Does Unity Physicians Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at Unity Physicians Hospital. The closest hospitals that do: Saint Joseph Regional Medical Center (1.7 mi), Memorial Hospital of South Bend (4.0 mi) and Elkhart General Hospital (11 mi). In a medical emergency, call 911.

Where is Unity Physicians Hospital?

4455 Edison Lakes Pkwy, Mishawaka, IN 46545, in St. Joseph County, Indiana.

What is the phone number of Unity Physicians Hospital?

(574) 231-6800, as listed by Medicare (CMS).

What is the Medicare star rating of Unity Physicians 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 Unity Physicians Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Unity Physicians Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1896; 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).

Unity Physicians Hospital — Phone, Address & ER

Quick answers

Does Unity Physicians Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at Unity Physicians Hospital. The closest hospitals that do: Saint Joseph Regional Medical Center (1.7 mi), Memorial Hospital of South Bend (4.0 mi) and Elkhart General Hospital (11 mi). In a medical emergency, call 911.
Where is Unity Physicians Hospital?: 4455 Edison Lakes Pkwy, Mishawaka, IN 46545, in St. Joseph County, Indiana.
What is the phone number of Unity Physicians Hospital?: (574) 231-6800, as listed by Medicare (CMS).
What is the Medicare star rating of Unity Physicians 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 Unity Physicians Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Unity Physicians Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1896; 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^[5][6][8]

Diagnostic imaging / Radiology
Surgery
Hospital medicine (hospitalist)
Physical therapy
Occupational therapy

Treatments^[6][9]

Inpatient post-surgical care
Infusion services

Procedures^[8]

MRI
CT scan
Ultrasound
X-ray / Fluoroscopy
Portable digital X-ray

Programs and centers^[5][6][9]

Joint Camp
Surgical pre-admission screening

Visiting and practical information

Visiting	Visitors not allowed in PACU during recovery; may join patients once in their hospital room or ready for same-day discharge^[5]
Patient portal	MyChart

Recognition^[6]

Press Ganey Guardian of Excellence Award (patient satisfaction)

Doctors and clinicians (78)

78 doctors and other clinicians list Unity Physicians 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 (78)

Adam J. Cien, DOOrthopedic Surgery
Adelbert J. Mencias, MDHand Surgery
Ahmed Abdelhalim, MDInternal Medicine
Amanda L. Dehn, NPNurse Practitioner
Andrew J. Losiniecki, MDNeurosurgery
Ashfaq A. Turk, MDCardiovascular Disease (Cardiology)
Benjamin J. Haberly, PAPhysician Assistant
Bilal Ansari, MDMedical Oncology
Brad S. Sandler, DOPain Management
Brian Bearden, CNACertified Registered Nurse Anesthetist (CRNA)
Brian L. Ratigan, MDOrthopedic Surgery
Brian S. Schmutzler, MDAnesthesiology
Bronson I. Taylor, CNACertified Registered Nurse Anesthetist (CRNA)
Bruce H. Schwartz, MDOphthalmology
Cami J. Kistenfeger, PAPhysician Assistant
Chad W. Pitock, CNACertified Registered Nurse Anesthetist (CRNA)
Christopher M. RitcheyPhysician Assistant
Christopher R. Balint, MDOrthopedic Surgery
Dahan H. Al Fadhl, MDInternal Medicine
Dana G. Brackett, NPNurse Practitioner
David A. Hornback, MDRadiation Oncology
Deepak Reddy, MDOrthopedic Surgery
Eric Yoon, MDOphthalmology
Harsha Nagarajarao, MDCardiovascular Disease (Cardiology)

And 54 more: the button below opens the full list.

Nearest emergency rooms

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

Saint Joseph Regional Medical Center1.7 mi · Mishawaka, IN · Acute Care Hospital
Memorial Hospital of South Bend4.0 mi · South Bend, IN · Acute Care Hospital
Elkhart General Hospital11 mi · Elkhart, IN · Acute Care Hospital
Community Hospital of Bremen Inc17 mi · Bremen, IN · Critical Access Hospital
Beacon Dowagiac20 mi · Dowagiac, MI · Critical Access Hospital

Find the closest emergency room to where you are →

Other hospitals near Mishawaka

Rehabilitation Hospital of Northern Indiana, LLC0.3 mi · Mishawaka, IN · Inpatient Rehabilitation Hospital
Medical Behavioral Hospital - Mishawaka2.2 mi · Mishawaka, IN · Psychiatric Hospital

All hospitals in Mishawaka · Hospitals in St. Joseph 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

Brickyard Healthcare - Fountainview Care Center0.7 mi · Mishawaka, IN · 2 of 5 stars
Creekside Village0.8 mi · Mishawaka, IN · 4 of 5 stars
Belltower Health & Rehabilitation Center1.2 mi · Granger, IN · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Caring Cove Hospice LLC1.7 mi · Mishawaka, IN
Comfort 1 Hospice, LLC1.7 mi · Mishawaka, IN
Heart to Heart Hospice of Northern Indiana LLC1.7 mi · Mishawaka, IN · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Interim Healthcare of South Bend1.7 mi · Mishawaka, IN · 3 of 5 stars
The Center for Hospice and Palliative Care Inc1.7 mi · Mishawaka, IN
Concept Therapy Home Health, LLC2.6 mi · South Bend, IN

All home health agencies in the state →

Dialysis facilities

DaVita Mishawaka Dialysis1.7 mi · Mishawaka, IN · 4 of 5 stars
FMC - Nephrology - Home1.7 mi · Mishawaka, IN · 4 of 5 stars
FMC - Nephrology - Mishawaka1.7 mi · Mishawaka, IN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Allied Physicians Surgery Center LLC1.5 mi · South Bend, IN
Michiana Endoscopy Center1.5 mi · South Bend, IN
Azura Surgery Center Michiana Vascular1.7 mi · Mishawaka, IN

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

HealthLinc Mishawaka2.9 mi · Mishawaka, IN · Community health center
HealthLinc IUSB Medical3.4 mi · South Bend, IN · Community health center
HealthLinc IUSB Dental3.5 mi · South Bend, IN · Community health center

Clinics and urgent care

Pic Indiana PC1.7 mi · Mishawaka, IN · Urgent care center
Beacon Medical Group, Inc.3.8 mi · Granger, IN · Urgent care center
American Current Care P.A.4.0 mi · South Bend, IN · Urgent care center

Pharmacies

South Bend Specialty Pharmacy LLC1.5 mi · South Bend, IN · Community/retail pharmacy
University Commons Pharmacy1.5 mi · South Bend, IN · Community/retail pharmacy
Hometown Pharmacy Inc.1.7 mi · Mishawaka, IN · Community/retail pharmacy

Assisted living nearby

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

Commons at Juday Creek1.5 mi · South Bend, IN
Woodridge Village1.5 mi · South Bend, IN
Cedarhurst of Edison Lakes1.7 mi · Mishawaka, IN
North Woods Village at Edison Lakes1.7 mi · Mishawaka, IN

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 Unity Physicians 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 hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	83%National average: 80%
“Always” got help as soon as they wanted	79%National average: 64%
Staff “always” explained medicines before giving them	66%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	73%National average: 73%
Completed surveys	136Response rate: 43%

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)	0.95No different from the national rate
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: pneumonia patients; Complications after hip or knee replacement

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%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD; Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: pneumonia; 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.

Not reported to Medicare: infections caught in the hospital, emergency room times and sepsis care. 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 Unity Physicians 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 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.1896Lower 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 replacement	0.9531Fewer readmissions than expected
No result published	Heart 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, ratio	0.90Below 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.

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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as Unity Physicians 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 →

$ 109 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 37 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT EST	$500	Not listed in the file	$245 – $400
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans HUMANA — HUMANA: $245 MULTIPLAN — MULTIPLAN: $325 MULTIPLAN WC — MULTIPLAN WC: $400 NALC — NALC: $300 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $300

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$108.58 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$167.05	Not listed in the file	$8.46 – $133.64
Basic metabolic panel (blood test): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $8.46 MEDICAID — MEDICAID: $8.46 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $8.46 MHS MEDICAID — MHS MEDICAID: $8.46 MULTIPLAN — MULTIPLAN: $108.58 MULTIPLAN WC — MULTIPLAN WC: $133.64 NALC — NALC: $100.23 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $100.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$127.25 – $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates ALL SAVERS — ALL SAVERS: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $33,079.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $33,079.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA — HUMANA: $127.25 MEDICA — MEDICA: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA IFB — MEDICA IFB: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MULTIPLAN — MULTIPLAN: $168.81 MULTIPLAN WC — MULTIPLAN WC: $207.76 NALC — NALC: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OXFORD — OXFORD: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$259.70	Not listed in the file	$10.56 – $207.76
Comprehensive metabolic panel (blood test): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $10.56 MEDICAID — MEDICAID: $10.56 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $10.56 MHS MEDICAID — MHS MEDICAID: $10.56 MULTIPLAN — MULTIPLAN: $168.81 MULTIPLAN WC — MULTIPLAN WC: $207.76 NALC — NALC: $155.82 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $155.82
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$233.10	Not listed in the file	$13.39 – $186.48
Cholesterol panel (lipid panel): rates for 9 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $13.39 HUMANA — HUMANA: $114.22 MEDICAID — MEDICAID: $13.39 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $13.39 MHS MEDICAID — MHS MEDICAID: $13.39 MULTIPLAN — MULTIPLAN: $151.52 MULTIPLAN WC — MULTIPLAN WC: $186.48 NALC — NALC: $139.86 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $139.86
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$9.70	Not listed in the file	$5.82 – $8.68
Kidney function panel: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $8.68 MEDICAID — MEDICAID: $8.68 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $8.68 MHS MEDICAID — MHS MEDICAID: $8.68 MULTIPLAN — MULTIPLAN: $6.31 MULTIPLAN WC — MULTIPLAN WC: $7.76 NALC — NALC: $5.82 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $5.82
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$228.77	Not listed in the file	$8.17 – $183.02
Liver function panel: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $8.17 MEDICAID — MEDICAID: $8.17 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $8.17 MHS MEDICAID — MHS MEDICAID: $8.17 MULTIPLAN — MULTIPLAN: $148.70 MULTIPLAN WC — MULTIPLAN WC: $183.02 NALC — NALC: $137.26 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $137.26
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$42.76 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$65.79	Not listed in the file	$3.17 – $52.63
Urine test (automated, with microscope): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $3.17 MEDICAID — MEDICAID: $3.17 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $3.17 MHS MEDICAID — MHS MEDICAID: $3.17 MULTIPLAN — MULTIPLAN: $42.76 MULTIPLAN WC — MULTIPLAN WC: $52.63 NALC — NALC: $39.47 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $39.47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$4.40	Not listed in the file	$2.25 – $3.52
Urine test (automated, without microscope): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $2.25 MEDICAID — MEDICAID: $2.25 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $2.25 MHS MEDICAID — MHS MEDICAID: $2.25 MULTIPLAN — MULTIPLAN: $2.86 MULTIPLAN WC — MULTIPLAN WC: $3.52 NALC — NALC: $2.64 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $2.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$86.80	Not listed in the file	$18.39 – $69.44
PSA (prostate specific antigen) blood test: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $18.39 MEDICAID — MEDICAID: $18.39 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $18.39 MHS MEDICAID — MHS MEDICAID: $18.39 MULTIPLAN — MULTIPLAN: $56.42 MULTIPLAN WC — MULTIPLAN WC: $69.44 NALC — NALC: $52.08 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $52.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$124.34 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$191.29	Not listed in the file	$16.80 – $153.03
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $16.80 MEDICAID — MEDICAID: $16.80 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $16.80 MHS MEDICAID — MHS MEDICAID: $16.80 MULTIPLAN — MULTIPLAN: $124.34 MULTIPLAN WC — MULTIPLAN WC: $153.03 NALC — NALC: $114.77 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $114.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$100,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$66.47 – $100,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates ALL SAVERS — ALL SAVERS: $59,887.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $44,316.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $44,316.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA — HUMANA: $100,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA — MEDICA: $59,887.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA IFB — MEDICA IFB: $59,887.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MULTIPLAN — MULTIPLAN: $66.47 MULTIPLAN WC — MULTIPLAN WC: $81.81 NALC — NALC: $59,887.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OXFORD — OXFORD: $59,887.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$102.26	Not listed in the file	$7.77 – $81.81
Complete blood count (CBC) with differential: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $7.77 MEDICAID — MEDICAID: $7.77 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $7.77 MHS MEDICAID — MHS MEDICAID: $7.77 MULTIPLAN — MULTIPLAN: $66.47 MULTIPLAN WC — MULTIPLAN WC: $81.81 NALC — NALC: $61.36 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $61.36
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$41.99 – $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 13 insurance plan rates ALL SAVERS — ALL SAVERS: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $33,079.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $33,079.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HUMANA — HUMANA: $41.99 MEDICA — MEDICA: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA IFB — MEDICA IFB: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MULTIPLAN — MULTIPLAN: $55.71 MULTIPLAN WC — MULTIPLAN WC: $68.56 NALC — NALC: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) OXFORD — OXFORD: $44,702.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$85.70	Not listed in the file	$6.47 – $68.56
Complete blood count (CBC), automated: rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $6.47 MEDICAID — MEDICAID: $6.47 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $6.47 MHS MEDICAID — MHS MEDICAID: $6.47 MULTIPLAN — MULTIPLAN: $55.71 MULTIPLAN WC — MULTIPLAN WC: $68.56 NALC — NALC: $51.42 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $51.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$8.54 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$13.14	Not listed in the file	$4.29 – $10.51
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $4.29 MEDICAID — MEDICAID: $4.29 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $4.29 MHS MEDICAID — MHS MEDICAID: $4.29 MULTIPLAN — MULTIPLAN: $8.54 MULTIPLAN WC — MULTIPLAN WC: $10.51 NALC — NALC: $7.88 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $7.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$46.35 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$71.31	Not listed in the file	$6.01 – $57.05
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans ANTHEM MEDICAID — ANTHEM MEDICAID: $6.01 MEDICAID — MEDICAID: $6.01 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $6.01 MHS MEDICAID — MHS MEDICAID: $6.01 MULTIPLAN — MULTIPLAN: $46.35 MULTIPLAN WC — MULTIPLAN WC: $57.05 NALC — NALC: $42.79 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $42.79

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ANGIOGRAPH LOW EXTREM LT	$53,816.14	Not listed in the file	$436.55 – $53,816.14
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $26,908.07 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $26,908.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $26,908.07 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $26,908.07 ALL SAVERS — ALL SAVERS: $48,110 ANTHEM — ANTHEM: $35,601.40 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $26,908.07 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $26,908.07 BCBS — BCBS: $35,601.40 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $26,908.07
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ANGIOGRAPH LOW EXTREM LT	$671.62	Not listed in the file	$56.64 – $537.30
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $110.61 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $110.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.61 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $110.61 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $56.64 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $110.61 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $110.61 DEPARTMENT OF VA — DEPARTMENT OF VA: $110.61 ENCORE — ENCORE: $199.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT UP EXTREM W/CONT LT	$1,869.11	Not listed in the file	$193.88 – $1,495.29
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $369.11 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $369.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $369.11 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $369.11 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $369.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $193.88 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $369.11 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $369.11 DEPARTMENT OF VA — DEPARTMENT OF VA: $369.11 ENCORE — ENCORE: $664.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY ACUTE ABDO SERIES W/1 VW CXR	$184.14	Not listed in the file	$62.12 – $184.14
Chest X-ray, 2 views: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $92.07 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $92.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.07 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $92.07 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $92.07 ANTHEM MEDICAID — ANTHEM MEDICAID: $62.12 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $92.07 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $92.07 DEPARTMENT OF VA — DEPARTMENT OF VA: $92.07 ENCORE — ENCORE: $165.73
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY SHOULDER 1 VW LT	$414.21	Not listed in the file	$23.45 – $331.37
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $110.61 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $110.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.61 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $110.61 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $23.45 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $110.61 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $110.61 DEPARTMENT OF VA — DEPARTMENT OF VA: $110.61 ENCORE — ENCORE: $199.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ABDO W & W/O CONT	$1,184.44	Not listed in the file	$117.33 – $947.55
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $252.44 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $252.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $252.44 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $252.44 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $252.44 ANTHEM MEDICAID — ANTHEM MEDICAID: $117.33 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $252.44 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $252.44 DEPARTMENT OF VA — DEPARTMENT OF VA: $252.44 ENCORE — ENCORE: $454.39
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O CONT	$1,051.72	Not listed in the file	$123.28 – $841.38
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $185.58 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $185.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $185.58 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $185.58 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $185.58 ANTHEM MEDICAID — ANTHEM MEDICAID: $123.28 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $185.58 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $185.58 DEPARTMENT OF VA — DEPARTMENT OF VA: $185.58 ENCORE — ENCORE: $334.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI C SPINE W & W/O CONT	$1,184.44	Not listed in the file	$129.47 – $947.55
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $252.44 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $252.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $252.44 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $252.44 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $252.44 ANTHEM MEDICAID — ANTHEM MEDICAID: $129.47 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $252.44 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $252.44 DEPARTMENT OF VA — DEPARTMENT OF VA: $252.44 ENCORE — ENCORE: $454.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	$2,031.89	Not listed in the file	$162.17 – $1,625.51
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $369.11 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $369.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $369.11 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $369.11 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $369.11 ANTHEM MEDICAID — ANTHEM MEDICAID: $162.17 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $369.11 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $369.11 DEPARTMENT OF VA — DEPARTMENT OF VA: $369.11 ENCORE — ENCORE: $664.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	$100,000	Not listed in the file	$1,320.73 – $100,000
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates ALL SAVERS — ALL SAVERS: $76,226.25 ANTHEM — ANTHEM: $56,407.43 BCBS — BCBS: $56,407.43 HUMANA — HUMANA: $100,000 MEDICA — MEDICA: $76,226.25 MEDICA IFB — MEDICA IFB: $76,226.25 MULTIPLAN — MULTIPLAN: $1,320.73 MULTIPLAN WC — MULTIPLAN WC: $1,625.51 NALC — NALC: $76,226.25 OXFORD — OXFORD: $76,226.25
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PELVIS W/CONT	$337.09	Not listed in the file	$70.27 – $269.67
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $110.61 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $110.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.61 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $110.61 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $70.27 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $110.61 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $110.61 DEPARTMENT OF VA — DEPARTMENT OF VA: $110.61 ENCORE — ENCORE: $199.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI UP EXTREM NO JNT W/O CONT LT	$337.09	Not listed in the file	$67.54 – $269.67
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $110.61 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $110.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.61 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $110.61 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $67.54 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $110.61 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $110.61 DEPARTMENT OF VA — DEPARTMENT OF VA: $110.61 ENCORE — ENCORE: $199.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US HIPS INFANT DYNAMIC	$337.09	Not listed in the file	$64.08 – $269.67
Transvaginal ultrasound: 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $110.61 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $110.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.61 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $110.61 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $110.61 ANTHEM MEDICAID — ANTHEM MEDICAID: $64.08 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $110.61 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $110.61 DEPARTMENT OF VA — DEPARTMENT OF VA: $110.61 ENCORE — ENCORE: $199.10

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	$10,194 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$4,995.06 – $8,155.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans HUMANA — HUMANA: $4,995.06 MULTIPLAN — MULTIPLAN: $6,626.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MULTIPLAN WC — MULTIPLAN WC: $8,155.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) NALC — NALC: $6,116.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $6,116.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$61,305.81	Not listed in the file	$5,765 – $55,308.24
Heart rhythm study with ablation for atrial fibrillation: 10 of 35 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $27,654.12 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $27,654.12 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27,654.12 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $27,654.12 ALL SAVERS — ALL SAVERS: $7,825 ANTHEM — ANTHEM: $5,765 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $27,654.12 ANTHEM MEDICAID — ANTHEM MEDICAID: $6,693.20 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $27,654.12 BCBS — BCBS: $5,765
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	$5,180	Not listed in the file	$908.56 – $4,144
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $908.56 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $908.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $908.56 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $908.56 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $908.56 ANTHEM MEDICAID — ANTHEM MEDICAID: $912.79 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $908.56 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $908.56 DEPARTMENT OF VA — DEPARTMENT OF VA: $908.56 ENCORE — ENCORE: $1,635.41

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$44.48 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS — BCBS: $17,574.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$68.43	Not listed in the file	$33.53 – $54.74
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans HUMANA — HUMANA: $33.53 MULTIPLAN — MULTIPLAN: $44.48 MULTIPLAN WC — MULTIPLAN WC: $54.74 NALC — NALC: $41.06 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $41.06
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$211.25 – $27,465.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 ALL SAVERS — ALL SAVERS: $23,748.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ANTHEM — ANTHEM: $17,574.08 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 BCBS — BCBS: $17,574.08 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$325	Not listed in the file	$159.25 – $260
Physical therapy evaluation (low complexity): rates for 5 insurance plans HUMANA — HUMANA: $159.25 MULTIPLAN — MULTIPLAN: $211.25 MULTIPLAN WC — MULTIPLAN WC: $260 NALC — NALC: $195 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $195
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$350	Not listed in the file	$171.50 – $280
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans HUMANA — HUMANA: $171.50 MULTIPLAN — MULTIPLAN: $227.50 MULTIPLAN WC — MULTIPLAN WC: $280 NALC — NALC: $210 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $210
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$375	Not listed in the file	$183.75 – $300
Physical therapy evaluation (high complexity): rates for 5 insurance plans HUMANA — HUMANA: $183.75 MULTIPLAN — MULTIPLAN: $243.75 MULTIPLAN WC — MULTIPLAN WC: $300 NALC — NALC: $225 SAGAMORE HEALTH NETWORK — SAGAMORE HEALTH NETWORK: $225

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALG	$91,984.76	Not listed in the file	$6,693.20 – $73,587.81
Total hip replacement: 10 of 35 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,583.45 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,583.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,583.45 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,583.45 ALL SAVERS — ALL SAVERS: $7,450 ANTHEM — ANTHEM: $22,500 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,583.45 ANTHEM MEDICAID — ANTHEM MEDICAID: $6,693.20 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,583.45 BCBS — BCBS: $22,500
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALG	$91,984.76	Not listed in the file	$13,732.72 – $73,587.81
Total hip replacement: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 ALL SAVERS — ALL SAVERS: $23,748.75 ANTHEM — ANTHEM: $17,574.08 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 BCBS — BCBS: $17,574.08 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMP	$99,419.03	Not listed in the file	$6,693.20 – $79,535.22
Total knee replacement: 10 of 35 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,583.45 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,583.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,583.45 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,583.45 ALL SAVERS — ALL SAVERS: $7,450 ANTHEM — ANTHEM: $22,500 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,583.45 ANTHEM MEDICAID — ANTHEM MEDICAID: $6,693.20 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,583.45 BCBS — BCBS: $22,500
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMP	$99,419.03	Not listed in the file	$13,732.72 – $79,535.22
Total knee replacement: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $13,732.72 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $13,732.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,732.72 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $13,732.72 ALL SAVERS — ALL SAVERS: $23,748.75 ANTHEM — ANTHEM: $17,574.08 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $13,732.72 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $13,732.72 BCBS — BCBS: $17,574.08 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $13,732.72
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LI	$52,770.98	Not listed in the file	$11,951.11 – $42,216.78
Shoulder arthroscopy: shaving of shoulder bone: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $11,951.11 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $11,951.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,951.11 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $11,951.11 ALL SAVERS — ALL SAVERS: $19,452.50 ANTHEM — ANTHEM: $14,394.85 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $11,951.11 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $11,951.11 BCBS — BCBS: $14,394.85 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $11,951.11
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LI	$52,770.98	Not listed in the file	$488.57 – $42,216.78
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates ALL SAVERS — ALL SAVERS: $950 ANTHEM — ANTHEM: $7,008 ANTHEM MEDICAID — ANTHEM MEDICAID: $488.57 BCBS — BCBS: $7,008 MEDICA — MEDICA: $950 MEDICA IFB — MEDICA IFB: $950 MEDICAID — MEDICAID: $488.57 MHS HOOSIER CARE CONNECT — MHS HOOSIER CARE CONNECT: $488.57 MHS MEDICAID — MHS MEDICAID: $488.57 MULTIPLAN — MULTIPLAN: $34,301.14
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W	$27,974.90	Not listed in the file	$582.98 – $22,379.92
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $3,461.81 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $3,461.81 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,461.81 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $3,461.81 ALL SAVERS — ALL SAVERS: $4,750 ANTHEM — ANTHEM: $3,500 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $3,461.81 ANTHEM MEDICAID — ANTHEM MEDICAID: $582.98 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $3,461.81 BCBS — BCBS: $3,500
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL	$10,084.99	Not listed in the file	$443.28 – $8,067.99
Carpal tunnel release: 10 of 35 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $2,066 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $2,066 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,066 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $2,066 ALL SAVERS — ALL SAVERS: $3,500 ANTHEM — ANTHEM: $1,473 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $2,066 ANTHEM MEDICAID — ANTHEM MEDICAID: $443.28 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $2,066 BCBS — BCBS: $1,473
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL	$40,666.76	Not listed in the file	$6,555.24 – $40,666.76
Carpal tunnel release: 10 of 31 insurance plan rates AARP MEDICARE COMPLETE — AARP MEDICARE COMPLETE: $20,333.38 AARP SUPPLEMENTAL — AARP SUPPLEMENTAL: $20,333.38 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $20,333.38 AETNA SENIOR SUPPLEMENTAL — AETNA SENIOR SUPPLEMENTAL: $20,333.38 ALL SAVERS — ALL SAVERS: $29,828.75 ANTHEM — ANTHEM: $22,073.28 ANTHEM HEALTHY INDIANA PLAN — ANTHEM HEALTHY INDIANA PLAN: $20,333.38 ANTHEM MEDICARE ADVANTAGE — ANTHEM MEDICARE ADVANTAGE: $20,333.38 BCBS — BCBS: $22,073.28 CIGNA MEDICARE SUPPLEMENT — CIGNA MEDICARE SUPPLEMENT: $20,333.38

Source: Unity Physicians Hospital’s standard charges file (clariti-health.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 22, 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 type	Acute Care Hospital
Address	4455 Edison Lakes Pkwy, Mishawaka, IN 46545
County	St. Joseph County
State	Indiana
Phone	(574) 231‑6800
Emergency services	Not listed
Ownership	Physician
Medicare overall rating	Not rated by CMS
CMS Certification Number	150177
Name in Medicare records	UNITY PHYSICIANS HOSPITAL
Profile level	Medicare data + hospital website
Official website	unityphysicianshospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Surgical Procedures | Unity Physicians Hospital — unityphysicianshospital.com
Inpatient Hospital Services | Unity Physicians Hospital — unityphysicianshospital.com
Radiology | Unity Physicians Hospital — unityphysicianshospital.com
What To Expect | Unity Physicians Hospital — unityphysicianshospital.com

Unity Physicians Hospital

Summary

Profile from official sources

At a glance