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Acute Care Hospital

Franciscan Health Michigan City

Michigan City, Indiana · La Porte County · Emergency services listed

Summary

Franciscan Health Michigan City is an acute care hospital in Michigan City, Indiana. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 22 services, specialties and programs. Medicare lists 597 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
123Beds (hospital website)
22Services listed

Quick answers

Does Franciscan Health Michigan City have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Franciscan Health Michigan City. In a medical emergency, call 911.
Where is Franciscan Health Michigan City?
3500 Franciscan Way, Michigan City, IN 46360, in La Porte County, Indiana.
What is the phone number of Franciscan Health Michigan City?
(219) 879-8511, as listed by Medicare (CMS).
What is the Medicare star rating of Franciscan Health Michigan City?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

Procedures[4]

Emergency care (hospital website)[5][6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingGeneral visiting hours are 8 a.m. to 8 p.m[4]
ParkingFree parking in the attached lot[4]

Doctors and clinicians (597)

597 doctors and other clinicians list Franciscan Health Michigan City as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (597)

And 573 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Franciscan Health Michigan City reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1077%National average: 72%
Would definitely recommend the hospital73%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean65%National average: 74%
Area around the room “always” quiet at night62%National average: 60%
Completed surveys550Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.496No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.896No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.462No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.48Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.7%
Deaths within 30 days: heart failure patients11%
Deaths within 30 days: pneumonia patients16.4%
Deaths within 30 days: COPD patients9.3%
Deaths within 30 days: stroke patients9.4%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.89No different from the national rate
Complications after hip or knee replacement4.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack17.3%
Readmitted within 30 days: heart failure22.6%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD20.4%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
Readmitted within 30 days: hip or knee replacement5.1%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)80%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Franciscan Health Michigan City lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Pace OP Visit E&M of New Patient; Level 3 $263 $54.70 $67.80 – $222.52
New patient office visit (about 30–44 minutes): 10 of 53 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $107.83
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $197.25
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $135.60
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $135.60
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $135.60
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $67.80
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $121.36
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $135.60
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $131.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OP Visit E&M of New Patient;Level 3 $387 $80.50 $140.86 – $327.44
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $158.67
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $290.25
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $193.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $270.90
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $233.75
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $244.97
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $233.75
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $251.55
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $309.60
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $387
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OP Visit E&M of New Patient; Level 3 $387 $80.50 $135.60 – $327.44
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $158.67
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $290.25
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $193.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $270.90
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $233.75
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $244.97
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $233.75
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $251.55
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $309.60
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $387
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Pace OP Visit E&M of New Patient; Level 4 $307 $63.86 $111.17 – $259.75
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $125.87
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $230.25
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $222.34
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $222.34
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $222.34
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $111.17
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $198.99
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $222.34
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $153.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OP Visit E&M of New Patient;Level 4 $525 $109.20 $140.86 – $444.20
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $215.25
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $393.75
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $262.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $367.50
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $317.10
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $224.70
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $332.33
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $317.10
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $341.25
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $420
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OP Visit E&M of New Patient; Level 4 $512 $106.50 $140.86 – $433.20
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $209.92
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $384
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $256
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $358.40
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $309.25
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $219.14
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $324.10
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $309.25
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $332.80
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $409.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Pace OP Visit E&M of New Patient; Level 5 $380 $79.04 $151.85 – $321.52
New patient office visit (about 60–74 minutes): 10 of 53 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $155.80
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $285
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $303.70
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $303.70
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $303.70
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $151.85
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $271.81
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $303.70
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $190
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OP Visit E&M of New Patient;Level 5 $678 $141.02 $142.67 – $573.66
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $277.98
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $508.50
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $339
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $474.60
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $409.51
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $429.17
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $409.51
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $440.70
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $406.80
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $678
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OP Visit E&M of New Patient; Level 5 $678 $141.02 $142.67 – $573.66
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $277.98
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $508.50
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $339
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $474.60
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $409.51
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $429.17
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $409.51
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $440.70
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $406.80
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $678
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Pace OP Visit E&M of Established Patient; Level 3 $235 $48.88 $55.10 – $198.83
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $96.35
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $176.25
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $110.20
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $110.20
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $110.20
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $55.10
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $98.63
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $110.20
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $117.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OP Visit E&M of Established Patient;Level 3 $319 $66.35 $140.86 – $281.72
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $130.79
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $239.25
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $159.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $223.30
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $192.68
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $136.53
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $201.93
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $192.68
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $207.35
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $255.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OP Visit E&M of Established Patient; Level 3 $319 $66.35 $140.86 – $281.72
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $130.79
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $239.25
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $159.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $223.30
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $192.68
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $136.53
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $201.93
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $192.68
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $207.35
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $255.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Pace OP Visit E&M of Established Patient; Level 4 $279 $58.03 $80.95 – $236.06
Established patient office visit (about 30–39 minutes): 10 of 53 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $114.39
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $209.25
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $161.90
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $161.90
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $161.90
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $80.95
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $144.90
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $161.90
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $139.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OP Visit E&M of Established Patient;Level 4 $428 $89.02 $140.86 – $362.13
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $175.48
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $321
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $214
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $299.60
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $258.51
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $270.92
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $258.51
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $278.20
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $342.40
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $428
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OP Visit E&M of Established Patient; Level 4 $428 $89.02 $140.86 – $362.13
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $175.48
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $321
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $214
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $299.60
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $258.51
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $270.92
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $258.51
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $278.20
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $342.40
  • COMMERCIAL [2001] — INDIANA COMPREHENSIV HEALTH INS ASSN-NIR: $428
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency Visit Level 3 $1,932 $401.86 $288.81 – $1,634.67
Emergency room visit (moderate): 10 of 56 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $792.12
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $1,425
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $995.93
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $995.93
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $295.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $995.93
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $698.39
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $891.36
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $995.93
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $966
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency Visit Level 4 $2,760 $574.08 $295.62 – $2,969
Emergency room visit (moderately high): 10 of 56 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $1,131.60
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $2,969
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,522.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,522.37
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $295.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,522.37
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $1,067.55
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $1,362.52
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,522.37
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $1,380
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency Visit Level 5 $4,139 $860.91 $295.62 – $4,625
Emergency room visit (high): 10 of 56 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $1,696.99
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $4,625
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,172.75
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,172.75
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $295.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,172.75
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $1,523.62
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $1,944.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,172.75
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $2,069.50

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Bmp (Calcium Total) $208 $43.26 $7.57 – $175.99
Basic metabolic panel (blood test): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $14.10
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $25.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.46
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.46
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $8.46
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $8.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $8.46
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8.46
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $7.57
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehen Metabolic Panel 004 $497 $103.38 $9.45 – $420.51
Comprehensive metabolic panel (blood test): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $17.61
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $31.68
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $10.56
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $10.56
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $10.56
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $10.56
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $10.56
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $10.56
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $10.56
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $9.45
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: Obstetric Panel $678 $141.02 $42.79 – $573.66
Obstetric blood test panel: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $79.68
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $143.43
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $47.81
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $47.81
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $47.81
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $47.81
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $47.81
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $47.81
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $47.81
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $42.79
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel $497 $103.38 $11.98 – $420.51
Cholesterol panel (lipid panel): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $22.32
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $40.17
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13.39
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13.39
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $13.39
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $13.39
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13.39
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $13.39
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $13.39
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $11.98
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $414 $86.11 $7.77 – $350.29
Kidney function panel: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $14.48
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $26.04
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.68
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.68
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $8.68
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $8.68
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.68
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $8.68
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8.68
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $7.77
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel $361 $75.09 $7.31 – $305.44
Liver function panel: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $13.62
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $24.51
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.17
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.17
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $8.17
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $8.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $8.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $8.17
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8.17
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $7.31
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto W/Scope $139 $28.91 $2.84 – $117.61
Urine test (automated, with microscope): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $5.28
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $9.51
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.17
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.17
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $3.17
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $3.17
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3.17
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2.84
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis; Non-Auto WO/Micro $65 $13.52 $3.11 – $55
Urine test (manual, without microscope): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $5.22
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $10.44
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3.48
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3.11
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis; Non-Auto WO/Micro-OB $82 $17.06 $3.11 – $69.38
Urine test (manual, without microscope): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $5.22
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $10.44
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3.48
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3.11
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Pace Urinalysis; Non-Auto WO/Micro $70 $14.56 $3.11 – $59.23
Urine test (manual, without microscope): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $5.22
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $10.44
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $3.48
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3.48
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3.11
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis; Auto WO/Micro 052 $82 $17.06 $2.01 – $69.38
Urine test (automated, without microscope): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $3.74
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $6.75
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2.25
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2.25
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $2.25
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $2.25
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2.25
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $2.25
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2.25
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2.01
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen (Psa); Total $306 $63.65 $16.46 – $258.91
PSA (prostate specific antigen) blood test: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $30.66
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $55.17
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $18.39
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $18.39
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $18.39
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $18.39
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $18.39
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $18.39
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $18.39
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone $374 $77.79 $15.04 – $316.44
Thyroid stimulating hormone (TSH) test: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $28.01
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $50.40
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $16.80
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $16.80
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $16.80
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $16.80
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $16.80
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $16.80
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $16.80
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $15.04
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Compl Cbc W Plt W Autom Diff $208 $43.26 $6.95 – $175.99
Complete blood count (CBC) with differential: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $12.95
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $23.31
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7.77
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7.77
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $7.77
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $7.77
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7.77
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $7.77
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $7.77
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $6.95
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Compl Autom Cbc W Plt $125 $26 $5.79 – $105.76
Complete blood count (CBC), automated: 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $10.77
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $19.41
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.47
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.47
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $6.47
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $6.47
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.47
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $6.47
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $6.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $5.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time; 481 $11 $2.29 $3.84 – $19.31
Blood clotting time test (prothrombin time, PT): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $6.56
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $12.87
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $4.29
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $4.29
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $4.29
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $4.29
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time; 482 $14 $2.91 $3.84 – $19.31
Blood clotting time test (prothrombin time, PT): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $6.56
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $12.87
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $4.29
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $4.29
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4.29
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $4.29
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $4.29
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Ptt; Plasma or Whole Bld 489 $139 $28.91 $5.38 – $117.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $10.01
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $18.03
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.01
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.01
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $6.01
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $6.01
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $6.01
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $6.01
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $6.01
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $5.38

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Hd/Brain; W/O Cont $3,034 $631.07 $110.61 – $2,567.07
CT scan of the head or brain, without contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $170.75
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $220.90
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $170.75
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain; W&W/O Contrast $6,209 $1,291.47 $369.11 – $5,253.43
MRI of the brain, before and after contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $846.20
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $538.62
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $756.13
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $538.62
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $892.56
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $1,139.18
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-Ray Exam Chest 2 Views $650 $135.20 $92.07 – $562
Chest X-ray, 2 views: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $185.87
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $185.87
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $317.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $317.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $58.36
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $242.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $317.51
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $58.36
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $222.65
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $284.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 76 In the file: X-Ray Exam Chest 2 Views|REPEAT PROCEDURE BY SAME PHYSICIAN $650 $135.20 $92.07 – $562
Chest X-ray, 2 views: rates for 2 insurance plans
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $390
  • MANAGED CARE [2000] — FIRST HEALTH-NID: $390
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Rad Exam Spine Lumbosacral; 4vw Min $898 $186.78 $91.46 – $759.80
X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $103.48
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $91.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $103.48
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar; W/O Contrast $4,830 $1,004.64 $227.92 – $4,086.66
MRI of the lower back (lumbar spine), without contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $528.75
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $313.39
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $457.59
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $313.39
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $610.44
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $779.11
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: MRI Spine Lumbar; W/O Contrast|REDUCED SERVICES $4,830 $1,004.64 $227.92 – $4,086.66
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $610.44
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $779.11
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $2,898
  • MANAGED CARE [2000] — FIRST HEALTH-NID: $2,898
  • MEDICARE [1099] — MEDICARE-NIR-MICHIGAN CITY: $252.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelv; W/Cont $3,586 $745.89 $185.58 – $3,034.11
CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $410.47
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $639.94
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $639.94
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $438.54
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $480.79
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $639.94
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $438.54
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $448.75
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $572.75
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $639.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Lower Extremity Jnt; W/O Contrast $4,830 $1,004.64 $252.44 – $8,173.33
MRI of a leg joint (such as the knee), without contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $528.75
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $360.22
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $504.93
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $360.22
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $610.44
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $779.11
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $870.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI Lower Extremity Jnt; W/O Contrast|BILATERAL PROCEDURE $9,660 $2,009.28 $252.44 – $8,173.33
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $504.93
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $4,830
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $5,834.64
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $6,114.78
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $5,834.64
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $2,101.68
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $5,796
  • COMMERCIAL [2001] — UHC ALL PAYER-NID-MICHIGAN CITY: $3,066
  • GREAT WEST INSURANCE [1055] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $5,834.64
  • MANAGED CARE [2000] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $5,834.64
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd & Pelvis W/Contrast $5,520 $1,148.16 $369.11 – $4,670.47
CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $846.20
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $551.79
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $632.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $551.79
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $892.56
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $1,139.18
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $1,272.83
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abd W/Image Doc; Compl $1,932 $401.86 $110.61 – $1,634.67
Ultrasound of the abdomen, complete: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $195.03
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $274.05
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $195.03
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ED Ultrasound, Abdominal;Complete $1,794 $373.15 $110.61 – $1,517.90
Ultrasound of the abdomen, complete: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $195.03
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $274.05
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $195.03
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Preg Uterus >14wk; 1st Gest $1,932 $401.86 $110.61 – $1,634.67
Pregnancy ultrasound (after the first trimester): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $225.69
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $263.41
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $225.69
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: ED US Preg Uterus >14wk; 1st Gest $1,794 $373.15 $110.61 – $1,517.90
Pregnancy ultrasound (after the first trimester): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $225.69
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $263.41
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $225.69
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvag $1,379 $286.83 $110.61 – $1,166.77
Transvaginal ultrasound: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $250.18
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $250.18
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $216.32
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $249.91
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $381.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $216.32
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $267.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $341.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Dx Mammo Incl Cad Uni $470 $97.76 $79.74 – $397.67
Diagnostic mammogram, one breast: 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $204.01
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $204.01
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $159.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $159.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $219.29
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $255.68
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $159.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $219.29
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $79.74
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $142.73
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Dx Mammo Incl Cad Bi $621 $129.17 $102.19 – $1,050.86
Diagnostic mammogram, both breasts: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $260.06
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $260.06
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $204.38
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $204.38
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $281.02
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $327.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $204.38
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $281.02
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $102.19
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $182.92
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 50 In the file: Dx Mammo Incl Cad Bi|BILATERAL PROCEDURE $1,242 $258.34 $102.19 – $1,050.86
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $520.12
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $408.76
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $408.76
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $327.17
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $408.76
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $204.38
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $365.84
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $408.76
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $621
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $408.76
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Scr Mammo Bi Incl Cad $456 $94.85 $84.38 – $771.64
Screening mammogram, both breasts: 10 of 58 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $214.90
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $214.90
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $168.76
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $168.76
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $232.05
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $270.19
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $168.76
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $232.05
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $84.38
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $151.04
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 50 In the file: Scr Mammo Bi Incl Cad|BILATERAL PROCEDURE $912 $189.70 $84.38 – $771.64
Screening mammogram, both breasts: 10 of 39 insurance plan rates
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $429.80
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $337.52
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $337.52
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $270.19
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $337.52
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $168.76
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $302.08
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $337.52
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $456
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $337.52
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: Scr Mammo Bi Incl Cad|REDUCED SERVICES $456 $94.85 $84.38 – $456
Screening mammogram, both breasts: rates for 1 insurance plan
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $194.26

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Left Hrt Cath W/Ventrclgrphy $8,830 $1,836.64 $3,430 – $19,742
Left heart catheterization (diagnostic): 10 of 45 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $3,620.30
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $6,622.50
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,827.94
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,827.94
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $8,683.74
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,827.94
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8,294.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $10,586
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,827.94
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $4,415
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: Comprehensive Ep Eval W/O Attempted Induction $7,313 $1,521.10 $3,656.50 – $28,456.48
Heart rhythm study (electrophysiology evaluation): 10 of 56 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $2,998.33
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $5,484.75
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $28,456.48
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $28,456.48
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $13,051.74
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $28,456.48
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $19,954.84
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $25,468.55
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $28,456.48
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $3,656.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Comp Ep Eval Tx Atrial Fib Pulm Vein Isol $67,599 $14,060.59 $26,103.48 – $95,361.99
Heart rhythm study with ablation for atrial fibrillation: 10 of 43 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $27,715.59
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $95,361.99
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $95,361.99
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $26,103.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $95,361.99
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $66,871.70
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $85,348.98
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $95,361.99
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $33,799.50
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $95,361.99
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Pss W 4/> Param W Tech $6,897 $1,434.58 $780.39 – $5,835.55
Sleep study (overnight, in a sleep lab): 10 of 59 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $2,543.48
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $5,172.75
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,133.04
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,133.04
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $2,619
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $780.39
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,133.04
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $1,216.20
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,197.01
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,804.07

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Pace Therapeutic Exercises 15 Min Pt $162 $33.70 $28.03 – $260
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $55.08
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $55.08
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $55.07
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic Exercises Ea 15 Min Pt $172 $35.78 $28.03 – $260
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $55.08
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $55.08
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $55.07
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Pace Therapeutic Exercises 15 Min Ot $162 $33.70 $28.03 – $260
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $55.08
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $55.08
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $55.78
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $55.07
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $55.07
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pace Pt Eval Low Complex; 20 Min $361 $75.09 $94.80 – $305.44
Physical therapy evaluation (low complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt Eval Low Complex 20 Min $345 $71.76 $94.80 – $291.90
Physical therapy evaluation (low complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pace Pt Eval Mod Complex; 30 Min $512 $106.50 $94.80 – $433.20
Physical therapy evaluation (moderate complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt Eval Mod Complex 30 Min $416 $86.53 $94.80 – $351.98
Physical therapy evaluation (moderate complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pace Pt Eval High Complex; 45 Min $539 $112.11 $94.80 – $456.05
Physical therapy evaluation (high complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt Eval High Complex 45 Min $484 $100.67 $94.80 – $409.51
Physical therapy evaluation (high complexity): 10 of 60 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $187.38
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $187.38
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $186.46
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO-CID: $189.28
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $187.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $187.37
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Pace Psytx Pt&/Family 30 Mins Typ 4 $365 $75.92 $159.12 – $308.83
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $149.65
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $273.75
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $182.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $255.50
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $220.46
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $231.05
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $220.46
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $237.25
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $219
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psytx Pt 60 Mins $594 $123.55 $159.12 – $502.58
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $243.54
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $445.50
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $159.12
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $297
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $415.80
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $358.78
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $254.23
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $376
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $358.78
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $386.10
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Family Therapy W Pt $703 $146.22 $79.56 – $594.81
Family psychotherapy, with the patient: 10 of 35 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $288.23
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $527.25
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $79.56
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $351.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $492.10
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $424.61
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $445
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $424.61
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $456.95
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $421.80
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Family/Marital Therapy W Pt 50 Min $456 $94.85 $79.56 – $385.82
Family psychotherapy, with the patient: 10 of 35 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $186.96
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $342
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $79.56
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $228
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $319.20
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $275.42
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $288.65
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $275.42
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $296.40
  • COMMERCIAL [2001] — FIRST HEALTH-NID: $273.60
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Group Therapy Not Multi-Family $3,173 $659.98 $79.56 – $2,684.68
Group psychotherapy: 10 of 36 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $1,300.93
  • AETNA [1005] — AETNA-NIR-MICHIGAN CITY: $2,379.75
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $79.56
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $1,586.50
  • CIGNA [1037] — CIGNA BEHAVIORAL HEALTH-NIR-ST ANTH MC: $2,221.10
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $1,916.49
  • CIGNA [1037] — CIGNA LOCALPLUS-NID: $1,358.04
  • CIGNA [1037] — CIGNA PPO-NID-MICHIGAN CITY: $2,008.51
  • COMMERCIAL [2001] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $1,916.49
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $2,062.45

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $14,368.16 $2,988.58 $1,905.42 – $14,285.16
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $10,017.33
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $12,785.22
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|BILATERAL PROCEDURE $38,558.50 $8,020.17 $1,905.42 – $14,285.16
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $10,017.33
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $12,785.22
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $14,285.16
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $80,438.51 $16,731.21 $13,583.45 – $49,765
Total hip replacement: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $26,103.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $32,846.79
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $41,922.67
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $49,765
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $49,765
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $79,104.74 $16,453.79 $13,583.45 – $49,765
Total knee replacement: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $26,103.48
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $32,846.79
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $41,922.67
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $46,840.97
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $49,765
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $49,765
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $59,665.15 $12,410.35 $2,273.62 – $26,473.76
Shoulder arthroscopy: shaving of shoulder bone: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $26,473.76
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $26,473.76
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $2,273.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $26,473.76
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $18,564.47
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $23,694.01
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $26,473.76
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $26,473.76
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $26,225
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $26,225
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg $23,087.41 $4,802.18 $2,273.62 – $13,183
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,937.66
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,937.66
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $2,273.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,937.66
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8,371.17
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $10,684.20
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,937.66
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,937.66
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $13,183
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $13,183
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy & Adenoidectomy <Age 12 $14,517.44 $3,019.63 $3,121.64 – $21,598.06
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3,121.64
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $15,145.44
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $19,330.27
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 74 In the file: Tonsillectomy & Adenoidectomy <Age 12|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF AN $12,978.20 $2,699.47 $3,121.64 – $21,598.06
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3,121.64
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $15,145.44
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $19,330.27
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $21,598.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic $8,102.30 $1,685.28 $153.27 – $4,106
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,320.45
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,961.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 73 In the file: Esophagogastroduodenoscopy Transoral Diagnostic|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE PRIOR TO THE ADM $6,300.03 $1,310.41 $153.27 – $4,106
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,320.45
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,961.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: Esophagogastroduodenoscopy Transoral Diagnostic|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRA $9,944.94 $2,068.55 $153.27 – $4,106
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $401.86
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,320.45
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,961.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple $9,611.98 $1,999.29 $153.27 – $7,000.98
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $3,121.64
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,320.45
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,961.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 74 In the file: Egd Transoral Biopsy Single/Multiple|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANE $8,011.96 $1,666.49 $153.27 – $7,000.98
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,320.45
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,961.61
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,309.06
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 51 In the file: Egd Transoral Biopsy Single/Multiple|MULTIPLE PROCEDURES $8,555.85 $1,779.62 $153.27 – $7,000.98
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,000.98
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,000.98
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $401.86
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,000.98
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $4,909.37
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $6,265.88
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,000.98
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,000.98
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $6,921.62 $1,439.70 $153.27 – $4,106
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 73 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE PRIOR TO THE ADMINIST $6,901.30 $1,435.47 $153.27 – $4,106
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 74 In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION $6,960.28 $1,447.74 $153.27 – $4,106
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple $9,020.93 $1,876.35 $153.27 – $4,365.84
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3,061.51
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,907.43
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 74 In the file: Colonoscopy W/Biopsy Single/Multiple|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANE $9,496.96 $1,975.37 $153.27 – $4,365.84
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3,061.51
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,907.43
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 52 In the file: Colonoscopy W/Biopsy Single/Multiple|REDUCED SERVICES $10,042.41 $2,088.82 $153.27 – $4,365.84
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $554.74
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3,061.51
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,907.43
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $8,257.39 $1,717.54 $153.27 – $4,365.84
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3,061.51
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,907.43
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 74 In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRA $12,637.39 $2,628.58 $153.27 – $4,365.84
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $3,061.51
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,907.43
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $4,365.84
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Ca Scrn Not Hi Rsk Ind $6,876.87 $1,430.39 $153.27 – $3,392.89
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $3,057
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $3,057
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74 In the file: Colon Ca Scrn Not Hi Rsk Ind|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA $6,171.72 $1,283.72 $153.27 – $3,392.89
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $3,057
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $3,057
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 52 In the file: Colon Ca Scrn Not Hi Rsk Ind|REDUCED SERVICES $6,176.73 $1,284.76 $153.27 – $3,392.89
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $153.27
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,379.23
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $3,036.64
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,392.89
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $3,057
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $3,057
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy $55,471.85 $11,538.14 $4,211.34 – $26,225
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $4,211.34
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $15,467.03
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $19,740.71
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $26,225
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $26,225
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 74 In the file: Laparoscopy Surg Cholecystectomy|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHE $61,177.45 $12,724.91 $4,211.34 – $26,225
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $4,211.34
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $15,467.03
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $19,740.71
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $22,056.66
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $26,225
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $26,225
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $26,861.70 $5,587.23 $2,273.62 – $13,183
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13,062.83
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13,062.83
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $2,273.62
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13,062.83
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $9,160.19
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $11,691.23
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13,062.83
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $13,062.83
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $13,183
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $13,183
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy Prostate; Needle/Punch $19,229.16 $3,999.67 $55.13 – $4,106
Prostate biopsy: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $190.12
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $190.12
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,728.79
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $190.12
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $133.32
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $170.16
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $190.12
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $190.12
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $4,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $4,106
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing $109,432.36 $22,761.93 $401.86 – $49,765
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $4,211.34
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $27,195.63
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $34,710.04
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $49,765
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $49,765
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 74 In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATIO $99,592.70 $20,715.28 $401.86 – $49,765
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $401.86
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $27,195.63
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $34,710.04
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $38,782.16
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $49,765
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $49,765
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $22,489.36 $4,677.79 $1,905.42 – $11,810.41
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8,281.94
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $10,570.31
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 73 In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE PRIOR TO THE ADMINI $11,365.31 $2,363.98 $1,905.42 – $11,810.41
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8,281.94
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $10,570.31
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 74 In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATIO $18,194.94 $3,784.55 $1,905.42 – $11,810.41
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $8,281.94
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $10,570.31
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $11,810.41
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx Interlaminar Lmbr/Sac W/Image Guidance Hcode $4,553 $947.02 $746.83 – $7,704.59
Spinal injection, lower back (epidural), with imaging guidance: 10 of 42 insurance plan rates
  • AETNA [1005] — AETNA-NID-DYER-MUNSTER-CRN POINT: $1,866.73
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $1,805.95
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,304.95
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $2,276.50
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx Interlaminar Lmbr/Sac W/Image Guidance Hcode $7,502.78 $1,560.58 $746.83 – $3,057
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $1,805.95
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,304.95
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $3,057
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $3,057
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier 50 In the file: Njx Interlaminar Lmbr/Sac W/Image Guidance Hcode|BILATERAL PROCEDURE $9,106 $1,894.05 $746.83 – $7,704.59
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $1,805.95
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,304.95
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • BLUE CROSS ILLINOIS [1210] — ST ANTHONY HEALTH-NIR-STMAR&FHM&STANT MC: $4,553
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $2,575.36
  • CIGNA [1037] — CIGNA HMO-NID-MICHIGAN CITY & LAPORTE: $5,500.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $7,533.78 $1,567.03 $935.78 – $3,226.93
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,242.31
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,262.85
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,888.10
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $3,057
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $3,057
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|BILATERAL PROCEDURE $7,533.78 $1,567.03 $935.78 – $3,226.93
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $2,262.85
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $2,888.10
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
  • MEDICARE [1099] — MEDICARE-NIR-MICHIGAN CITY: $935.78
  • MEDICARE REPLACEMENT [2003] — MEDICARE-NIR-MICHIGAN CITY: $935.78
  • UNICARE [1150] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $3,226.93
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $16,561.01 $3,444.69 $1,905.42 – $10,106
Carpal tunnel release: 10 of 29 insurance plan rates
  • ALT PAYER ILLINOIS BLUE CROSS [121002] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,124.38
  • ALT PAYER INDIANA BLUE CROSS [121003] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,124.38
  • ALT TRADITIONAL MEDICAID SECONDARY [109200] — IN MCD-NIR-MICHIGAN CITY: $1,905.42
  • BLUE CROSS [1014] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,124.38
  • BLUE CROSS [1014] — ANTHEM FRANCISCAN EMPLOYEE COPPS- ALL LOCATIONS: $4,995.90
  • BLUE CROSS [1014] — ANTHEM HEALTHSYNC POS WITH COPPS - MICHIGAN CITY/LAPORTE: $6,376.32
  • BLUE CROSS ILLINOIS [1210] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,124.38
  • BLUE CROSS OUT OF STATE [1211] — ANTHEM BLUE ACCESS PPO WITH COPPS - MICHIGAN CITY/LAPORTE: $7,124.38
  • COMMERCIAL [2001] — ENCORE - CID & NID & WID & SSCD: $10,106
  • MANAGED CARE [2000] — ENCORE - CID & NID & WID & SSCD: $10,106

Source: Franciscan Health Michigan City’s standard charges file (images.franciscanhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (franciscanhealth.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address3500 Franciscan Way, Michigan City, IN 46360
CountyLa Porte County
StateIndiana
Phone(219) 879‑8511
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number150015
Name in Medicare recordsFRANCISCAN HEALTH MICHIGAN CITY
Profile levelMedicare data + hospital website
Official websitedirectory.franciscanhealth.org
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Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Franciscan Health Michigan City — directory.franciscanhealth.org
  2. Franciscan Health Emergency Center Chesterton, A Department Of Franciscan Health Michigan City | Franciscan Health — directory.franciscanhealth.org
  3. Emergency Room Care | Franciscan Health — franciscanhealth.org