How many shoppable procedure prices are published for Franciscan Health Michigan City?

Franciscan Health Michigan City in Michigan City, IN currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Franciscan Health Michigan City's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Franciscan Health Michigan City 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 133 Beds · rural Updated: 1/1/2026

Franciscan Health Michigan City

3500 Franciscan Way, Michigan City, IN 46360 · 113 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.79×vs. Fair Market Price

Typical commercial prices here are +79% above the fair benchmark (1.79×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness66

Price Logic81

Peer Alignment76

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.79× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +31% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Franciscan Health Michigan City prices routine shoppable procedures at 2.5× Medicare (median 1.67× Fair BaseRate) while upper-quartile commercial rates jump +31% to 2.19× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#92 of 107 in IN · 85th State Percentile#2,953 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.35× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 86% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 74% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (57.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.67× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.19×) jump +31% above the median procedure ratio (Q50 1.67×)
Unnegotiated chargemaster list prices average 15.5× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER0.60× Divergence

1.5× Medicare

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

Quantile Tail Spread+31% Upper Tail

Q25 1.35× · Q50 1.67× · Q75 2.19×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

5.1× MedicareWatchout

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

1.2× MedicareGood

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

86% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Franciscan Health Michigan City

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 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`	$41,939	$80,760	$30,775	unverified
Total hip replacement CPT Code: `27130`	$16,731	$41,923	$13,413	unverified
Total knee replacement CPT Code: `27447`	$16,454	$41,923	$13,523	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$19,312	$32,411	$19,432	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$13,020	$29,138	$19,087	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$23,483	$26,445	$17,936	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,132	$19,741	$6,109	unverified
Bunion correction surgery CPT Code: `28296`	$8,192	$12,560	$3,446	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,075	$11,694	$8,223	1.4×
Inguinal hernia repair CPT Code: `49505`	$5,587	$11,691	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$4,802	$10,684	$3,372	unverified
Breast lump removal CPT Code: `19120`	$5,504	$10,106	$3,875	2.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,975	$3,907	$1,256	3.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,780	$3,685	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,444	$3,037	$981	3.1×
Injection procedure for pain management HCPCS Code: `G0260`	$1,555	$2,575	$855	3.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,435	$2,543	$1,021	2.5×
Rabies immune globulin HCPCS Code: `90375`	$2,399	$2,399	$322	unverified
Blood transfusion CPT Code: `36430`	$487	$1,441	$498	2.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$832	$1,277	$583	2.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,133	$1,133	$151	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,148	$869	$448	1.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,291	$846	$511	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,507	$695	$369	1.9×
Group therapy session CPT Code: `90853`	$660	$660	$100	6.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$516	$675	$272	2.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,005	$570	$303	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,005	$570	$343	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,005	$529	$338	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$746	$430	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$861	$430	$258	1.7×
CT scan, sinuses CPT Code: `70486`	$631	$361	$166	2.2×
CT scan, chest (no contrast) CPT Code: `71250`	$631	$361	$167	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$631	$361	$168	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$631	$361	$169	2.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$352	$352	$86	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$194	$304	$148	unverified
X-ray, lower back CPT Code: `72110`	$187	$250	$112	2.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$388	$271	$134	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$233	$250	$126	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$287	$256	$132	1.9×
Ultrasound, pelvis CPT Code: `76856`	$344	$251	$130	1.9×
CT scan, pelvis CPT Code: `72192`	$631	$269	$163	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$631	$259	$160	1.6×
X-ray, chest (single view) CPT Code: `71045`	$78	$232	$92	unverified
X-ray, pelvis CPT Code: `72170`	$115	$250	$110	unverified
X-ray, shoulder CPT Code: `73030`	$228	$253	$92	unverified
X-ray, foot CPT Code: `73630`	$224	$253	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$142	$251	$123	unverified
X-ray, chest (two views) CPT Code: `71046`	$135	$223	$93	unverified
X-ray, ankle CPT Code: `73610`	$219	$223	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$112	$186	$93	2.0×
X-ray, hip CPT Code: `73502`	$258	$186	$93	2.0×
X-ray, hand CPT Code: `73130`	$216	$205	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$53	$193	$64	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$96	$144	$86	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$74	$162	$123	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$68	$136	$110	1.2×
Family therapy session CPT Code: `90847`	$121	$121	$173	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$124	$124	$181	0.7×
Orthotic fitting and training CPT Code: `97760`	$52	$87	$51	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$58	$110	$87	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$89	$89	$185	0.5×
Typhoid vaccine HCPCS Code: `90675`	$797	$640	$347	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$195	$195	$111	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$368	$213	$203	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$96	$174	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$74	$74	$39	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$70	$66	$37	1.8×
Prosthetic fitting and training CPT Code: `97761`	$45	$77	$45	1.7×
Speech therapy (group session) CPT Code: `92508`	$123	$45	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$46	$55	$33	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$26	$63	$38	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$42	$66	$40	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$42	$61	$38	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$39	$61	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$35	$55	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	$30	$52	$34	1.5×
Blood test, vitamin D CPT Code: `82306`	$86	$41	$31	1.3×
Blood antibody screen CPT Code: `86850`	$27	$44	$46	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$58	$58	$201	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$41	$24	$14	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$6	$4	1.5×
Blood test, lipase CPT Code: `83690`	$37	$10	$7	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$7	$5	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$14	$10	1.4×
Blood test, potassium CPT Code: `84132`	$42	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$12	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$64	$26	$19	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$103	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$103	$19	$14	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$46	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$43	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$29	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$8	$6	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$72	$21	$16	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$64	$26	$20	1.3×
Blood test, amylase CPT Code: `82150`	$39	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$32	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$78	$23	$18	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$5	$4	1.3×
Blood test, liver function panel CPT Code: `80076`	$75	$11	$9	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$3	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$14	$3	$3	1.0×
Hepatitis C antibody test CPT Code: `86803`	$95	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$75	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$60	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$7	$7	$25	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$9	$9	$49	0.2×
Blood test, calcium CPT Code: `82310`	$23	$7	$5	unverified
Flu vaccine injection HCPCS Code: `G0008`	$15	$15	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$24	$49	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 57.8%

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

CMS CCN: 150015

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $41,939

Insurer Median $80,760

1. Amount on Your Bill or Quote ($) Pre-filled with Franciscan Health Michigan City’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: $116,441 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $116,441

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (57.8% of gross = $116,441).

Step 2 · Cash vs. Insurance Arbitrage Save $159,690 Paying Cash

Self-Pay Cash Rate ($41,939) Beats Your Bill

Franciscan Health Michigan City's published 45 CFR § 180 self-pay cash rate is $41,939 (vs. $80,760 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$170,854 Above Fair BaseRate

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

Your bill ($201,629) is $170,854 above the denoised Fair BaseRate ($30,775) and 8.6× 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 (57.8% 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 Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait140 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (449 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 Michigan City.

Price Index: 1.60× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UniCare

-50.8%

UnitedHealthcare

+82.1%

Median Household Income$59,641U.S. Census ACS

Local Uninsured Share8.2%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 80/100 · Corroborated CMS CCN 150015

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 150015) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/1/2026

Validated Rate Rows6,019 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150015

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