How many shoppable procedure prices are published for Eskenazi Health?

Eskenazi Health in Indianapolis, IN currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Eskenazi Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Eskenazi Health's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Eskenazi Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Eskenazi Health an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 314 Beds · rural Updated: 3/1/2026

Eskenazi Health

720 Eskenazi Avenue, Indianapolis, IN 46202 · 89 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.98×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.

60/100 · Caution

60/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness56

Price Logic81

Peer Alignment63

Clean Billing51

Real Cash Discount44

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.98× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Eskenazi Health prices routine shoppable procedures near 1.1× Medicare (p50 0.94×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.01×, +7% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#39 of 107 in IN · 35th State Percentile#1,163 of 3,385 in U.S. · 34th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
Self-pay cash beats commercial insurance on 4% of shoppable procedures (44/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 75% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (3.2×) & laboratory (1.7×) services average 1.55× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 2.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 11.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.55× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 0.79× · Q50 0.94× · Q75 1.01×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.3× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

4% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Eskenazi Health

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$60,533	$60,533	$19,432	3.1×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$173,921	$30,947	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$66,377	$21,888	$19,087	1.1×
Total hip replacement CPT Code: `27130`	$62,634	$13,583	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$58,035	$13,583	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$25,417	$11,088	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$42,722	$6,396	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$40,971	$3,788	$3,629	1.0×
Trauma team activation HCPCS Code: `G0390`	$22,113	$2,565	$1,453	1.8×
Cataract surgery with lens implant CPT Code: `66984`	$19,352	$2,441	$2,540	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$7,704	$1,266	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$5,352	$983	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$5,890	$959	$987	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$2,097	$746	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,581	$578	$583	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$443	$443	$110	4.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$446	$446	$123	3.6×
Blood transfusion CPT Code: `36430`	$3,682	$466	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,228	$369	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,793	$369	$511	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$250	$250	$87	2.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,493	$252	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,922	$252	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,981	$252	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,887	$252	$343	0.7×
X-ray, chest (single view) CPT Code: `71045`	—	$242	$92	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$315	$187	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$354	$187	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$311	$187	$185	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,862	$186	$201	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,303	$185	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,617	$185	$258	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$543	$140	$64	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$164	$164	$86	unverified
X-ray, foot CPT Code: `73630`	$423	$116	$92	1.3×
X-ray, lower back CPT Code: `72110`	$618	$140	$112	1.3×
X-ray, hand CPT Code: `73130`	$471	$116	$93	1.2×
X-ray, hip CPT Code: `73502`	$471	$116	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$475	$92	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$425	$92	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$541	$92	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$687	$110	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$620	$110	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$644	$110	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,063	$110	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,112	$110	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,047	$110	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,326	$110	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,215	$110	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,599	$110	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,663	$110	$169	0.7×
X-ray, pelvis CPT Code: `72170`	—	—	$110	unverified
Culture, blood CPT Code: `87040`	$1,630	$1,630	$11	unverified
Culture, bacterial CPT Code: `87070`	$1,118	$1,118	$9	unverified
Blood test, lipase CPT Code: `83690`	$895	$895	$7	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$712	$712	$5	unverified
Blood test, magnesium CPT Code: `83735`	$532	$532	$7	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$498	$498	$14	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$456	$456	$11	41.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$472	$472	$14	33.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$415	$415	$3	138.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$333	$333	$8	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$259	$259	$9	28.8×
Blood test, vitamin D CPT Code: `82306`	$245	$245	$31	7.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$138	$18	7.7×
Blood antibody screen CPT Code: `86850`	$1,085	$140	$46	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$105	$105	$10	10.5×
Blood test, vitamin B12 CPT Code: `82607`	$112	$112	$16	7.0×
Hepatitis C antibody test CPT Code: `86803`	$104	$104	$15	6.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$125	$125	$19	6.6×
Drug screening test HCPCS Code: `G0480`	$703	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$1,420	$122	$140	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$75	$75	$6	12.5×
Blood test, liver function panel CPT Code: `80076`	$77	$77	$9	8.6×
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	9.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$48	$48	$5	9.6×
Blood test, calcium CPT Code: `82310`	$32	$32	$5	6.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$352	$19	$20	0.9×
Orthotic fitting and training CPT Code: `97760`	$926	$43	$51	0.8×
Physical therapy (gait training) CPT Code: `97116`	$474	$27	$33	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$501	$32	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$453	$30	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$397	$30	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$134	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$456	$26	$34	0.8×
Blood test, amylase CPT Code: `82150`	—	—	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	unverified
Blood test, potassium CPT Code: `84132`	—	—	$5	unverified
Blood test, sodium CPT Code: `84295`	—	—	$5	unverified

Showing top 25 high-impact procedures of 89 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Eskenazi Health (Zero PHI Required)

CMS CCN: 150024

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $60,533

Insurer Median $60,533

1. Amount on Your Bill or Quote ($) Pre-filled with Eskenazi Health’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $6,726 Paying Cash

Self-Pay Cash Rate ($60,533) Beats Your Bill

Eskenazi Health's published 45 CFR § 180 self-pay cash rate is $60,533 (vs. $60,533 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$47,827 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($67,259) is $47,827 above the denoised Fair BaseRate ($19,432) and 4.8× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Eskenazi Health as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait235 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Eskenazi Health. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-15·administrative_or_closure
Closure Notice
Recorded
2025-04-11·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,286 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Eskenazi Health.

Price Index: 1.12× regional baseline

Quality: 59/100 CMS composite

Median Household Income$63,450U.S. Census ACS

Local Uninsured Share9.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 60/100 · Caution CMS CCN 150024

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 150024) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/1/2026

Validated Rate Rows1,022 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150024

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy