Emergency Department Visit with High Level of Medical Decision Making Cost in Indiana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 73 Indiana hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,217
📉 Low $99.63
📈 High $4,622
🏥 73 hospitals
🏛️ 34 with insurance contracts
🇺🇸 Medicare $162
Hospital comparison — Indiana
Sorted by cash price (lowest first). Showing top 60 of 73 hospitals.
Billed more than $1,217 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Humana | Cigna | Medicaid | Centene | MultiPlan | First Health |
|---|---|---|---|---|---|---|---|---|---|
| THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWORK FORT WAYNE |
$99.63 | — | — | — | — | — | — | — | — |
| LUTHERAN CHILDREN'S HOSPITAL FORT WAYNE |
$133 | — | — | — | — | — | — | — | — |
| LUTHERAN HOSPITAL FORT WAYNE |
$133 | — | — | — | — | — | — | — | — |
| LUTHERAN KOSCIUSKO HOSPITAL WARSAW |
$144 | — | — | — | — | — | — | — | — |
| DEACONESS GATEWAY HOSPITAL NEWBURGH |
$164 | $818 | $116 | $116 | $251 | — | $176 | $251 | $251 |
| DEACONESS GIBSON HOSPITAL PRINCETON |
$164 | $160 | $160 | — | $251 | $121 | $176 | — | $251 |
| THE WOMEN'S HOSPITAL NEWBURGH |
$164 | $116 | $116 | $160 | $251 | — | $116 | $251 | $251 |
| DEACONESS CROSS POINTE NEWBURGH |
$164 | $116 | $116 | $116 | $251 | $116 | $121 | $251 | $251 |
| DEACONESS MEMORIAL MEDICAL CENTER JASPER |
$164 | $213 | $160 | $160 | $251 | — | $208 | — | — |
| DUPONT HOSPITAL E. DUPONT RD FORT WAYNE |
$166 | — | — | — | — | — | — | — | — |
| CAMERON HOSPITAL ANGOLA |
$197 | — | — | — | — | — | — | — | — |
| PORTER-STARKE SERVICES VALPARAISO |
$200 | $184 | — | $192 | — | — | $167 | $167 | $167 |
| LUTHERAN DOWNTOWN HOSPITAL VAN BUREN ST. FORT WAYNE |
$203 | — | — | — | — | — | — | — | — |
| BLUFFTON REGIONAL MEDICAL CENTER BLUFFTON |
$203 | — | — | — | — | — | — | — | — |
| DUKES MEMORIAL HOSPITAL PERU |
$203 | — | — | — | — | — | — | — | — |
| NORTON SCOTT HOSPITAL SCOTTSBURG |
$205 | $240 | $696 | — | $1,764 | — | — | $820 | — |
| NORTHWEST HEALTH LA PORTE LA PORTE |
$248 | — | — | — | — | — | — | — | — |
| SCHNECK MEDICAL CENTER W TIPTON ST SEYMOUR |
$250 | — | — | — | — | — | — | — | — |
| NORTON CLARK HOSPITAL JEFFERSONVILLE |
$350 | $642 | $662 | — | $1,020 | — | — | — | — |
| PLYMOUTH MEDICAL CENTER PLYMOUTH |
$376 | — | — | — | — | — | — | — | — |
| MISHAWAKA MEDICAL CENTER MISHAWAKA |
$388 | — | — | — | — | — | — | — | — |
| NORTON KING'S DAUGHTERS' HEALTH MADISON |
$395 | $642 | $116 | $116 | $1,527 | — | — | $1,653 | $1,617 |
| GREENE COUNTY GENERAL HOSPITAL LINTON |
$410 | $157 | $127 | $156 | $650 | — | — | — | — |
| FRANCISCAN HEALTHCARE RENSSELAER RENSSELAER |
$420 | — | — | — | — | — | — | — | — |
| REID HOSPITAL RICHMOND |
$500 | $114 | $158 | $161 | $158 | — | — | — | — |
| MONROE HOSPITAL BLOOMINGTON |
$626 | $296 | $627 | — | — | $296 | — | $1,216 | — |
| FRANCISCAN HEALTH MICHIGAN CITY MICHIGAN CITY |
$861 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MICHIGAN CITY LA PORTE LAPORTE |
$861 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MUNSTER MUNSTER |
$882 | — | — | — | — | — | — | — | — |
| MARGARET MARY HEALTH BATESVILLE |
$936 | — | — | — | — | — | — | — | — |
| PERRY COUNTY MEMORIAL HOSPITAL TELL CITY |
$956 | — | — | — | — | — | — | — | — |
| ELKHART GENERAL HOSPITAL ELKHART |
$983 | $344 | $642 | $642 | — | — | — | — | — |
| FRANCISCAN HEALTH LAFAYETTE EAST LAFAYETTE |
$993 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CROWN POINT CROWN POINT |
$1,068 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH DYER DYER |
$1,118 | — | — | — | — | — | — | — | — |
| GOSHEN HOSPITAL GOSHEN |
$1,166 | $40.00 | $81.00 | $591 | $82.00 | — | $591 | $82.00 | — |
| FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE |
$1,217 | — | — | — | — | — | — | — | — |
| MEMORIAL HOSPITAL OF SOUTH BEND SOUTH BEND |
$1,251 | $344 | $642 | $642 | — | — | — | — | — |
| COMMUNITY HOSPITAL OF BREMEN BREMEN |
$1,251 | — | — | — | — | — | — | — | — |
| GOOD SAMARITAN HOSPITAL VINCENNES |
$1,404 | $162 | $162 | $162 | $162 | — | $630 | — | — |
| ASCENSION ST. VINCENT SALEM HOSPITAL SALEM |
$1,492 | $30.50 | — | — | — | $122 | — | — | — |
| FRANCISCAN HEALTH CARMEL CARMEL |
$1,521 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL CARMEL |
$1,521 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS |
$1,521 | — | — | — | — | — | — | — | — |
| COMMUNITY HEART AND VASCULAR HOSPITAL INDIANAPOLIS |
$1,600 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MOORESVILLE MOORESVILLE |
$1,673 | — | — | — | — | — | — | — | — |
| UNION HOSPITAL CLINTON S MAIN ST CLINTON |
$1,727 | $29.00 | $29.00 | $29.00 | $29.00 | — | $51.33 | $85.00 | $79.00 |
| UNION HOSPITAL TH ST TERRE HAUTE |
$1,748 | $59.50 | $61.00 | $62.00 | $66.00 | — | $177 | $85.00 | $79.00 |
| UNION HOSPITAL REGIONAL TH ST TERRE HAUTE |
$1,748 | $59.50 | $61.00 | $62.00 | $66.00 | — | $177 | $85.00 | $79.00 |
| METHODIST HOSPITALS SOUTHLAKE MERRILLVILLE |
$1,805 | — | — | — | — | — | — | — | — |
| METHODIST HOSPITALS NORTHLAKE CAMPUS GARY |
$1,805 | — | — | — | — | — | — | — | — |
| UCHICAGO MEDICINE CROWN POINT CROWN POINT |
$2,116 | — | $632 | — | — | — | — | — | — |
| COMMUNITY HOSPITAL MUNSTER |
$2,146 | — | — | — | — | — | — | — | — |
| ST CATHERINE HOSPITAL EAST CHICAGO |
$2,146 | — | — | — | — | — | — | — | — |
| POWERS HEALTH REHABILITATION CENTER CROWN POINT |
$2,146 | — | — | — | — | — | — | — | — |
| ST MARY MEDICAL CENTER HOBART |
$2,146 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT EVANSVILLE EVANSVILLE |
$2,174 | $30.50 | — | — | — | $112 | — | — | — |
| ASCENSION ST. VINCENT MERCY ELWOOD |
$2,191 | $30.50 | — | — | — | $122 | — | — | — |
| ASCENSION ST. VINCENT RANDOLPH WINCHESTER |
$2,304 | $28.23 | — | — | — | $122 | — | — | — |
| ASCENSION ST. VINCENT WILLIAMSPORT N MONROE ST WILLIAMSPORT |
$2,333 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,217 for this?
That is the median of what the 73 Indiana hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Indiana, Medicare reimburses about $162 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Indiana range from $99.63 to $4,622 — that means hospital cash prices are typically 7.5x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Indiana?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Indiana range from $99.63 to $4,622, with a median of $1,217. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Indiana?
- The cheapest Indiana hospital published cash price for this procedure is $99.63. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Indiana
Methodology. Cash prices and insurance-negotiated rates published by each Indiana facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.