Frequently asked questions about Hospital Price Transparency
Under the CMS Hospital Price Transparency rules, hospitals must publish specific standard charges so patients can compare costs. The three key pricing categories are:
What it is: The base rate the hospital has directly negotiated with a specific third-party insurance company or plan.
Details: This represents a specific dollar amount (or calculated algorithm/percentage) and does not include non-negotiated rates like traditional Medicare or Medicaid. Hospitals are also required to publicly list the de-identified minimum and maximum negotiated charges across all payers for every service.
What it is: The flat rate (or package price) the hospital charges individuals who pay cash, or its equivalent, out-of-pocket.
Details: This rate is generally intended for uninsured patients or those who choose not to use their insurance for a specific service.
What it is: The hospital’s official, undiscounted "list price" for an individual item or service as reflected on their chargemaster.
Details: This rate does not include any discounts, and is rarely the actual amount paid by insurance companies or patients.
Hospitals must publish these charges in two formats: a consumer-friendly list of at least 300 “shoppable services” and a massive, comprehensive machine-readable file (MRF).
This site does not include every price hospitals publish. Indiana’s hospital files add up to more than 100 GB and list over 24,000 different billing codes, many of them for rare procedures or individual supplies. Indexing all of it would make the search slower and the site too costly to keep free, so we include about 4,100 procedures chosen to cover what most patients actually shop for.
Hospital files can contain mistakes. Prices come straight from each hospital’s own published file, and we don’t change them except as described above. Before you book, confirm the price with the hospital.
How current are the prices? Below every price table, “Show sources” lists each hospital’s file, the date the hospital says it is accurate as of, and a link to the original file. Hospitals must update their files at least once a year, and we flag any file dated more than a year ago. We re-download all files periodically, so a hospital’s newest prices may not be here yet.
What are “unusual” prices? Some files contain prices that can’t be right, such as a one-cent X-ray or a blood test listed at tens of thousands of dollars. When a price is more than 5 times below the lowest 5% or above the highest 5% of what Indiana hospitals list for the same procedure, we mark it with a warning sign and leave it out of the price ranges and averages. These are usually data errors or a partial fee (for example, only the doctor’s part). We still show them, so you can ask the hospital.
If a procedure you need isn’t here, the hospital’s own price estimator or billing office can give you a quote. You can also email us — requests help us decide what to add next.
Every contribution directly offsets hosting expenses and helps keep the data updated and the search fast. There is no advertising, no paywall, and no data selling — sponsorships are the only way to sustain the project.