To help us provide you with the most accurate price estimate, please fill out all the required fields. It may be helpful to first contact your physician's office for services/procedures information. If you have insurance, please have your insurance card handy. If you have any questions, please call the Central Pricing Office at 844-786-9503 (toll-free) or 317-355-9279.
Please provide as much information as possible about the specific medical services described by your physician. For surgical price estimates, you may be asked to provide us with the specific CPT Procedure code, a five-digit numerical procedure code that can be obtained from your physician. This code will help determine the procedure being performed and the estimated financial responsibility.
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The estimate given is the most common or average charge amount. However, because of unexpected circumstances or additional services, the estimate cannot be guaranteed as a final bill. Total charges will vary from patient to patient. Estimates provided include hospital charges such as room and board, medication, and supplies. In most cases, professional fees, anesthesiologist fees and radiologist reading fees are not included in the estimate. Please call the Central Pricing Office at 844-786-9503 (toll-free) or 317-355-9279 if you have questions.