How many shoppable procedure prices are published for Uchicago Medicine Northwest Indiana?

Uchicago Medicine Northwest Indiana in Crown Point, IN currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Uchicago Medicine Northwest Indiana's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Uchicago Medicine Northwest Indiana's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private Updated: 2026-04-01

Uchicago Medicine Northwest Indiana

10855 Virginia Street, Crown Point, IN 46307 · 105 Priced Procedures · 93% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.25×vs. Fair Market Price

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness100

Price Logic95

Peer Alignment68

Clean Billing85

Real Cash Discount6

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Uchicago Medicine Northwest Indiana prices shoppable and inpatient services (1.8× to 1.4× Medicare, divergence 0.78×) in alignment with regional hospital peers (1.25× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#60 of 107 in IN · 55th State Percentile#2,131 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.24× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (89/100 safety score) with 93% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
Commercial insurance median sits at 1.40× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.25× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 17.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.78× Divergence

1.4× Medicare

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

Quantile Tail Spread+9% Upper Tail

Q25 1.24× · Q50 1.40× · Q75 1.52×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

5.4× MedicareWatchout

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

1.0× MedicareGood

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 89/100Good

Procedure Prices at Uchicago Medicine Northwest Indiana

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 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`	—	$27,557	$30,775	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,455	$19,432	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$11,402	$6,109	1.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,651	$8,223	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,440	$2,680	2.4×
C-section delivery (full package) CPT Code: `59510`	—	$6,440	$2,975	2.2×
Bunion correction surgery CPT Code: `28296`	—	$6,440	$3,446	1.9×
Inguinal hernia repair CPT Code: `49505`	—	$6,440	$3,629	1.8×
Breast lump removal CPT Code: `19120`	—	$6,440	$3,875	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,223	$2,540	1.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,015	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,428	$981	2.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,428	$987	2.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,337	$855	2.7×
Blood transfusion CPT Code: `36430`	$1,893	$1,916	$498	3.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,275	$1,021	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,564	$811	$583	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,149	$591	$448	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,926	$582	$511	1.1×
Rabies immune globulin HCPCS Code: `90375`	$3,402	$551	$322	1.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$480	$480	$64	7.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$374	$374	$201	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,326	$392	$272	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,182	$354	$303	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$3,750	$372	$343	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$4,535	$366	$338	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$4,303	$389	$369	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$309	$309	$86	3.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,541	$302	$258	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$264	$148	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$263	$151	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,872	$275	$242	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$219	$123	1.8×
Psychological testing evaluation CPT Code: `96136`	—	$198	$128	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,375	$201	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,308	$187	$134	1.4×
CT scan, sinuses CPT Code: `70486`	$2,420	$208	$166	1.3×
CT scan, pelvis CPT Code: `72192`	$2,290	$200	$163	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$2,424	$200	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,935	$200	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,928	$201	$169	1.2×
X-ray, hip CPT Code: `73502`	$207	$143	$93	1.5×
X-ray, lower back CPT Code: `72110`	$1,240	$153	$112	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,524	$172	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$1,589	$174	$130	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$2,666	$178	$160	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$114	$86	1.3×
X-ray, pelvis CPT Code: `72170`	$541	$139	$110	1.3×
X-ray, chest (single view) CPT Code: `71045`	$590	$115	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$783	$115	$92	1.3×
X-ray, foot CPT Code: `73630`	$607	$115	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$684	$115	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$661	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$600	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	$543	$115	$93	1.2×
Typhoid vaccine HCPCS Code: `90675`	$2,773	$667	$347	1.9×
Culture, blood CPT Code: `87040`	$357	$357	$11	32.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,221	$349	$203	1.7×
Pneumococcal vaccine HCPCS Code: `90732`	$117	$267	$140	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$623	$185	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$257	$172	$116	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$191	$62	$37	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$58	$39	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$102	$70	$48	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$102	$70	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$102	$70	$49	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$312	$77	$56	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$40	$27	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$276	$29	$20	1.4×
Blood test, vitamin D CPT Code: `82306`	$293	$44	$31	1.4×
Physical therapy (gait training) CPT Code: `97116`	—	$43	$33	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$190	$52	$40	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$49	$38	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	—	$48	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$207	$43	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$41	$34	1.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$141	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	—	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$112	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$137	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$216	$15	$10	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$199	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$199	$9	$6	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$262	$28	$19	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$437	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$290	$13	$9	1.4×
Culture, bacterial CPT Code: `87070`	$382	$13	$9	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$355	$23	$16	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$282	$20	$14	1.4×
Blood test, amylase CPT Code: `82150`	—	$10	$7	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$250	$20	$14	1.4×
Speech therapy (group session) CPT Code: `92508`	—	$36	$27	1.3×
Blood test, lipase CPT Code: `83690`	$250	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$191	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$129	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$136	$7	$5	1.4×
Hepatitis C antibody test CPT Code: `86803`	$258	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$264	$25	$18	1.4×
Blood test, liver function panel CPT Code: `80076`	$385	$12	$9	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$35	$35	1.0×
Blood test, hemoglobin CPT Code: `85018`	—	$4	$3	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$134	$6	$5	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$22	$25	0.9×
Blood antibody screen CPT Code: `86850`	$216	$18	$46	0.4×

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 9.1%

Audit a Bill or Quote at Uchicago Medicine Northwest Indiana (Zero PHI Required)

CMS CCN: 150195

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,557

1. Amount on Your Bill or Quote ($) Pre-filled with Uchicago Medicine Northwest Indiana’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: $6,012 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,012

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.1% of gross = $6,012).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Uchicago Medicine Northwest Indiana'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 +$35,362 Above Fair BaseRate

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

Your bill ($66,137) is $35,362 above the denoised Fair BaseRate ($30,775) and 2.8× 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: 922355855

Filing Period: 202408

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 (9.1% 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

Safety Composite89/100

Would Recommend93%

Rated 9 or 10 (HCAHPS)89%

Median ER Wait124 min

Source: CMS Hospital Care Compare (31 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 Uchicago Medicine Northwest Indiana.

Price Index: 0.78× regional baseline

Quality: 59/100 CMS composite

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 74/100 · Corroborated CMS CCN 150195 EIN 922355855

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150195) ↗ Verify IRS Form 990 (EIN 922355855) ↗ CMS HCRIS Cost Reports ↗

Published MRF File922355855_uchicago-medicine-northwest-indiana_standardcharges.json

Publication / Vintage2026-04-01 · 23.37 MB

Validated Rate Rows841 (CMS v3.0.0)

File Integrity Digestb84eadb1dd89d2438b66…

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.

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