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Acute Care Hospital

Monroe Hospital

Bloomington, Indiana · Monroe County · Emergency services listed

Monroe Hospital is an acute care hospital at 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403. Phone: (812) 825-1111. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Monroe Hospital is an acute care hospital in Bloomington, Indiana. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 50 services, specialties and programs. Medicare lists 81 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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
4 of 5 stars4 of 5 stars · Medicare rating
32Beds (hospital website)
50Services listed

Quick answers

Does Monroe Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Monroe Hospital. In a medical emergency, call 911.
Where is Monroe Hospital?
4011 S Monroe Medical Park Blvd, Bloomington, IN 47403, in Monroe County, Indiana.
What is the phone number of Monroe Hospital?
(812) 825-1111, as listed by Medicare (CMS).
What is the Medicare star rating of Monroe Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Monroe Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Monroe Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1275; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][11][13][14][17]

Conditions treated[9][18]

Treatments[4][9][13]

  • Hyperbaric medicine
  • Hyperbaric oxygen therapy
  • Wound care
  • Dialysis access and maintenance
  • DVT treatment and prevention
  • Central line placement
  • Peripheral access port placement
  • Lumbar puncture
  • Abscess drainage
  • Peripheral angiogram
  • Carotid angiogram
  • Percutaneous GU procedures
  • GI procedures
  • Percutaneous transhepatic cholangiogram

Procedures[4][6][7][11][12][16]

  • Diagnostic imaging
  • Electrocardiogram
  • Echocardiogram
  • Holter and event monitoring
  • Pharmacological stress test
  • Nuclear stress test
  • Nuclear perfusion study
  • Mammography
  • Bone densitometry
  • CT scan
  • MRI
  • Ultrasound
  • Fluoroscopy
  • Nuclear medicine
  • X-ray
  • Endoscopy
  • Anesthesia
  • Pre-operative and post-operative care

Programs and centers[4][6][7][15]

  • Center for Wound Healing and Hyperbaric Medicine
  • Emergency Department (FastTrackCare arrival reservations)
  • Diagnostic imaging
  • Inpatient rehabilitation (physical, occupational and speech therapy)

Emergency care (hospital website)[4][6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingAll patient rooms have unrestricted visitation based on clinical and patient needs[8]
Patient portalMyCareCorner (Monroe Hospital patient portal)

Doctors and clinicians (81)

81 doctors and other clinicians list Monroe Hospital 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 (81)

And 57 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Bloomington

All hospitals in Bloomington · Hospitals in Monroe County · Hospitals near me

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 license 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 Monroe Hospital 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 hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital86%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well83%National average: 80%
“Always” got help as soon as they wanted67%National average: 64%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean82%National average: 73%
Completed surveys304Response rate: 37%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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 failure patients9.4%
Deaths within 30 days: pneumonia patients15.7%
Deaths within 30 days: COPD patients7.9%
Serious complications (patient safety indicator PSI-90)0.96No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)17.1%
Readmitted within 30 days: heart failure21.4%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)112 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Monroe Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1275Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9778Fewer readmissions than expected
Pneumonia0.9826Fewer readmissions than expected
COPD (chronic lung disease)0.9734Fewer readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score38.83 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)13.33 out of 100
Person and community engagement (patient survey)62.00 out of 100
Safety (infections and sepsis care)30.00 out of 100
Efficiency and cost reduction (Medicare spending)50.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.91Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 56 common services exactly as Monroe Hospital 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 →

Show the prices of 56 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE VISIT E&M NEW 30-34 MIN $769.85 Not listed in the file $86.70 – $769.85
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • Aetna — Aetna Commercial: 75% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICEOUTPATIENT VISIT NEW MOD 30-44 MI $289 Not listed in the file $86.70 – $769.85
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • Aetna — Aetna Commercial: 75% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICEOUTPATIENT VISIT 45-59 MINUTES $361 Not listed in the file $108.30 – $1,239.75
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT E&M NEW 45-59 $1,239.75 Not listed in the file $108.30 – $1,239.75
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT E&M NEW 60-74 $1,684 Not listed in the file $126 – $1,684
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICEOUTPATIENT VISIT HIGH 60-74 MINUT $420 Not listed in the file $126 – $1,684
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: CLINIC LEVEL 3 $288 Not listed in the file $86.40 – $613.95
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT E&M EST PT 20-29 MIN $613.95 Not listed in the file $86.40 – $613.95
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICEOUTPATIENT VISIT EST MOD - 99213 - 1300161 $289 Not listed in the file $86.40 – $613.95
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: CLINIC LEVEL 4 $361 Not listed in the file $108.30 – $907.20
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • Aetna — Aetna Commercial: 75% (a percentage in the contract, not a dollar amount)
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: 70% (a percentage in the contract, not a dollar amount)
  • BCBS — BCBS Commercial PPO: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT E&M EST PT 30-39 MIN $907.20 Not listed in the file $108.30 – $907.20
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • Aetna — Aetna Commercial: 75% (a percentage in the contract, not a dollar amount)
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: 70% (a percentage in the contract, not a dollar amount)
  • BCBS — BCBS Commercial PPO: 70% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICEOUTPATIENT VISIT EST MOD - 99214 - 1300162 $361 Not listed in the file $108.30 – $907.20
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $159.12
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $159.12
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $159.12
  • Monroe Medical Group and Managed Health Services — Monroe Medical Group Medicaid: $159.12
  • Traditional Medicaid — Traditional Medicaid: $159.12
  • United Healthcare — UHC Medicaid CHIP - Hoosier Care: $159.12
  • Aetna — Aetna Commercial: 75% (a percentage in the contract, not a dollar amount)
  • United Healthcare — UHC Commercial: 44% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3 $1,041.62 $287 $287.39 – $1,041.62
Emergency room visit (moderate): 10 of 40 insurance plan rates
  • Aetna — Aetna Medicare: $287.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $557.54
  • BCBS — BCBS Commercial HMO: $1,041.62
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,041.62
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,041.62
  • BCBS — BCBS Commercial Traditional: $1,041.62
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $287.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $287.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3 WPROC $1,041.62 $287 $287.39 – $1,041.62
Emergency room visit (moderate): 10 of 40 insurance plan rates
  • Aetna — Aetna Medicare: $287.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $557.54
  • BCBS — BCBS Commercial HMO: $1,041.62
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,041.62
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,041.62
  • BCBS — BCBS Commercial Traditional: $1,041.62
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $287.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $287.39
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4 $1,777.65 $439 $295.62 – $1,777.65
Emergency room visit (moderately high): 10 of 40 insurance plan rates
  • Aetna — Aetna Medicare: $439.30
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $852.24
  • BCBS — BCBS Commercial HMO: $1,183
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,183
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,183
  • BCBS — BCBS Commercial Traditional: $1,183
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $439.30
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $439.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4 WPROC $1,634.95 $439 $295.62 – $1,777.65
Emergency room visit (moderately high): 10 of 40 insurance plan rates
  • Aetna — Aetna Medicare: $439.30
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $852.24
  • BCBS — BCBS Commercial HMO: $1,183
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,183
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,183
  • BCBS — BCBS Commercial Traditional: $1,183
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $439.30
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $439.30
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5 WPROC $2,231 $626 $295.62 – $2,231
Emergency room visit (high): 10 of 39 insurance plan rates
  • Aetna — Aetna Medicare: $626.98
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,216.34
  • BCBS — BCBS Commercial HMO: $1,183
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,183
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,183
  • BCBS — BCBS Commercial Traditional: $1,183
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $626.98
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $626.98
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5 $2,231 $626 $295.62 – $2,231
Emergency room visit (high): 10 of 39 insurance plan rates
  • Aetna — Aetna Medicare: $626.98
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,216.34
  • BCBS — BCBS Commercial HMO: $1,183
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $1,183
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $994
  • BCBS — BCBS Commercial PPO: $1,183
  • BCBS — BCBS Commercial Traditional: $1,183
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $626.98
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $295.62
  • BCBS — BCBS Medicare: $626.98

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $262 $8 $8.46 – $262
Basic metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $8.46
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $16.41
  • BCBS — BCBS Commercial Traditional: $8.46
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.46
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.46
  • BCBS — BCBS Medicare: $8.46
  • BCBS Workers Compensation — BCBS Workers Compensation: $15.23
  • Care Source — Care Source Exchange - QHP: $12.27
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: LC BMP $262 $8 $8.46 – $262
Basic metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $8.46
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $16.41
  • BCBS — BCBS Commercial Traditional: $8.46
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.46
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.46
  • BCBS — BCBS Medicare: $8.46
  • BCBS Workers Compensation — BCBS Workers Compensation: $15.23
  • Care Source — Care Source Exchange - QHP: $12.27
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: CL BASIC METABOLIC PANEL $99 $8 $8.46 – $262
Basic metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $8.46
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $16.41
  • BCBS — BCBS Commercial Traditional: $8.46
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.46
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.46
  • BCBS — BCBS Medicare: $8.46
  • BCBS Workers Compensation — BCBS Workers Compensation: $15.23
  • Care Source — Care Source Exchange - QHP: $12.27
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE MET PANEL $370 $10 $10.56 – $370
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $10.56
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $20.49
  • BCBS — BCBS Commercial Traditional: $10.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $10.56
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $10.56
  • BCBS — BCBS Medicare: $10.56
  • BCBS Workers Compensation — BCBS Workers Compensation: $19.01
  • Care Source — Care Source Exchange - QHP: $15.31
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $10.56
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: LC CMP $370 $10 $10.56 – $370
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $10.56
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $20.49
  • BCBS — BCBS Commercial Traditional: $10.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $10.56
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $10.56
  • BCBS — BCBS Medicare: $10.56
  • BCBS Workers Compensation — BCBS Workers Compensation: $19.01
  • Care Source — Care Source Exchange - QHP: $15.31
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $10.56
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CL COMP MET PANEL $370 $10 $10.56 – $370
Comprehensive metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $10.56
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $20.49
  • BCBS — BCBS Commercial Traditional: $10.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $10.56
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $10.56
  • BCBS — BCBS Medicare: $10.56
  • BCBS Workers Compensation — BCBS Workers Compensation: $19.01
  • Care Source — Care Source Exchange - QHP: $15.31
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $10.56
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CL LIPID PROFILE $263.80 $13 $13.39 – $263.80
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $13.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $25.98
  • BCBS — BCBS Commercial Traditional: $13.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $13.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $13.39
  • BCBS — BCBS Medicare: $13.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $24.10
  • Care Source — Care Source Exchange - QHP: $19.42
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $13.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LC LIPID PANEL $263.80 $13 $13.39 – $263.80
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $13.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $25.98
  • BCBS — BCBS Commercial Traditional: $13.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $13.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $13.39
  • BCBS — BCBS Medicare: $13.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $24.10
  • Care Source — Care Source Exchange - QHP: $19.42
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $13.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE $263.80 $13 $13.39 – $263.80
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $13.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $25.98
  • BCBS — BCBS Commercial Traditional: $13.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $13.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $13.39
  • BCBS — BCBS Medicare: $13.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $24.10
  • Care Source — Care Source Exchange - QHP: $19.42
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $13.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: LC RENAL FUNCTION PANEL $264.43 $8 $8.68 – $264.43
Kidney function panel: 10 of 34 insurance plan rates
  • Aetna — Aetna Medicare: $8.68
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $16.84
  • BCBS — BCBS Commercial Traditional: $8.68
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.68
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.68
  • BCBS — BCBS Medicare: $8.68
  • BCBS Workers Compensation — BCBS Workers Compensation: $15.62
  • Care Source — Care Source Exchange - QHP: $12.59
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.68
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $264.43 $8 $8.68 – $264.43
Kidney function panel: 10 of 34 insurance plan rates
  • Aetna — Aetna Medicare: $8.68
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $16.84
  • BCBS — BCBS Commercial Traditional: $8.68
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.68
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.68
  • BCBS — BCBS Medicare: $8.68
  • BCBS Workers Compensation — BCBS Workers Compensation: $15.62
  • Care Source — Care Source Exchange - QHP: $12.59
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.68
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $271.52 $8 $3.30 – $271.52
Liver function panel: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $8.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $15.85
  • BCBS — BCBS Commercial Traditional: $8.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.17
  • BCBS — BCBS Medicare: $8.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $14.71
  • Care Source — Care Source Exchange - QHP: $11.85
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LC HEPATIC FUNCTION PANEL $271.52 $8 $3.30 – $271.52
Liver function panel: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $8.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $15.85
  • BCBS — BCBS Commercial Traditional: $8.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.17
  • BCBS — BCBS Medicare: $8.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $14.71
  • Care Source — Care Source Exchange - QHP: $11.85
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: CL HEPATIC FUNCTION PANEL $11 $8 $3.30 – $271.52
Liver function panel: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $8.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $11
  • BCBS — BCBS Commercial Traditional: $8.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $8.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8.17
  • BCBS — BCBS Medicare: $8.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $11
  • Care Source — Care Source Exchange - QHP: $11
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $8.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: CHARGE FOR UA COMPLETE $59 $3 $1.80 – $201.50
Urine test (automated, with microscope): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $3.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $6.15
  • BCBS — BCBS Commercial Traditional: $3.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.17
  • BCBS — BCBS Medicare: $3.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $5.71
  • Care Source — Care Source Exchange - QHP: $4.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPIC $201.50 $3 $1.80 – $201.50
Urine test (automated, with microscope): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $3.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $6.15
  • BCBS — BCBS Commercial Traditional: $3.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.17
  • BCBS — BCBS Medicare: $3.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $5.71
  • Care Source — Care Source Exchange - QHP: $4.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: CL UA WREFLEX C&S $6 $3 $1.80 – $201.50
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $3.17
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $6
  • BCBS — BCBS Commercial Traditional: $3.17
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.17
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.17
  • BCBS — BCBS Medicare: $3.17
  • BCBS Workers Compensation — BCBS Workers Compensation: $5.71
  • Care Source — Care Source Exchange - QHP: $4.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: ACETONE URINE, DIPSTICK $5 $3 $1.50 – $6
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna Medicare: $3.48
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $5
  • BCBS — BCBS Commercial Traditional: $3.48
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.48
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.48
  • BCBS — BCBS Medicare: $3.48
  • BCBS Workers Compensation — BCBS Workers Compensation: $5
  • Care Source — Care Source Exchange - QHP: $5
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.48
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: CL CLINITEST $5 $3 $1.50 – $6
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna Medicare: $3.48
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $5
  • BCBS — BCBS Commercial Traditional: $3.48
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.48
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.48
  • BCBS — BCBS Medicare: $3.48
  • BCBS Workers Compensation — BCBS Workers Compensation: $5
  • Care Source — Care Source Exchange - QHP: $5
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.48
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: CL CLINITEST CHARGE $6 $3 $1.50 – $6
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna Medicare: $3.48
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $6
  • BCBS — BCBS Commercial Traditional: $3.48
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3.48
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3.48
  • BCBS — BCBS Medicare: $3.48
  • BCBS Workers Compensation — BCBS Workers Compensation: $6
  • Care Source — Care Source Exchange - QHP: $5.05
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3.48
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS CHARGE ONLY $52.55 $2 $1.20 – $52.55
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $2.25
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $4.37
  • BCBS — BCBS Commercial Traditional: $2.25
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $2.25
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2.25
  • BCBS — BCBS Medicare: $2.25
  • BCBS Workers Compensation — BCBS Workers Compensation: $4.05
  • Care Source — Care Source Exchange - QHP: $3.26
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $2.25
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS WO MICROSCOPIC $52.55 $2 $1.20 – $52.55
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $2.25
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $4.37
  • BCBS — BCBS Commercial Traditional: $2.25
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $2.25
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2.25
  • BCBS — BCBS Medicare: $2.25
  • BCBS Workers Compensation — BCBS Workers Compensation: $4.05
  • Care Source — Care Source Exchange - QHP: $3.26
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $2.25
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: CL UA DIPSTICK $4 $2 $1.20 – $52.55
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna Medicare: $2.25
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $4
  • BCBS — BCBS Commercial Traditional: $2.25
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $2.25
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2.25
  • BCBS — BCBS Medicare: $2.25
  • BCBS Workers Compensation — BCBS Workers Compensation: $4
  • Care Source — Care Source Exchange - QHP: $3.26
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $2.25
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: CHARGE ONLY PSA TOTAL-DIAGNOSTIC ONLY $32 $18 $9.60 – $206.99
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $18.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $32
  • BCBS — BCBS Commercial Traditional: $18.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $18.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $18.39
  • BCBS — BCBS Medicare: $18.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $32
  • Care Source — Care Source Exchange - QHP: $26.67
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $18.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: CL PSA DIAGNOSTIC $206.99 $18 $9.60 – $206.99
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $18.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $35.68
  • BCBS — BCBS Commercial Traditional: $18.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $18.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $18.39
  • BCBS — BCBS Medicare: $18.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $33.10
  • Care Source — Care Source Exchange - QHP: $26.67
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $18.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: LC PSA $206.99 $18 $9.60 – $206.99
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $18.39
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $35.68
  • BCBS — BCBS Commercial Traditional: $18.39
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $18.39
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $18.39
  • BCBS — BCBS Medicare: $18.39
  • BCBS Workers Compensation — BCBS Workers Compensation: $33.10
  • Care Source — Care Source Exchange - QHP: $26.67
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $18.39
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: LC TSH $211.92 $16 $11.13 – $211.92
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $16.80
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $32.59
  • BCBS — BCBS Commercial Traditional: $16.80
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $16.80
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $16.80
  • BCBS — BCBS Medicare: $16.80
  • BCBS Workers Compensation — BCBS Workers Compensation: $30.24
  • Care Source — Care Source Exchange - QHP: $24.36
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $16.80
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE PROFILE INITIAL $37.10 $16 $11.13 – $211.92
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $16.80
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $32.59
  • BCBS — BCBS Commercial Traditional: $16.80
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $16.80
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $16.80
  • BCBS — BCBS Medicare: $16.80
  • BCBS Workers Compensation — BCBS Workers Compensation: $30.24
  • Care Source — Care Source Exchange - QHP: $24.36
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $16.80
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE PROFILE - T3 FREE $103.80 $16 $11.13 – $211.92
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $16.80
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $32.59
  • BCBS — BCBS Commercial Traditional: $16.80
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $16.80
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $16.80
  • BCBS — BCBS Medicare: $16.80
  • BCBS Workers Compensation — BCBS Workers Compensation: $30.24
  • Care Source — Care Source Exchange - QHP: $24.36
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $16.80
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC wAUTO D $174.17 $7 $4.20 – $174.17
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $7.77
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $15.07
  • BCBS — BCBS Commercial Traditional: $7.77
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $7.77
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $7.77
  • BCBS — BCBS Medicare: $7.77
  • BCBS Workers Compensation — BCBS Workers Compensation: $13.99
  • Care Source — Care Source Exchange - QHP: $11.27
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $7.77
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CHARGE CBC WAUTO DIFF $14 $7 $4.20 – $174.17
Complete blood count (CBC) with differential: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $7.77
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $14
  • BCBS — BCBS Commercial Traditional: $7.77
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $7.77
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $7.77
  • BCBS — BCBS Medicare: $7.77
  • BCBS Workers Compensation — BCBS Workers Compensation: $13.99
  • Care Source — Care Source Exchange - QHP: $11.27
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $7.77
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM $154.76 $6 $3.60 – $154.76
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $6.47
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $12.55
  • BCBS — BCBS Commercial Traditional: $6.47
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $6.47
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $6.47
  • BCBS — BCBS Medicare: $6.47
  • BCBS Workers Compensation — BCBS Workers Compensation: $11.65
  • Care Source — Care Source Exchange - QHP: $9.38
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $6.47
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CL HEMOGRAM $12 $6 $3.60 – $154.76
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $6.47
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $12
  • BCBS — BCBS Commercial Traditional: $6.47
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $6.47
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $6.47
  • BCBS — BCBS Medicare: $6.47
  • BCBS Workers Compensation — BCBS Workers Compensation: $11.65
  • Care Source — Care Source Exchange - QHP: $9.38
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $6.47
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR - CAPILLARY $40 $4 $2.10 – $134.60
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $4.29
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $8.32
  • BCBS — BCBS Commercial Traditional: $4.29
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $4.29
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $4.29
  • BCBS — BCBS Medicare: $4.29
  • BCBS Workers Compensation — BCBS Workers Compensation: $7.72
  • Care Source — Care Source Exchange - QHP: $6.22
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $4.29
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PT $134.60 $4 $2.10 – $134.60
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $4.29
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $8.32
  • BCBS — BCBS Commercial Traditional: $4.29
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $4.29
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $4.29
  • BCBS — BCBS Medicare: $4.29
  • BCBS Workers Compensation — BCBS Workers Compensation: $7.72
  • Care Source — Care Source Exchange - QHP: $6.22
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $4.29
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR - CC $40 $4 $2.10 – $134.60
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $4.29
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $8.32
  • BCBS — BCBS Commercial Traditional: $4.29
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $4.29
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $4.29
  • BCBS — BCBS Medicare: $4.29
  • BCBS Workers Compensation — BCBS Workers Compensation: $7.72
  • Care Source — Care Source Exchange - QHP: $6.22
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $4.29
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT PLASMA $164.19 $6 $6.01 – $164.19
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $6.01
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $11.66
  • BCBS — BCBS Commercial Traditional: $6.01
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $6.01
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $6.01
  • BCBS — BCBS Medicare: $6.01
  • BCBS Workers Compensation — BCBS Workers Compensation: $10.82
  • Care Source — Care Source Exchange - QHP: $8.71
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $6.01
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO $2,282.40 $110 $110.07 – $2,282.40
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $650
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $220.90
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $220.90
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $220.90
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO STROKE EVAL $2,282.40 $110 $110.07 – $2,282.40
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $650
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $220.90
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $220.90
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $220.90
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WWO CONTRAST $5,940 $367 $367.30 – $5,940
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $700
  • Aetna — Aetna Medicare: $367.30
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $712.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $367.30
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $756.13
  • BCBS — BCBS Medicare: $367.30
  • BCBS Workers Compensation — BCBS Workers Compensation: $661.14
  • Care Source — Care Source Exchange - QHP: $532.59
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $756.13
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $756.13
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST PA AND LATERAL $480.70 $91 $26.88 – $480.70
Chest X-ray, 2 views: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $91.62
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $177.74
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $91.62
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $242.27
  • BCBS — BCBS Medicare: $91.62
  • BCBS Workers Compensation — BCBS Workers Compensation: $164.92
  • Care Source — Care Source Exchange - QHP: $132.85
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $242.27
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $242.27
  • Care Source — Care Source Medicare: $91.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST EMPLOYEE PA AND LAT $89.60 $91 $26.88 – $480.70
Chest X-ray, 2 views: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $89.60
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $89.60
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $89.60
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $89.60
  • BCBS — BCBS Medicare: $89.60
  • BCBS Workers Compensation — BCBS Workers Compensation: $89.60
  • Care Source — Care Source Exchange - QHP: $89.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $89.60
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $89.60
  • Care Source — Care Source Medicare: $89.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST RT LT DECUB $440.71 $91 $26.88 – $480.70
Chest X-ray, 2 views: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $91.62
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $177.74
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $91.62
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $242.27
  • BCBS — BCBS Medicare: $91.62
  • BCBS Workers Compensation — BCBS Workers Compensation: $164.92
  • Care Source — Care Source Exchange - QHP: $132.85
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $242.27
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $242.27
  • Care Source — Care Source Medicare: $91.62
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: L-SPINE MIN 4 VWS $814 $110 $91.45 – $814
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $91.46
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $91.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $91.46
  • Care Source — Care Source Medicare: $110.07
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE WO $3,900 $251 $251.20 – $3,900
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $700
  • Aetna — Aetna Medicare: $251.20
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $487.33
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $251.20
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $457.59
  • BCBS — BCBS Medicare: $251.20
  • BCBS Workers Compensation — BCBS Workers Compensation: $452.16
  • Care Source — Care Source Exchange - QHP: $364.24
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $457.59
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $457.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W $2,978.46 $184 $184.66 – $2,978.46
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna Commercial: $650
  • Aetna — Aetna Medicare: $184.66
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $358.24
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $184.66
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $480.79
  • BCBS — BCBS Medicare: $184.66
  • BCBS Workers Compensation — BCBS Workers Compensation: $332.39
  • Care Source — Care Source Exchange - QHP: $267.76
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $480.79
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $480.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOW EXTREM ANY JOINT WO LT $3,309 $251 $251.20 – $3,309
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $700
  • Aetna — Aetna Medicare: $251.20
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $487.33
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $251.20
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $504.93
  • BCBS — BCBS Medicare: $251.20
  • BCBS Workers Compensation — BCBS Workers Compensation: $452.16
  • Care Source — Care Source Exchange - QHP: $364.24
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $504.93
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $504.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI KNEE PRE-OP LT $1,015.23 $251 $251.20 – $3,309
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $700
  • Aetna — Aetna Medicare: $251.20
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $487.33
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $251.20
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $504.93
  • BCBS — BCBS Medicare: $251.20
  • BCBS Workers Compensation — BCBS Workers Compensation: $452.16
  • Care Source — Care Source Exchange - QHP: $364.24
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $504.93
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $504.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI KNEE PRE-OP RT $1,015.23 $251 $251.20 – $3,309
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $700
  • Aetna — Aetna Medicare: $251.20
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $487.33
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $251.20
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $504.93
  • BCBS — BCBS Medicare: $251.20
  • BCBS Workers Compensation — BCBS Workers Compensation: $452.16
  • Care Source — Care Source Exchange - QHP: $364.24
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $504.93
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $504.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD AND PEL W CONTRAST $5,307.25 $367 $367.30 – $5,307.25
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates
  • Aetna — Aetna Commercial: $650
  • Aetna — Aetna Medicare: $367.30
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $712.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $367.30
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $632.46
  • BCBS — BCBS Medicare: $367.30
  • BCBS Workers Compensation — BCBS Workers Compensation: $661.14
  • Care Source — Care Source Exchange - QHP: $532.59
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $632.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $632.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ENTEROGRAPHY $5,307.25 $367 $367.30 – $5,307.25
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $367.30
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $712.56
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $367.30
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $632.46
  • BCBS — BCBS Medicare: $367.30
  • BCBS Workers Compensation — BCBS Workers Compensation: $661.14
  • Care Source — Care Source Exchange - QHP: $532.59
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $632.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $632.46
  • Care Source — Care Source Medicare: $367.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $1,293.73 $110 $110.07 – $1,293.73
Ultrasound of the abdomen, complete: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $274.05
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $274.05
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $274.05
  • Care Source — Care Source Medicare: $110.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG > 14 WKS SINGLE $1,054.94 $110 $110.07 – $1,054.94
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $263.41
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $263.41
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $263.41
  • Care Source — Care Source Medicare: $110.07
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $810 $110 $110.07 – $810
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $110.07
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $213.54
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $110.07
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $249.91
  • BCBS — BCBS Medicare: $110.07
  • BCBS Workers Compensation — BCBS Workers Compensation: $198.13
  • Care Source — Care Source Exchange - QHP: $159.60
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $249.91
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $249.91
  • Care Source — Care Source Medicare: $110.07
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM IMPLANT DIAG LT $690 $79 $79.74 – $690
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $79.74
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $154.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $79.74
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $255.68
  • BCBS — BCBS Medicare: $79.74
  • BCBS Workers Compensation — BCBS Workers Compensation: $143.53
  • Care Source — Care Source Exchange - QHP: $115.62
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $255.68
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $255.68
  • Care Source — Care Source Medicare: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM UNI DIAG MAMMO LT $690 $79 $79.74 – $690
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $79.74
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $154.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $79.74
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $255.68
  • BCBS — BCBS Medicare: $79.74
  • BCBS Workers Compensation — BCBS Workers Compensation: $143.53
  • Care Source — Care Source Exchange - QHP: $115.62
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $255.68
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $255.68
  • Care Source — Care Source Medicare: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM UNI DIAG MAMMO RT $690 $79 $79.74 – $690
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna Medicare: $79.74
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $154.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $79.74
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $255.68
  • BCBS — BCBS Medicare: $79.74
  • BCBS Workers Compensation — BCBS Workers Compensation: $143.53
  • Care Source — Care Source Exchange - QHP: $115.62
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $255.68
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $255.68
  • Care Source — Care Source Medicare: $79.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM BIL DIAG MAMMO $860 $102 $102.19 – $860
Diagnostic mammogram, both breasts: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $102.19
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $198.25
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $102.19
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $327.17
  • BCBS — BCBS Medicare: $102.19
  • BCBS Workers Compensation — BCBS Workers Compensation: $183.94
  • Care Source — Care Source Exchange - QHP: $148.18
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $327.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $327.17
  • Care Source — Care Source Medicare: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM IMPLANT BIL DIAG $860 $102 $102.19 – $860
Diagnostic mammogram, both breasts: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $102.19
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $198.25
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $102.19
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $327.17
  • BCBS — BCBS Medicare: $102.19
  • BCBS Workers Compensation — BCBS Workers Compensation: $183.94
  • Care Source — Care Source Exchange - QHP: $148.18
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $327.17
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $327.17
  • Care Source — Care Source Medicare: $102.19
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM BIL SCRN MAMMO $860 $84 $84.38 – $860
Screening mammogram, both breasts: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $84.38
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $163.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $84.38
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $270.19
  • BCBS — BCBS Medicare: $84.38
  • BCBS Workers Compensation — BCBS Workers Compensation: $151.88
  • Care Source — Care Source Exchange - QHP: $122.35
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $270.19
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $270.19
  • Care Source — Care Source Medicare: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM IMPLANT UNIL SCRN RT $690 $84 $84.38 – $860
Screening mammogram, both breasts: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $84.38
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $163.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $84.38
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $270.19
  • BCBS — BCBS Medicare: $84.38
  • BCBS Workers Compensation — BCBS Workers Compensation: $151.88
  • Care Source — Care Source Exchange - QHP: $122.35
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $270.19
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $270.19
  • Care Source — Care Source Medicare: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM IMPLANT BIL SCRN $860 $84 $84.38 – $860
Screening mammogram, both breasts: 10 of 36 insurance plan rates
  • Aetna — Aetna Medicare: $84.38
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $163.70
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $84.38
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $270.19
  • BCBS — BCBS Medicare: $84.38
  • BCBS Workers Compensation — BCBS Workers Compensation: $151.88
  • Care Source — Care Source Exchange - QHP: $122.35
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $270.19
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $270.19
  • Care Source — Care Source Medicare: $84.38

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: L HRT CATH WVENTRCLGRPHY $12,272 $3,413 $3,413.18 – $12,272
Left heart catheterization (diagnostic): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $3,413.18
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $6,621.57
  • BCBS — BCBS Commercial HMO: $4,887
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $4,251
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $3,571
  • BCBS — BCBS Commercial PPO: $4,251
  • BCBS — BCBS Commercial Traditional: $4,646
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3,413.18
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $8,683.74
  • BCBS — BCBS Medicare: $3,413.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRPHY GLOBAL $3,830 $904 $156.60 – $3,830
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $904.10
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,753.95
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $904.10
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3,559.88
  • BCBS — BCBS Medicare: $904.10
  • BCBS Workers Compensation — BCBS Workers Compensation: $1,627.38
  • Care Source — Care Source Exchange - QHP: $1,310.95
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3,559.88
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3,559.88
  • Care Source — Care Source Medicare: $904.10
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRPHY, SLP STGING W4 PROF $522 $904 $156.60 – $3,830
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $522
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $522
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $522
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $522
  • BCBS — BCBS Medicare: $522
  • BCBS Workers Compensation — BCBS Workers Compensation: $522
  • Care Source — Care Source Exchange - QHP: $522
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $522
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $522
  • Care Source — Care Source Medicare: $522
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRPHY,ANTHEM $3,308 $904 $156.60 – $3,830
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $904.10
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,753.95
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $904.10
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $3,308
  • BCBS — BCBS Medicare: $904.10
  • BCBS Workers Compensation — BCBS Workers Compensation: $1,627.38
  • Care Source — Care Source Exchange - QHP: $1,310.95
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $3,308
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $3,308
  • Care Source — Care Source Medicare: $904.10

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXERCISES EA 15 $172.97 $27 $27.89 – $172.97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $27.89
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $54.11
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $27.89
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $172.97
  • BCBS — BCBS Medicare: $27.89
  • BCBS Workers Compensation — BCBS Workers Compensation: $50.20
  • Care Source — Care Source Exchange - QHP: $40.44
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $172.97
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $172.97
  • Care Source — Care Source Medicare: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXERCISES OTA COMPLEX EA 15 $172.97 $27 $27.89 – $172.97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $27.89
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $54.11
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $27.89
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $172.97
  • BCBS — BCBS Medicare: $27.89
  • BCBS Workers Compensation — BCBS Workers Compensation: $50.20
  • Care Source — Care Source Exchange - QHP: $40.44
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $172.97
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $172.97
  • Care Source — Care Source Medicare: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT EXERCISE PTA COMPLEX EA 15 $172.97 $27 $27.89 – $172.97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $27.89
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $54.11
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $27.89
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $172.97
  • BCBS — BCBS Medicare: $27.89
  • BCBS Workers Compensation — BCBS Workers Compensation: $50.20
  • Care Source — Care Source Exchange - QHP: $40.44
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $172.97
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $172.97
  • Care Source — Care Source Medicare: $27.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL - SIMPLE $510 $94 $94.33 – $510
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $94.33
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $183
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $94.33
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $186.46
  • BCBS — BCBS Medicare: $94.33
  • BCBS Workers Compensation — BCBS Workers Compensation: $169.79
  • Care Source — Care Source Exchange - QHP: $136.78
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $186.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $186.46
  • Care Source — Care Source Medicare: $94.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL - INTERMEDIATE $681.70 $94 $94.34 – $681.70
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $94.34
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $183.02
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $94.34
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $186.46
  • BCBS — BCBS Medicare: $94.34
  • BCBS Workers Compensation — BCBS Workers Compensation: $169.81
  • Care Source — Care Source Exchange - QHP: $136.79
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $186.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $186.46
  • Care Source — Care Source Medicare: $94.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL - EXTENDED $853.41 $94 $94.35 – $853.41
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna — Aetna Medicare: $94.35
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $183.04
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $94.35
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $186.46
  • BCBS — BCBS Medicare: $94.35
  • BCBS Workers Compensation — BCBS Workers Compensation: $169.83
  • Care Source — Care Source Exchange - QHP: $136.81
  • Care Source — Care Source Medicaid - Healthy Indiana Plan - HIP: $186.46
  • Care Source — Care Source Medicaid - Hoosier Healthwise: $186.46
  • Care Source — Care Source Medicare: $94.35

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion $46,328.10 $4,122 $1,905.42 – $46,328.10
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $4,122.26
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $7,997.18
  • BCBS — BCBS Commercial HMO: $4,887
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $4,251
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $3,571
  • BCBS — BCBS Commercial PPO: $4,251
  • BCBS — BCBS Commercial Traditional: $4,646
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $4,122.26
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $1,905.42
  • BCBS — BCBS Medicare: $4,122.26
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD - FLEXIBLE TRANSORAL - 43235 - 1420006 $808 $954 $242.40 – $808
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $808
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $808
  • BCBS — BCBS Commercial HMO: $808
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $808
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $808
  • BCBS — BCBS Commercial PPO: $808
  • BCBS — BCBS Commercial Traditional: $808
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $808
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $808
  • BCBS — BCBS Medicare: $808
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD - FLEX TR ORAL WBIOPSY $937 $954 $281.10 – $937
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $937
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $937
  • BCBS — BCBS Commercial HMO: $937
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $937
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $937
  • BCBS — BCBS Commercial PPO: $937
  • BCBS — BCBS Commercial Traditional: $937
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $937
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $937
  • BCBS — BCBS Medicare: $937
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLX DX WCOLL SPEC $3,368.68 $979 $979.08 – $3,368.68
Colonoscopy (diagnostic): 10 of 39 insurance plan rates
  • Aetna — Aetna Medicare: $979.08
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,899.42
  • BCBS — BCBS Commercial HMO: $2,406
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,094
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $1,759
  • BCBS — BCBS Commercial PPO: $2,094
  • BCBS — BCBS Commercial Traditional: $2,287
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $979.08
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2,273.62
  • BCBS — BCBS Medicare: $979.08
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy $2,495.41 $1,259 $748.62 – $2,495.41
Colonoscopy with biopsy: 10 of 39 insurance plan rates
  • Aetna — Aetna Medicare: $1,259.85
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $2,444.11
  • BCBS — BCBS Commercial HMO: $2,495.41
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,495.41
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $2,495.41
  • BCBS — BCBS Commercial PPO: $2,495.41
  • BCBS — BCBS Commercial Traditional: $2,495.41
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $1,259.85
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2,495.41
  • BCBS — BCBS Medicare: $1,259.85
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy $13,365.02 $6,364 $4,009.51 – $13,365.02
Gallbladder removal by laparoscope: 10 of 38 insurance plan rates
  • Aetna — Aetna Medicare: $6,364.88
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $12,347.87
  • BCBS — BCBS Commercial HMO: $6,146
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $5,347
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $4,491
  • BCBS — BCBS Commercial PPO: $5,347
  • BCBS — BCBS Commercial Traditional: $5,586
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $6,364.88
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $4,211.34
  • BCBS — BCBS Medicare: $6,364.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp ihern init reduc >5 yr $9,416.67 $3,769 $2,273.62 – $9,416.67
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — Aetna Medicare: $3,769.53
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $7,312.89
  • BCBS — BCBS Commercial HMO: $4,887
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $4,251
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $3,571
  • BCBS — BCBS Commercial PPO: $4,251
  • BCBS — BCBS Commercial Traditional: $4,646
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $3,769.53
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $2,273.62
  • BCBS — BCBS Medicare: $3,769.53
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY PROSTATE $2,904.51 $2,111 $871.35 – $2,904.51
Prostate biopsy: 10 of 31 insurance plan rates
  • Aetna — Aetna Medicare: $2,111
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $2,904.51
  • BCBS — BCBS Commercial HMO: $2,904.51
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,904.51
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $2,781
  • BCBS — BCBS Commercial PPO: $2,904.51
  • BCBS — BCBS Commercial Traditional: $2,904.51
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $2,111
  • BCBS — BCBS Medicare: $2,111
  • BCBS Workers Compensation — BCBS Workers Compensation: $2,904.51
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US PERCU PROSTATE BIOPSY $2,904.51 $2,111 $871.35 – $2,904.51
Prostate biopsy: 10 of 31 insurance plan rates
  • Aetna — Aetna Medicare: $2,111
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $2,904.51
  • BCBS — BCBS Commercial HMO: $2,904.51
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,904.51
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $2,781
  • BCBS — BCBS Commercial PPO: $2,904.51
  • BCBS — BCBS Commercial Traditional: $2,904.51
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $2,111
  • BCBS — BCBS Medicare: $2,111
  • BCBS Workers Compensation — BCBS Workers Compensation: $2,904.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ SPINE LS WFL $3,221.70 $743 $743.16 – $3,221.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates
  • Aetna — Aetna Medicare: $743.16
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,441.73
  • BCBS — BCBS Commercial HMO: $2,406
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,094
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $1,759
  • BCBS — BCBS Commercial PPO: $2,094
  • BCBS — BCBS Commercial Traditional: $2,287
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $743.16
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $1,905.42
  • BCBS — BCBS Medicare: $743.16
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ AASTRD LUMBARSACRAL ADDL - 64483 - 13064483 $4,260.90 $931 $931.19 – $4,260.90
Nerve root injection, lower back, with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Aetna Medicare: $931.19
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $1,806.51
  • BCBS — BCBS Commercial HMO: $2,406
  • BCBS — BCBS Commercial Insurance Off Exchange Pathway: $2,094
  • BCBS — BCBS Commercial Insurance On Exchange Pathway: $1,759
  • BCBS — BCBS Commercial PPO: $2,094
  • BCBS — BCBS Commercial Traditional: $2,287
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $931.19
  • BCBS — BCBS Medicaid - Hoosier Healthwise: $1,242.31
  • BCBS — BCBS Medicare: $931.19

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $74,942 $48,150 – $149,884.12
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $74,942.10
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $145,387.60
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $74,942.06
  • BCBS — BCBS Medicare: $74,942.10
  • BCBS Workers Compensation — BCBS Workers Compensation: $134,895.71
  • Care Source — Care Source Exchange - QHP: $108,665.99
  • Care Source — Care Source Medicare: $74,942.10
  • Corvel Workers Compensation — Corvel Workers Compensation: $130,399.18
  • Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus Medicare: $97,424.73
  • Encore Health Network Workers Compensation — Encore Health Network Workers Compensation: $146,886.44
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $15,073 $7,650 – $50,885.71
Hip or knee replacement (major joint of the leg), without major complications: 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $15,073.70
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $29,243.06
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $15,073.74
  • BCBS — BCBS Medicare: $15,073.70
  • BCBS Workers Compensation — BCBS Workers Compensation: $27,132.73
  • Care Source — Care Source Exchange - QHP: $21,856.92
  • Care Source — Care Source Medicare: $15,073.70
  • Corvel Workers Compensation — Corvel Workers Compensation: $26,228.31
  • Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus Medicare: $19,595.81
  • Encore Health Network Workers Compensation — Encore Health Network Workers Compensation: $29,544.53
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC Not listed in the file $18,979 $7,200 – $37,959.28
Neck (cervical) spinal fusion, without complications: 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $18,979.60
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $36,820.50
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $18,979.64
  • BCBS — BCBS Medicare: $18,979.60
  • BCBS Workers Compensation — BCBS Workers Compensation: $34,163.35
  • Care Source — Care Source Exchange - QHP: $27,520.48
  • Care Source — Care Source Medicare: $18,979.60
  • Corvel Workers Compensation — Corvel Workers Compensation: $33,024.57
  • Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus Medicare: $24,673.48
  • Encore Health Network Workers Compensation — Encore Health Network Workers Compensation: $37,200.09
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC Not listed in the file $9,827 $6,750 – $19,655.54
Uterus and ovary surgery (not for cancer), without complications: 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $9,827.77
  • Americas Choice Provider Network ACPN — Americas Choice Provider Network ACPN Workers Compensation: $19,065.87
  • BCBS — BCBS Medicaid - Healthy Indiana Plan - HIP: $9,827.77
  • BCBS — BCBS Medicare: $9,827.77
  • BCBS Workers Compensation — BCBS Workers Compensation: $17,689.99
  • Care Source — Care Source Exchange - QHP: $14,250.27
  • Care Source — Care Source Medicare: $9,827.77
  • Corvel Workers Compensation — Corvel Workers Compensation: $17,100.32
  • Employer Direct Healthcare — Employer Direct Healthcare Surgery Plus Medicare: $12,776.10
  • Encore Health Network Workers Compensation — Encore Health Network Workers Compensation: $19,262.43

Source: Monroe Hospital’s standard charges file (monroehospital.com, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on March 17, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as 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
Address4011 S Monroe Medical Park Blvd, Bloomington, IN 47403
CountyMonroe County
StateIndiana
Phone(812) 825‑1111
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
CMS Certification Number150183
Name in Medicare recordsMONROE HOSPITAL
Profile levelMedicare data + hospital website
Official websitemonroehospital.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Monroe Hospital — monroehospital.com
  2. ER Bloomington – Monroe Hospital Emergency Room — monroehospital.com
  3. Diagnostic Imaging - Monroe Hospital — monroehospital.com
  4. MED/SURG ICU - Monroe Hospital — monroehospital.com
  5. Wound Care & Hyperbaric Oxygen Therapy in Bloomington — monroehospital.com
  6. Surgery - Monroe Hospital — monroehospital.com
  7. Cardiovascular Testing - Monroe Hospital — monroehospital.com
  8. Interventional Radiology - Monroe Hospital — monroehospital.com
  9. Orthopedics & Podiatry - Monroe Hospital — monroehospital.com
  10. Rehabilitation - Monroe Hospital — monroehospital.com
  11. Laboratory - Monroe Hospital — monroehospital.com
  12. Awards & Recognition — monroehospital.com
  13. Stroke Recovery: Navigating Life and Finding Hope - Monroe Hospital — monroehospital.com