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Acute Care Hospital

Pinnacle Hospital

Crown Point, Indiana · Lake County

  • 9301 Connecticut Dr, Crown Point, IN 46307 · Directions
  • (219) 756‑2100
  • Emergency room: not listed
  • Medicare overall rating: not rated
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): no · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Physician

Pinnacle Hospital is an acute care hospital at 9301 Connecticut Dr, Crown Point, IN 46307. Phone: (219) 756-2100. Medicare data does not list an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Pinnacle Hospital is an acute care hospital in Crown Point, Indiana. Medicare data does not list emergency services. Its official website lists 24 services, specialties and programs. Medicare lists 61 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

Call(219) 756‑2100 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). 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

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
61Doctors and clinicians
24Services listed

Quick answers

Does Pinnacle Hospital have an emergency room?
Medicare (CMS) data does not list emergency services at Pinnacle Hospital. The closest hospitals that do: UChicago Medicine Northwest Indiana (0.0 mi), Franciscan Health Crown Point (2.1 mi) and Regional Mental Health Center (4.7 mi). In a medical emergency, call 911.
Where is Pinnacle Hospital?
9301 Connecticut Dr, Crown Point, IN 46307, in Lake County, Indiana.
What is the phone number of Pinnacle Hospital?
(219) 756-2100, as listed by Medicare (CMS).
What is the Medicare star rating of Pinnacle Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to Pinnacle Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Pinnacle Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7732; 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).

Conditions treated[4]

  • Cold and flu symptoms
  • Respiratory infections
  • Asthma
  • Sore throat
  • Ear pain
  • Gastrointestinal illness
  • Skin rashes
  • Allergies
  • Minor injuries (cuts, sprains, broken bones)
  • Bronchitis
  • Headache
  • Back pain

Procedures[4]

Programs and centers[4]

  • Urgent Care (Mon-Sat 11am-7pm)

Recognition[4]

  • Physician-owned hospital

Doctors and clinicians (61)

61 doctors and other clinicians list Pinnacle 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 (61)

And 37 more: the button below opens the full list.

Nearest emergency rooms

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

Find the closest emergency room to where you are →

Other hospitals near Crown Point

All hospitals in Crown Point · Hospitals in Lake 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 Pinnacle 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.

Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well87%National average: 80%
Doctors “always” communicated well79%National average: 80%
“Always” got help as soon as they wanted78%National average: 64%
Staff “always” explained medicines before giving them67%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean82%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys97Response rate: 32%

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.

Serious complications (patient safety indicator PSI-90)0.88No different from the national rate
Complications after hip or knee replacement4.1%
Not reported to MedicareDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2023 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)16%
Readmitted within 30 days: hip or knee replacement5.6%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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)
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareAverage (median) time patients spent in the emergency room before leaving (OP-18b); Sepsis patients who got all the recommended early care (SEP-1)

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 Pinnacle 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-0.7732Lower 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).

Hip or knee replacement0.8787Fewer readmissions than expected
No result publishedHeart attack; Heart failure; Pneumonia; COPD (chronic lung disease); 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.

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, ratio1.06Above the national median hospital (1.00): Medicare spent more

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

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

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

ER wait times in Crown PointBest hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 36 common services exactly as Pinnacle 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 36 common services

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT-HEAD W/O $2,467.63 Not listed in the file $56.64 – $2,467.63
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna — Medicare: $106.81
  • Aetna — PPO: $137.78
  • Anthem — Medicaid: $63.61
  • Anthem — Medicare: $106.81
  • Anthem — PPO: $1,077
  • Caresource — Marketplace: $311.80
  • Cigna — PPO: $680
  • MHS — Allwell Medicare: $106.81
  • MHS — Ambetter: $119.97
  • MHS — Medicaid: $63.61
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W W/O $9,573.14 Not listed in the file $125.71 – $9,573.14
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — Medicare: $357.13
  • Aetna — PPO: $125.71
  • Anthem — Medicaid: $193.88
  • Anthem — Medicare: $357.13
  • Anthem — PPO: $1,853
  • Caresource — Marketplace: $487.71
  • Cigna — PPO: $905
  • MHS — Allwell Medicare: $357.13
  • MHS — Ambetter: $482.89
  • MHS — Medicaid: $193.88
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR-CHEST 2 VWS, PA, LAT $832.22 Not listed in the file $32.12 – $832.22
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna — Medicare: $88.91
  • Aetna — PPO: $114.69
  • Anthem — Medicaid: $69.76
  • Anthem — Medicare: $88.91
  • Anthem — PPO: $72.45
  • Caresource — Marketplace: $154.70
  • Cigna — PPO: $274.63
  • MHS — Allwell Medicare: $88.91
  • MHS — Ambetter: $215.97
  • MHS — Medicaid: $69.76
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR-SPINE,LUMBAR, 4VWS MIN $1,502.95 Not listed in the file $23.45 – $1,502.95
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • Aetna — Medicare: $106.81
  • Aetna — PPO: $137.78
  • Anthem — Medicaid: $26.33
  • Anthem — Medicare: $106.81
  • Anthem — PPO: $91.46
  • Caresource — Marketplace: $40.33
  • Cigna — PPO: $495.97
  • MHS — Allwell Medicare: $106.81
  • MHS — Ambetter: $94.98
  • MHS — Medicaid: $26.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L-SPINE W/O $7,011.86 Not listed in the file $85.09 – $7,011.86
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — Medicare: $241.72
  • Aetna — PPO: $85.09
  • Anthem — Medicaid: $208.99
  • Anthem — Medicare: $241.72
  • Anthem — PPO: $1,853
  • Caresource — Marketplace: $415.76
  • Cigna — PPO: $905
  • MHS — Allwell Medicare: $241.72
  • MHS — Ambetter: $286.30
  • MHS — Medicaid: $117.33
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT-PELVIS, W/CONT $3,520.89 Not listed in the file $138.44 – $3,520.89
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare: $179.20
  • Aetna — PPO: $231.16
  • Anthem — Medicare: $179.20
  • Anthem — PPO: $1,077
  • Caresource — Marketplace: $185.84
  • Cigna — PPO: $680
  • MHS — Allwell Medicare: $179.20
  • MHS — Ambetter: $138.44
  • United Healthcare — Medicare: $179.20
  • United Healthcare — PPO: $250.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MR LOWER EXTREMITY $5,282.34 Not listed in the file $85.09 – $5,282.34
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Medicare: $241.72
  • Aetna — PPO: $85.09
  • Anthem — Medicaid: $129.47
  • Anthem — Medicare: $241.72
  • Anthem — PPO: $1,853
  • Caresource — Marketplace: $415.16
  • Cigna — PPO: $905
  • MHS — Allwell Medicare: $241.72
  • MHS — Ambetter: $286.30
  • MHS — Medicaid: $129.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LT HIP WO $5,282.34 Not listed in the file $85.09 – $5,282.34
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Medicare: $241.72
  • Aetna — PPO: $85.09
  • Anthem — Medicaid: $129.47
  • Anthem — Medicare: $241.72
  • Anthem — PPO: $1,853
  • Caresource — Marketplace: $415.76
  • Cigna — PPO: $905
  • MHS — Allwell Medicare: $241.72
  • MHS — Ambetter: $286.30
  • MHS — Medicaid: $129.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LT KNEE WO $5,282.34 Not listed in the file $85.09 – $5,282.34
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Medicare: $241.72
  • Aetna — PPO: $85.09
  • Anthem — Medicaid: $129.47
  • Anthem — Medicare: $241.72
  • Anthem — PPO: $1,853
  • Caresource — Marketplace: $415.76
  • Cigna — PPO: $905
  • MHS — Allwell Medicare: $241.72
  • MHS — Ambetter: $286.30
  • MHS — Medicaid: $129.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN PELVIS W $6,143.43 Not listed in the file $162.17 – $6,143.43
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — Medicare: $356.43
  • Aetna — PPO: $459.79
  • Anthem — Medicaid: $182.12
  • Anthem — Medicare: $356.43
  • Anthem — PPO: $1,077
  • Caresource — Marketplace: $185.84
  • Cigna — PPO: $680
  • MHS — Allwell Medicare: $356.43
  • MHS — Ambetter: $375.42
  • MHS — Medicaid: $182.12
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US-ABDOMINAL COMPLETE $1,502.95 Not listed in the file $30.99 – $1,502.95
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Medicare: $106.34
  • Aetna — PPO: $30.99
  • Anthem — Medicaid: $70.27
  • Anthem — Medicare: $106.34
  • Anthem — PPO: $249.91
  • Caresource — Marketplace: $182.90
  • Cigna — PPO: $495.97
  • MHS — Allwell Medicare: $106.34
  • MHS — Ambetter: $134.80
  • MHS — Medicaid: $70.27
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US-TRANSVAGINAL $1,502.95 Not listed in the file $37.43 – $1,502.95
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Aetna — Medicare: $106.34
  • Aetna — PPO: $37.43
  • Anthem — Medicaid: $64.08
  • Anthem — Medicare: $106.34
  • Anthem — PPO: $216.10
  • Caresource — Marketplace: $182.90
  • Cigna — PPO: $495.97
  • MHS — Allwell Medicare: $106.34
  • MHS — Ambetter: $134.80
  • MHS — Medicaid: $64.08
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMOGRAM DIAGNOSTIC $640.10 Not listed in the file $65.56 – $640.10
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Anthem — Medicaid: $65.56
  • MHS — Medicaid: $65.56
  • United Healthcare — Medicaid: $65.56
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMOGRAM DIAGNOSTIC DIGITAL $820.16 Not listed in the file $83.89 – $820.16
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Anthem — Medicaid: $83.89
  • MHS — Medicaid: $83.89
  • United Healthcare — Medicaid: $83.89
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAM SCREENING $676.61 Not listed in the file $69.28 – $676.61
Screening mammogram, both breasts: rates for 4 insurance plans
  • Anthem — Medicaid: $69.28
  • Anthem — PPO: $159
  • MHS — Medicaid: $69.28
  • United Healthcare — Medicaid: $69.28

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY $29,249.82 Not listed in the file $2,472 – $29,249.82
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Medicare: $3,312.15
  • Aetna — PPO: $2,472
  • Anthem — Medicaid: $2,500.47
  • Anthem — Medicare: $3,312.15
  • Anthem — PPO: $6,510
  • Caresource — Marketplace: $5,763.14
  • Cigna — PPO: $2,500
  • MHS — Allwell Medicare: $3,312.15
  • MHS — Ambetter: $2,575.33
  • MHS — Medicaid: $2,500.47

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE-15 MINS $310.38 Not listed in the file $310.38
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEXITY $256.54 Not listed in the file $256.54 – $512.48
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • United Healthcare — PPO: $512.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PHYS THERAPY EVAL MODERATE $283.67 Not listed in the file $283.67 – $1,133.75
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • United Healthcare — PPO: $1,133.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT Eval High Complexity $312.05 Not listed in the file $312.05 – $512.48
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • United Healthcare — PPO: $512.48

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXC LESION BREAST OPEN $32,152.94 Not listed in the file $548.66 – $32,152.94
Removal of breast growth (open surgery): 10 of 14 insurance plan rates
  • Aetna — Medicare: $4,000.24
  • Aetna — PPO: $1,123
  • Anthem — Medicaid: $548.66
  • Anthem — Medicare: $4,000.24
  • Anthem — PPO: $6,510
  • Caresource — Marketplace: $6,960.42
  • Cigna — PPO: $646
  • MHS — Allwell Medicare: $4,000.24
  • MHS — Ambetter: $2,166.79
  • MHS — Medicaid: $548.66
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP REPLACE $87,778.74 Not listed in the file $1,494 – $87,778.74
Total hip replacement: 10 of 13 insurance plan rates
  • Aetna — Medicare: $13,116.76
  • Aetna — PPO: $1,494
  • Anthem — Medicaid: $7,516.46
  • Anthem — Medicare: $13,116.76
  • Anthem — PPO: $10,136
  • Caresource — Marketplace: $22,823.16
  • Cigna — PPO: $798
  • MHS — Allwell Medicare: $13,116.76
  • MHS — Medicaid: $7,516.46
  • United Healthcare — Medicaid: $7,516.46
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE REPLACE $87,778.74 Not listed in the file $1,494 – $87,778.74
Total knee replacement: 10 of 13 insurance plan rates
  • Aetna — Medicare: $13,116.76
  • Aetna — PPO: $1,494
  • Anthem — Medicaid: $7,516.46
  • Anthem — Medicare: $13,116.76
  • Anthem — PPO: $11,261
  • Caresource — Marketplace: $22,823.16
  • Cigna — PPO: $798
  • MHS — Allwell Medicare: $13,116.76
  • MHS — Medicaid: $7,516.46
  • United Healthcare — Medicaid: $7,516.46
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHLD ARTHROSCOPY DECOMPRESS $27,704.14 Not listed in the file $120.55 – $27,704.14
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Aetna — PPO: $1,123
  • Anthem — Medicaid: $548.66
  • Cigna — PPO: $646
  • MHS — Medicaid: $548.66
  • United Healthcare — Medicaid: $548.66
  • United Healthcare — PPO: $120.55
  • United Healthcare — UMR: $120.55
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY W/MENISECTOMY $29,953.06 Not listed in the file $654.69 – $29,953.06
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates
  • Aetna — Medicare: $3,342.87
  • Aetna — PPO: $1,391
  • Anthem — Medicaid: $654.69
  • Anthem — Medicare: $3,342.87
  • Anthem — PPO: $6,510
  • Caresource — Marketplace: $5,816.60
  • Cigna — PPO: $798
  • MHS — Allwell Medicare: $3,342.87
  • MHS — Ambetter: $2,150.73
  • MHS — Medicaid: $654.69
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVAL TONSILS AND ADENOIDS $50,515.44 Not listed in the file $898.87 – $50,515.44
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
  • Aetna — Medicare: $6,048.05
  • Aetna — PPO: $1,123
  • Anthem — Medicaid: $898.87
  • Anthem — Medicare: $6,048.05
  • Anthem — PPO: $9,144
  • Caresource — Marketplace: $10,523.61
  • Cigna — PPO: $646
  • MHS — Allwell Medicare: $6,048.05
  • MHS — Ambetter: $1,945.43
  • MHS — Medicaid: $898.87
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: ESOPHAGOGASTRODUODE $8,695.33 Not listed in the file $635.70 – $8,695.33
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Medicare: $926.63
  • Aetna — PPO: $824
  • Anthem — Medicaid: $654.69
  • Anthem — Medicare: $926.63
  • Anthem — PPO: $2,815
  • Caresource — Marketplace: $1,612.34
  • Cigna — PPO: $422
  • MHS — Allwell Medicare: $926.63
  • MHS — Ambetter: $745.31
  • MHS — Medicaid: $654.69
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: UPPER GI ENDOSCOPY W/BIOPSY $8,695.33 Not listed in the file $635.70 – $8,695.33
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
  • Aetna — Medicare: $926.63
  • Aetna — PPO: $927
  • Anthem — Medicaid: $654.69
  • Anthem — Medicare: $926.63
  • Anthem — PPO: $2,815
  • Caresource — Marketplace: $1,612.34
  • Cigna — PPO: $565
  • MHS — Allwell Medicare: $926.63
  • MHS — Ambetter: $745.31
  • MHS — Medicaid: $654.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY, DIAGNOSTIC $8,505.09 Not listed in the file $635.70 – $8,505.09
Colonoscopy (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Medicare: $950.10
  • Aetna — PPO: $927
  • Anthem — Medicaid: $654.69
  • Anthem — Medicare: $950.10
  • Anthem — PPO: $2,815
  • Caresource — Marketplace: $2,127.25
  • Cigna — PPO: $565
  • MHS — Allwell Medicare: $950.10
  • MHS — Ambetter: $789.55
  • MHS — Medicaid: $654.69
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY WITH BIOPSY $11,187.16 Not listed in the file $635.70 – $11,187.16
Colonoscopy with biopsy: 10 of 14 insurance plan rates
  • Aetna — Medicare: $1,222.56
  • Aetna — PPO: $927
  • Anthem — Medicaid: $898.87
  • Anthem — Medicare: $1,222.56
  • Anthem — PPO: $4,139
  • Caresource — Marketplace: $2,127.25
  • Cigna — PPO: $565
  • MHS — Allwell Medicare: $1,222.56
  • MHS — Ambetter: $789.55
  • MHS — Medicaid: $898.87
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/REMOVAL SNARE $11,187.16 Not listed in the file $635.70 – $11,187.16
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates
  • Aetna — Medicare: $1,222.56
  • Aetna — PPO: $927
  • Anthem — Medicaid: $898.87
  • Anthem — Medicare: $1,222.56
  • Anthem — PPO: $4,139
  • Caresource — Marketplace: $2,127.25
  • Cigna — PPO: $565
  • MHS — Allwell Medicare: $1,222.56
  • MHS — Ambetter: $789.55
  • MHS — Medicaid: $898.87
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAP CHOLECYSTECTOMY $52,474.98 Not listed in the file $1,212.65 – $52,474.98
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates
  • Aetna — Medicare: $6,176.47
  • Aetna — PPO: $1,854
  • Anthem — Medicaid: $1,212.65
  • Anthem — Medicare: $6,176.47
  • Anthem — PPO: $8,333
  • Caresource — Marketplace: $10,731.39
  • Cigna — PPO: $1,697
  • MHS — Allwell Medicare: $6,176.47
  • MHS — Ambetter: $3,777.92
  • MHS — Medicaid: $1,212.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPAIR INT HERNIA >5 YEAR OLD $33,652.22 Not listed in the file $654.69 – $33,652.22
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates
  • Aetna — Medicare: $3,657.95
  • Aetna — PPO: $1,391
  • Anthem — Medicaid: $654.69
  • Anthem — Medicare: $3,657.95
  • Anthem — PPO: $6,510
  • Caresource — Marketplace: $6,364.83
  • Cigna — PPO: $798
  • MHS — Allwell Medicare: $3,657.95
  • MHS — Ambetter: $2,674.38
  • MHS — Medicaid: $654.69
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE $19,864.30 Not listed in the file $635.70 – $19,864.30
Prostate biopsy: rates for 6 insurance plans
  • Aetna — PPO: $927
  • Anthem — PPO: $4,139
  • Cigna — PPO: $565
  • MHS — Ambetter: $1,461.73
  • United Healthcare — PPO: $635.70
  • United Healthcare — UMR: $635.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY W/BIOPSY $26,960.76 Not listed in the file $548.66 – $26,960.76
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates
  • Aetna — Medicare: $3,307.24
  • Aetna — PPO: $1,123
  • Anthem — Medicaid: $548.66
  • Anthem — Medicare: $3,307.24
  • Anthem — PPO: $4,139
  • Caresource — Marketplace: $5,754.60
  • Cigna — PPO: $646
  • MHS — Allwell Medicare: $3,307.24
  • MHS — Ambetter: $1,845.47
  • MHS — Medicaid: $548.66
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LUMBAR/SACRAL $6,837.16 Not listed in the file $425.51 – $6,837.16
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Medicare: $721.17
  • Aetna — PPO: $824
  • Anthem — Medicaid: $548.66
  • Anthem — Medicare: $721.17
  • Anthem — PPO: $2,815
  • Caresource — Marketplace: $1,254.84
  • MHS — Allwell Medicare: $721.17
  • MHS — Medicaid: $548.66
  • United Healthcare — Medicaid: $548.66
  • United Healthcare — Medicare: $721.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: INJECT TRANS LUMBAR/SACRAL $8,732.88 Not listed in the file $357.72 – $8,732.88
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Medicare: $903.64
  • Aetna — PPO: $824
  • Anthem — Medicaid: $357.72
  • Anthem — Medicare: $903.64
  • Anthem — PPO: $2,815
  • Caresource — Marketplace: $1,572.30
  • Cigna — PPO: $422
  • MHS — Allwell Medicare: $903.64
  • MHS — Ambetter: $671.80
  • MHS — Medicaid: $357.72
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: NEURO/TRANSPOSE MEDIAN CARPAL $18,628.08 Not listed in the file $497.80 – $18,628.08
Carpal tunnel release: 10 of 14 insurance plan rates
  • Aetna — Medicare: $1,995.02
  • Aetna — PPO: $927
  • Anthem — Medicaid: $497.80
  • Anthem — Medicare: $1,995.02
  • Anthem — PPO: $4,139
  • Caresource — Marketplace: $3,471.33
  • Cigna — PPO: $565
  • MHS — Allwell Medicare: $1,995.02
  • MHS — Ambetter: $1,383.53
  • MHS — Medicaid: $497.80

Source: Pinnacle Hospital’s standard charges file (pinnaclehealthcare.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 9, 2026; retrieved November 5, 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
Address9301 Connecticut Dr, Crown Point, IN 46307
CountyLake County
StateIndiana
Phone(219) 756‑2100
Emergency servicesNot listed
OwnershipPhysician
Medicare overall ratingNot rated by CMS
CMS Certification Number150166
Name in Medicare recordsPINNACLE HOSPITAL
Profile levelMedicare data + hospital website
Official websitepinnaclehealthcare.net
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Urgent Care — pinnaclehealthcare.net