How many shoppable procedure prices are published for Franciscan Health Indianapolis?

Franciscan Health Indianapolis in Indianapolis, IN currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Franciscan Health Indianapolis's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Franciscan Health Indianapolis an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 410 Beds · rural Updated: 1/1/2026

Franciscan Health Indianapolis

8111 S Emerson Ave, Indianapolis, IN 46237 · 117 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.59×vs. Fair Market Price

Typical commercial prices here are +59% above the fair benchmark (1.59×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 81% of the Time

File Completeness51

Price Logic87

Peer Alignment76

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.59× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Franciscan Health Indianapolis maintains elevated commercial insurance contracts (1.59× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 81% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#84 of 107 in IN · 77th State Percentile#2,759 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 81% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 76% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (51.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Commercial insurance median sits at 1.67× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.00×) jump +20% above the median procedure ratio (Q50 1.67×)
Unnegotiated chargemaster list prices average 11.4× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.78× Divergence

1.8× Medicare

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

Quantile Tail Spread+20% Upper Tail

Q25 1.59× · Q50 1.67× · Q75 2.00×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

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

1.4× MedicareGood

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

81% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Franciscan Health Indianapolis

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 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`	$45,114	$82,078	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$19,252	$43,726	$19,432	2.3×
Total hip replacement CPT Code: `27130`	$21,721	$42,190	$13,413	unverified
Total knee replacement CPT Code: `27447`	$16,582	$42,190	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$16,476	$38,158	$19,087	2.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$27,816	$34,632	$17,936	1.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$7,355	$19,867	$6,109	3.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,938	$15,314	$8,223	1.9×
Inguinal hernia repair CPT Code: `49505`	$6,736	$11,766	$3,629	3.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,588	$10,752	$3,372	3.2×
Breast lump removal CPT Code: `19120`	$7,132	$10,106	$3,875	2.6×
Colonoscopy with biopsy CPT Code: `45380`	$2,824	$4,106	$1,256	3.3×
Upper endoscopy with biopsy CPT Code: `43239`	$3,146	$3,377	$987	3.4×
Rabies immune globulin HCPCS Code: `90375`	$3,078	$3,078	$322	9.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,599	$3,056	$981	3.1×
Injection procedure for pain management HCPCS Code: `G0260`	$660	$2,628	$855	3.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,254	$2,543	$1,021	2.5×
Trauma team activation HCPCS Code: `G0390`	$2,020	$2,020	$1,453	1.4×
Blood transfusion CPT Code: `36430`	$662	$1,129	$498	2.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$797	$1,130	$583	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$781	$846	$448	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$756	$846	$511	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,010	$610	$272	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$632	$529	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$553	$529	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$552	$529	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$574	$529	$369	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$532	$532	$86	unverified
CT scan, head (with contrast) CPT Code: `70460`	$605	$410	$242	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$449	$410	$258	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$189	$267	$134	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$232	$250	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	$250	$250	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$244	$253	$132	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$149	$260	$148	1.8×
CT scan, sinuses CPT Code: `70486`	$406	$267	$166	1.6×
CT scan, pelvis CPT Code: `72192`	$315	$262	$163	1.6×
CT scan, chest (no contrast) CPT Code: `71250`	$406	$267	$167	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$406	$267	$168	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$406	$267	$169	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$298	$250	$160	1.6×
X-ray, chest (single view) CPT Code: `71045`	$83	$223	$92	2.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$170	$227	$151	1.5×
X-ray, lower back CPT Code: `72110`	$172	$237	$112	unverified
X-ray, pelvis CPT Code: `72170`	$158	$250	$110	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$155	$215	$123	1.7×
X-ray, shoulder CPT Code: `73030`	$265	$186	$92	2.0×
X-ray, foot CPT Code: `73630`	$255	$186	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$134	$187	$93	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$236	$186	$93	2.0×
X-ray, hip CPT Code: `73502`	$146	$186	$93	2.0×
X-ray, ankle CPT Code: `73610`	$279	$186	$93	2.0×
Neurobehavioral status check CPT Code: `96116`	$199	$199	$231	0.9×
X-ray, hand CPT Code: `73130`	$274	$186	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$75	$151	$64	2.4×
Speech therapy (language evaluation) CPT Code: `92507`	$157	$144	$86	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$64	$162	$123	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$61	$136	$110	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$129	$129	$181	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$115	$115	$185	0.6×
Orthotic fitting and training CPT Code: `97760`	$64	$87	$51	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$54	$110	$87	1.3×
Family therapy session CPT Code: `90847`	$101	$101	$173	0.6×
Typhoid vaccine HCPCS Code: `90675`	$722	$528	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$206	$225	$203	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$107	$174	$56	3.1×
Flu vaccine injection HCPCS Code: `G0008`	$32	$120	$48	2.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$120	$49	2.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$110	$110	$111	1.0×
Prosthetic fitting and training CPT Code: `97761`	$50	$77	$45	1.7×
Speech therapy (group session) CPT Code: `92508`	$51	$45	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$54	$55	$33	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$37	$63	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$58	$66	$40	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$58	$61	$38	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$45	$61	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$47	$55	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$47	$52	$34	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$32	$55	$37	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$76	$76	$166	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$43	$24	$14	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$43	$39	1.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$39	$10	$6	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$24	$31	$19	1.6×
Blood test, vitamin D CPT Code: `82306`	$143	$49	$31	1.6×
Group therapy session CPT Code: `90853`	$54	$54	$100	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$40	$40	$201	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$7	$4	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$5	$3	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$51	$18	$11	1.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$24	$13	$8	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$93	$16	$10	1.6×
Blood test, potassium CPT Code: `84132`	$15	$8	$5	1.6×
Hepatitis C antibody test CPT Code: `86803`	$69	$24	$15	1.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$55	$22	$14	1.6×
Blood test, amylase CPT Code: `82150`	$55	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$45	$11	$7	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$36	$14	$9	1.6×
Blood test, liver function panel CPT Code: `80076`	$35	$14	$9	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$61	$28	$18	1.6×
Culture, bacterial CPT Code: `87070`	$42	$14	$9	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$74	$31	$20	1.6×
Culture, blood CPT Code: `87040`	$61	$17	$11	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$37	$37	$49	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$9	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$15	$4	$3	1.3×
Blood antibody screen CPT Code: `86850`	$67	$15	$46	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$8	$8	$25	0.3×
Psychological testing evaluation CPT Code: `96136`	$17	$17	$128	0.1×
Psychological testing by technician CPT Code: `96138`	$17	$17	$395	0.0×
Blood test, calcium CPT Code: `82310`	$13	$9	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$64	$25	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$23	$14	unverified
Blood test, lipase CPT Code: `83690`	$51	$11	$7	unverified
Blood test, sodium CPT Code: `84295`	$19	$8	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$7	$4	unverified

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 51.4%

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

CMS CCN: 150162

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $45,114

Insurer Median $82,078

1. Amount on Your Bill or Quote ($) Pre-filled with Franciscan Health Indianapolis’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: $100,384 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $100,384

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (51.4% of gross = $100,384).

Step 2 · Cash vs. Insurance Arbitrage Save $150,186 Paying Cash

Self-Pay Cash Rate ($45,114) Beats Your Bill

Franciscan Health Indianapolis's published 45 CFR § 180 self-pay cash rate is $45,114 (vs. $82,078 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$164,525 Above Fair BaseRate

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

Your bill ($195,300) is $164,525 above the denoised Fair BaseRate ($30,775) and 8.3× 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)

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 (51.4% 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 Composite66/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait215 min

Left ER Before Seen2%

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

2025-02-19·administrative_or_closure
Closure Notice
Recorded
2024-11-15·warning_notice
Warning Notice
Recorded
2023-03-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (454 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 Indianapolis.

Price Index: 1.06× regional baseline

Quality: 61/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+78.9%

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 79/100 · Corroborated CMS CCN 150162

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 150162) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows20,240 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150162

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