,075 | $319 | |
| HC CT Abdomen & Pelvis W/Contrast Inpatient & outpatient | PX-35274177 CDM | $2,683 | $2,414 | $369 – $2,683 | $393 | |
| HC CT Abdomen & Pelvis W/O & W/Cont Inpatient & outpatient | PX-35274178 CDM | $2,844 | $2,560 | $369 – $2,844 | $385 | |
| HC CT Abdomen & Pelvis W/O Contrast Inpatient & outpatient | PX-35274176 CDM | $2,136 | $1,922 | $252 – $2,136 | $266 | |
| HC CT Cervical Spine W/O Inpatient & outpatient | PX-35272125 CDM | $1,749 | $1,574 | $110 – $1,749 | $242 | |
| HC CT Chest Hi-Res W/Con Inpatient & outpatient | PX-35271260 CDM | $1,547 | $1,392 | $185 – $1,547 | $169 | |
| HC CT Chest Hi-Res W/O Con Inpatient & outpatient | PX-35271250 CDM | $1,350 | $1,215 | $110 – $1,350 | $117 | |
| HC CT Thorax Lung Cancer Scr C- Inpatient & outpatient | PX-35271271 CDM | $1,101 | $991 | $110 – $1,101 | $111 | |
| HC Cta Chest W/W/O Con Inc Img Pp Inpatient & outpatient | PX-35271275 CDM | $2,534 | $2,281 | $185 – $2,534 | $192 | |
| 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 Cystoscopy & Ureter Catheter Inpatient & outpatient | PX-76152005 CDM | $5,280 | $4,752 | $1,728 – $5,280 | $443 | |
| HC Cystourethoscopy Inpatient & outpatient | PX-76152000 CDM | $2,108 | $1,897 | $737 – $2,108 | $734 | |
| HC Cystourethoscopy Outpatient | CASE-52000 LOCAL | $2,483 | $2,234 | $737 – $2,483 | $734 | |
| HC Ig Light Chains Free Each Outpatient | CASE-83521 LOCAL | $1,821 | $1,639 | $34.00 – $1,821 | $17.79 | |
| HC Myocardium(Spect)-Stress/Rest Inpatient & outpatient | PX-34078452 CDM | $7,177 | $6,459 | $1,095 – $7,177 | $1,436 | |
| HC Myocardium(Spect)-Stress/Rest Outpatient | CASE-78452 LOCAL | $10,828 | $9,745 | $1,095 – $10,828 | $1,436 | |
| HC Radex Hips Bilateral With Pelvis 2 Views Outpatient | CASE-73521 LOCAL | $734 | $661 | $53.00 – $734 | $115 | |
| HC Radex Hips Bilateral With Pelvis 2 Views Inpatient & outpatient | PX-32073521 CDM | $352 | $317 | $76.00 – $352 | $115 |