Orthoindy Hospital
8400 Northwest Blvd, Indianapolis, IN 46278 · 20 Priced Procedures · 86% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Orthoindy Hospital concentrates commercial margin in outpatient surgical suites (2.0× Medicare) and specialty drug infusions (15.8× Medicare) relative to routine diagnostics (14.4×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (69/100 Cash Honesty)
- 5-Star CMS clinical rating with 86% patient recommendation (80/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (13.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 5.0× Medicare (16¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Orthoindy Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 20 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $29,943 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $18,763 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $18,085 | unverified |
| Total knee replacement CPT Code: 27447 | — | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $9,527 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $9,327 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $9,179 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | — | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $568 | unverified |
| X-ray, lower back CPT Code: 72110 | — | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | — | unverified |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | — | unverified |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | — | unverified |
| Blood test, liver function panel CPT Code: 80076 | — | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | — | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | — | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | — | unverified |
| Blood test, complete blood count (CBC) CPT Code: 85025 | — | unverified |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | — | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | — | unverified |
Audit a Bill or Quote at Orthoindy Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($29,943) Beats Your Bill
Orthoindy Hospital's published 45 CFR § 180 self-pay cash rate is $29,943 (vs. $29,943 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($67,392) is $66,944 above the denoised Fair BaseRate ($448) and 189.3× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Orthoindy 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Orthoindy Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-11·cap_corrective_action
CAP Request
Recorded - 2026-02-06·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (440 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Orthoindy Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.