Portland, IN
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 25, 2026 | Sep 23, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Indiana University Health Jay Inc.’s price for it.
The codes Indiana University Health Jay Inc. has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Outpatient office visit, established patientCPT 99213 | $132 | $182 | $175 | 96% | 4,529–4,691 | $26 | $794 |
| Blood draw from a veinCPT 36415 | $3 | $15 | $36 | 248% | 2,918–2,981 | $3 | $278 |
| Outpatient office visit, established patient, level 4CPT 99214 | $159 | $403 | $523 | 130% | 2,195–2,339 | $35 | $1.8k |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $12 | $226 | $530 | 234% | 728–845 | $0 | $4.7k |
| Hemoglobin A1c blood testCPT 83036 | $10 | $18 | $34 | 193% | 629–692 | $10 | $451 |
| Immunization administrationCPT 90471 | $85 | $115 | $144 | 125% | 265–355 | $9 | $1.3k |
| Therapeutic or preventive subcutaneous or intramuscular injectionCPT 96372 | $134 | $172 | $248 | 145% | 236–344 | $13 | $3.1k |
| Complete blood count with automated differentialCPT 85025 | $8 | $37 | $268 | 715% | 236–290 | $8 | $4.7k |
| Comprehensive metabolic blood panelCPT 80053 | $11 | $31 | $185 | 594% | 224–269 | $11 | $3.2k |
| Outpatient office visit, established patient, level 5CPT 99215 | $189 | $401 | $571 | 142% | 172–280 | $47 | $2.2k |
EIN: 822736786
Last updated: Mar 25, 2026
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Hospital ID: 8cc1554075cb63d46c57876855bec58fed43bbf1e5587dcb20fcc7143c6a1d63