How many shoppable procedure prices are published for Franciscan Health Crown Point?

Franciscan Health Crown Point in Crown Point, IN currently has 115 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Franciscan Health Crown Point's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Franciscan Health Crown Point's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is Franciscan Health Crown Point's CMS Care Compare overall star rating?

CMS Care Compare assigns Franciscan Health Crown Point 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 Voluntary non-profit - Church 172 Beds · urban Updated: 1/1/2026

Franciscan Health Crown Point

1201 S Main St, Crown Point, IN 46307 · 115 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.11×vs. Fair Market Price

Typical commercial prices here are +111% above the fair benchmark (2.11×) even after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness85

Price Logic84

Peer Alignment79

Clean Billing86

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.11× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Franciscan Health Crown Point prices routine shoppable procedures near 3.7× Medicare (p50 2.26×) while skewing captive emergency, lab, and upper-quartile codes to 9.2× Medicare (p75 2.74×, +21% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#105 of 107 in IN · 97th State Percentile#3,138 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.60× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 69% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.1×) & laboratory (1.2×) services average 2.49× higher multiples than routine shoppable care (3.7×)
Upper-quartile procedures (Q75 2.74×) jump +21% above the median procedure ratio (Q50 2.26×)
Unnegotiated chargemaster list prices average 14.1× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.7× Medicare

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

Back-Door Captive & ER2.49× Divergence

9.2× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 1.60× · Q50 2.26× · Q75 2.74×

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

3.7× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.0× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Franciscan Health Crown Point

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$33,272	$54,280	$30,775	1.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$25,837	$25,837	$17,936	1.4×
Total hip replacement CPT Code: `27130`	$24,951	$24,951	$13,413	1.9×
Total knee replacement CPT Code: `27447`	$21,587	$21,587	$13,523	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$14,434	$18,814	$6,109	3.1×
Bunion correction surgery CPT Code: `28296`	$11,739	$14,269	$3,446	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,652	$13,652	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,814	$13,100	$8,223	1.6×
Inguinal hernia repair CPT Code: `49505`	$11,857	$12,450	$3,629	3.4×
Breast lump removal CPT Code: `19120`	$5,258	$10,106	$3,875	2.6×
Cataract surgery with lens implant CPT Code: `66984`	$3,968	$7,603	$2,540	3.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,641	$5,641	$3,372	1.7×
Trauma team activation HCPCS Code: `G0390`	$2,136	$5,297	$1,453	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,887	$4,272	$1,021	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,154	$3,902	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,784	$3,064	$981	3.1×
Upper endoscopy with biopsy CPT Code: `43239`	$2,121	$2,988	$987	3.0×
Injection procedure for pain management HCPCS Code: `G0260`	$2,241	$2,326	$855	2.7×
Rabies immune globulin HCPCS Code: `90375`	$992	$2,019	$322	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$819	$1,900	$583	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,246	$1,793	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,424	$1,436	$448	unverified
Blood transfusion CPT Code: `36430`	$604	$1,230	$498	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$534	$1,242	$272	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,602	$1,213	$511	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,246	$1,150	$343	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,246	$1,124	$303	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,246	$975	$338	unverified
CT scan, head (with contrast) CPT Code: `70460`	$855	$812	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$997	$812	$258	unverified
Group therapy session CPT Code: `90853`	$292	$680	$100	unverified
CT scan, head (no contrast) CPT Code: `70450`	$712	$481	$160	3.0×
CT scan, sinuses CPT Code: `70486`	$712	$488	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$712	$481	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$712	$481	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$712	$481	$168	unverified
CT scan, pelvis CPT Code: `72192`	$712	$481	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$331	$481	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$356	$481	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$331	$481	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$338	$481	$130	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$131	$450	$86	5.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$190	$473	$151	unverified
Family therapy session CPT Code: `90847`	$181	$422	$173	unverified
X-ray, shoulder CPT Code: `73030`	$200	$366	$92	4.0×
X-ray, foot CPT Code: `73630`	$181	$366	$92	4.0×
X-ray, chest (two views) CPT Code: `71046`	$178	$366	$93	3.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$178	$366	$93	3.9×
X-ray, hand CPT Code: `73130`	$175	$366	$93	3.9×
X-ray, hip CPT Code: `73502`	$214	$366	$93	3.9×
X-ray, ankle CPT Code: `73610`	$189	$366	$93	3.9×
X-ray, lower back CPT Code: `72110`	$342	$366	$112	3.3×
X-ray, pelvis CPT Code: `72170`	$150	$356	$110	3.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$153	$356	$181	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$171	$327	$148	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$115	$282	$123	2.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$110	$278	$185	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$125	$290	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$104	$242	$92	2.6×
New patient office visit (30-44 min) CPT Code: `99203`	$93	$217	$110	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$115	$233	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$93	$234	$87	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$68	$180	$201	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$20,751	$192	$19,432	0.0×
Speech therapy (language evaluation) CPT Code: `92507`	$133	$196	$86	unverified
Speech therapy (group session) CPT Code: `92508`	$160	$186	$27	unverified
Prosthetic fitting and training CPT Code: `97761`	$56	$171	$45	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$36	$111	$38	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	$36	$125	$38	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$32	$88	$35	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$36	$90	$38	2.4×
Physical therapy (manual therapy) CPT Code: `97140`	$32	$88	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$36	$97	$40	unverified
Orthotic fitting and training CPT Code: `97760`	$39	$104	$51	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$37	$114	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$989	$2,012	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$456	$1,149	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$241	$561	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$119	$315	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$92	$213	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$87	$228	$37	unverified
Blood test, amylase CPT Code: `82150`	$64	$100	$7	14.3×
Blood test, basic metabolic panel CPT Code: `80048`	$86	$100	$9	11.1×
Blood test, liver function panel CPT Code: `80076`	$121	$100	$9	11.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$132	$100	$11	9.1×
Physical therapy (gait training) CPT Code: `97116`	$29	$76	$33	2.3×
Blood antibody screen CPT Code: `86850`	$39	$92	$46	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$118	$100	$14	unverified
Blood test, vitamin D CPT Code: `82306`	$100	$100	$31	unverified
Blood test, vitamin B12 CPT Code: `82607`	$79	$100	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$86	$100	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$100	$10	unverified
Blood test, lipase CPT Code: `83690`	$64	$100	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$79	$100	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$100	$100	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$59	$4	14.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$50	$82	$8	unverified
Hepatitis C antibody test CPT Code: `86803`	$125	$100	$15	unverified
Culture, blood CPT Code: `87040`	$71	$100	$11	unverified
Culture, bacterial CPT Code: `87070`	$61	$100	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$59	$3	19.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$39	$65	$5	13.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$89	$87	$20	unverified
Blood test, hemoglobin CPT Code: `85018`	$18	$37	$3	12.3×
Blood test, calcium CPT Code: `82310`	$32	$53	$5	10.6×
Blood test, sodium CPT Code: `84295`	$21	$43	$5	8.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$59	$4	unverified
Blood test, magnesium CPT Code: `83735`	$36	$59	$7	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$11	$32	$49	0.7×
Blood test, potassium CPT Code: `84132`	$29	$47	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$32	$54	$6	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$8	$5	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$9	$24	$25	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$7	$22	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$7	$22	$49	unverified

Showing top 25 high-impact procedures of 115 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.1%

Audit a Bill or Quote at Franciscan Health Crown Point (Zero PHI Required)

CMS CCN: 150126

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $33,272

Insurer Median $54,280

1. Amount on Your Bill or Quote ($) Pre-filled with Franciscan Health Crown Point’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 501(r) AGB Cap: $55,620 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $55,620

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.1% of gross = $55,620).

Step 2 · Cash vs. Insurance Arbitrage Save $95,687 Paying Cash

Self-Pay Cash Rate ($33,272) Beats Your Bill

Franciscan Health Crown Point's published 45 CFR § 180 self-pay cash rate is $33,272 (vs. $54,280 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$98,184 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($128,959) is $98,184 above the denoised Fair BaseRate ($30,775) and 5.5× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 352074283

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (43.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite63/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait174 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.7%

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 Franciscan Health Crown Point. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-13·administrative_or_closure
Closure Notice
Recorded
2025-02-12·cap_corrective_action
CAP Request
Recorded
2024-11-07·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (461 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 Franciscan Health Crown Point.

Price Index: 1.53× regional baseline

Quality: 58/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UniCare

-51.8%

Aetna

-41.0%

UnitedHealthcare

+73.7%

Median Household Income$68,985U.S. Census ACS

Local Uninsured Share6.8%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 86/100 · Verified CMS CCN 150126 EIN 352074283

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150126) ↗ Verify IRS Form 990 (EIN 352074283) ↗ CMS HCRIS Cost Reports ↗

Published MRF File352074283_franciscan-health-crown-point_standardcharges.zip!352074283_franciscan-health-crown-point_standardcharges.csv

Publication / Vintage1/1/2026 · 17.07 MB

Validated Rate Rows12,259 (CMS v3.0.0)

File Integrity Digest64737f4be3fd03c51847…

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