Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Exc B9 Les Mrgn Xcp Sk Tg T/a/L >4.0 Cm
The hospitals that file a Bcbs In rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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10 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN other · outpatient | 1 | $8,005 | $8,005 – $8,005 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 1 | $5,743 | $5,743 – $5,743 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN other · outpatient | 1 | $5,565 | $5,565 – $5,565 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · outpatient | 1 | $6,870 | $6,870 – $6,870 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN other · outpatient | 1 | $6,468 | $6,468 – $6,468 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 1 | $6,026 | $6,026 – $6,026 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN other · outpatient | 1 | $7,412 | $7,412 – $7,412 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN other · outpatient | 1 | $5,910 | $5,910 – $5,910 |
| 9 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN other · outpatient | 1 | $4,009 | $4,009 – $4,009 |
| 10 | INDIANA ORTHOPAEDIC HOSPITAL LLC Indianapolis, IN facility · fee schedule · outpatient | 1 | $3,999 | $3,999 – $3,999 |
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