How many shoppable procedure prices are published for Iu Health West Hospital?

Iu Health West Hospital in Avon, IN currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Iu Health West Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Iu Health West Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Iu Health West Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Iu Health West Hospital 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 Proprietary 173 Beds · urban Updated: 2026-03-25

Iu Health West Hospital

1111 N Ronald Reagan Pkwy, Avon, IN 46123 · 123 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.47×vs. Fair Market Price

Typical commercial prices here are +47% above the fair benchmark (1.47×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 82% of the Time

File Completeness100

Price Logic75

Peer Alignment63

Clean Billing90

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.47× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Iu Health West Hospital prices routine shoppable procedures at 2.1× Medicare (median 1.56× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.09× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#77 of 107 in IN · 71st State Percentile#2,581 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 70% patient recommendation (66/100 safety score)
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 1.9× markup over Medicare rates
Commercial insurance median sits at 1.56× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.09×) jump +34% above the median procedure ratio (Q50 1.56×)
Unnegotiated chargemaster list prices average 6.7× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER0.52× Divergence

1.1× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.98× · Q50 1.56× · Q75 2.09×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.0× MedicareFair

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

1.8× MedicareGood

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

82% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Iu Health West Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 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`	—	$41,188	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,767	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,593	$19,432	1.3×
Total hip replacement CPT Code: `27130`	—	$23,398	$13,413	1.7×
Total knee replacement CPT Code: `27447`	—	$23,398	$13,523	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,478	$17,936	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$15,510	$6,109	2.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,130	$8,223	1.2×
Inguinal hernia repair CPT Code: `49505`	—	$9,505	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,085	$3,372	2.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,127	$2,540	2.4×
Trauma team activation HCPCS Code: `G0390`	$5,591	$5,591	$1,453	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,232	$4,025	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,734	$3,560	$1,021	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,475	$3,446	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,177	$1,256	2.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,680	$2,274	$987	2.3×
Breast lump removal CPT Code: `19120`	$1,800	$1,800	$3,875	0.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,312	$1,068	$855	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$616	$925	$511	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,004	$783	$583	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$778	$725	$448	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$557	$633	$369	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$465	$633	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$465	$633	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$465	$633	$303	unverified
Rabies immune globulin HCPCS Code: `90375`	$485	$540	$322	1.7×
Blood transfusion CPT Code: `36430`	$955	$468	$498	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$407	$466	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$407	$466	$258	unverified
CT scan, sinuses CPT Code: `70486`	$264	$406	$166	2.4×
CT scan, chest (no contrast) CPT Code: `71250`	$264	$381	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$252	$386	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$264	$382	$168	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,536	$350	$272	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$206	$360	$181	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$198	$278	$126	2.2×
Ultrasound, pelvis CPT Code: `76856`	$198	$278	$130	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$198	$278	$132	2.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$198	$278	$134	2.1×
CT scan, head (no contrast) CPT Code: `70450`	$264	$278	$160	1.7×
CT scan, pelvis CPT Code: `72192`	$264	$278	$163	1.7×
Family therapy session CPT Code: `90847`	$128	$247	$173	1.4×
X-ray, chest (single view) CPT Code: `71045`	$91	$200	$92	2.2×
X-ray, shoulder CPT Code: `73030`	$165	$200	$92	2.2×
X-ray, foot CPT Code: `73630`	$165	$200	$92	2.2×
X-ray, chest (two views) CPT Code: `71046`	$91	$200	$93	2.2×
X-ray, hand CPT Code: `73130`	$165	$200	$93	2.2×
X-ray, hip CPT Code: `73502`	$135	$200	$93	2.2×
X-ray, ankle CPT Code: `73610`	$165	$200	$93	2.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,396	$211	$151	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$83	$165	$64	2.6×
Speech therapy (language evaluation) CPT Code: `92507`	$167	$184	$86	2.1×
X-ray, pelvis CPT Code: `72170`	$243	$200	$110	1.8×
X-ray, lower back CPT Code: `72110`	$243	$200	$112	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$279	$175	$123	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$295	$175	$148	1.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$97	$180	$166	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$177	$188	$185	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$135	$200	$93	unverified
Group therapy session CPT Code: `90853`	$74	$202	$100	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$268	$174	$123	1.4×
Psychological testing evaluation CPT Code: `96136`	$510	$159	$128	1.2×
Psychological testing by technician CPT Code: `96138`	$510	$159	$395	0.4×
Orthotic fitting and training CPT Code: `97760`	$53	$95	$51	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$53	$98	$110	0.9×
Speech therapy (group session) CPT Code: `92508`	$114	$114	$27	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$51	$84	$40	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$81	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,319	$456	$347	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$406	$371	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$140	$210	$140	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$181	$222	$111	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$54	$79	$38	2.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$69	$39	1.8×
Prosthetic fitting and training CPT Code: `97761`	$50	$77	$45	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$123	$92	$56	1.6×
Drug screening test HCPCS Code: `G0480`	$92	$114	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$62	$52	$37	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$54	$73	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$47	$70	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$85	$67	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$61	$77	$38	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$61	$42	$35	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$69	$16	$14	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$17	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$22	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$48	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$42	$26	$27	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$46	$46	$86	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$43	$43	$87	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$5	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$11	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$11	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$8	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$13	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$14	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$30	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$30	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$27	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$25	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$23	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$22	$13	$14	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$38	$38	$201	0.2×
Culture, blood CPT Code: `87040`	$17	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$14	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$11	$6	$7	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$31	$31	$49	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$31	$31	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$31	$49	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$5	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$75	$10	$46	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$4	$4	$25	unverified
Community mental health services HCPCS Code: `H0038`	$25	$25	$16	unverified

Showing top 25 high-impact procedures of 123 total

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

Audit a Bill or Quote at Iu Health West Hospital (Zero PHI Required)

CMS CCN: 150158

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $41,188

1. Amount on Your Bill or Quote ($) Pre-filled with Iu Health West Hospital’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Iu Health West Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$68,076 Above Fair BaseRate

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

Your bill ($98,851) is $68,076 above the denoised Fair BaseRate ($30,775) and 4.2× 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) For-Profit / Non-501(c)(3)

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

EIN: 351814660

Filing Period: 199212

Public IRS & CMS ownership records classify Iu Health West Hospital 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 Recommend70%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait259 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

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 Infectionbetter

Source: CMS Hospital Care Compare (374 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

Regional Value & Quality Leader

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

Price Index: 1.00× regional baseline

Quality: 65/100 CMS composite

Median Household Income$99,988U.S. Census ACS

Local Uninsured Share5.6%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 85/100 · Verified CMS CCN 150158 EIN 351814660

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150158) ↗ Verify IRS Form 990 (EIN 351814660) ↗ CMS HCRIS Cost Reports ↗

Published MRF File351814660_indiana-university-health-west-hospital-inc._standardcharges.zip!351814660_indiana-university-health-west-hospital-inc._standardcharges.csv

Publication / Vintage2026-03-25 · 64.18 MB

Validated Rate Rows10,014 (CMS v3.0)

File Integrity Digest4299729cd46ee5627aba…

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