Franciscan Health · Carmel, IN
6
Beds
29
In-network payers
Franciscan Health Carmel is a 6-bed hospital in Carmel, IN, affiliated with Franciscan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 304 disclosed rate categories.
The 24 services Franciscan Health Carmel most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
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CT imaging
CPT 74177
$1,451 - $2,154
from 4 insurers · median $1,862
Typical for a hospital with this service line
CT imaging
CPT 70450
$435 - $2,040
from 4 insurers · median $1,252
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,091 - $2,273
from 4 insurers · median $2,212
Typical for a hospital with this service line
Gynecology
CPT 58571
$17,822 - $45,769
from 2 insurers · median $31,795
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,253 - $6,852
from 4 insurers · median $4,285
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,536 - $3,855
from 3 insurers · median $3,535
Typical for a hospital with this service line
CT imaging
CPT 74176
$993 - $2,040
from 4 insurers · median $1,714
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,474 - $6,479
from 4 insurers · median $3,812
Typical for a hospital with this service line
CT imaging
CPT 71275
$730 - $2,462
from 4 insurers · median $1,862
Typical for a hospital with this service line
Mammography
CPT 77067
$169 - $449
from 4 insurers · median $418
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$61,725 - $92,940
from 3 insurers · median $67,225
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$46,997 - $62,274
from 2 insurers · median $54,636
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$350 - $387
from 4 insurers · median $365
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$8,167 - $17,822
from 2 insurers · median $12,994
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$435 - $2,018
from 4 insurers · median $1,903
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,451 - $2,817
from 4 insurers · median $2,229
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$3,117 - $5,369
from 4 insurers · median $3,861
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$31,336 - $48,794
from 3 insurers · median $37,133
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$993 - $2,817
from 4 insurers · median $1,949
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,181 - $7,981
from 3 insurers · median $5,228
Typical for a hospital with this service line
MRI imaging
CPT 70551
$993 - $2,817
from 4 insurers · median $1,947
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$993 - $2,820
from 4 insurers · median $2,718
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$362 - $802
from 4 insurers · median $683
Typical for a hospital with this service line
Ultrasound
CPT 76705
$435 - $747
from 4 insurers · median $624
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 604% | 6 | 0 |
| Insurer B* | 24 | 572% | 17 | 4 |
| Insurer C* | 24 | 473% | 20 | 0 |
| Insurer D* | 21 | 407% | 17 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Franciscan Health Carmel, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
19 services
See doctors and servicesThe employer identification numbers (EINs) health plans and networks list for Franciscan Health Carmel in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 35-0913537Franciscan Health Indianapolis | 21Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Avera Health Plans, Centivo and 16 more | 1386749893 Franciscan Health Indianapolis & Mooresville1679678197 Franciscan Health Indianapolis & Mooresville1376214981 Franciscan Health Indianapolis & Mooresvilleand 30 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
12188b North Meridian Street, Carmel, IN 46032
3177054500
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
About Franciscan Health Carmel's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Franciscan Health Carmel range from $1,451 to $2,817 across 4 insurers. Aetna's rate is $2,373. The median at nearby comparable hospitals is $1,255. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Franciscan Health Carmel range from $1,451 to $2,154 across 4 insurers. Blue Cross Blue Shield's rate is $1,451. The median at nearby comparable hospitals is $1,255. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Franciscan Health Carmel range from $2,253 to $6,852 across 4 insurers. UnitedHealthcare's rate is $3,855. The median at nearby comparable hospitals is $1,669. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Franciscan Health Carmel range from $169 to $449 across 4 insurers. Cigna's rate is $428. The median at nearby comparable hospitals is $160. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Franciscan Health Carmel range from $31,336 to $48,794 across 3 insurers. Aetna's rate is $48,794. The median at nearby comparable hospitals is $26,654. What a patient pays depends on their plan's deductible, coinsurance and network status.
Insurers' price transparency files list Franciscan Health Carmel under employer identification number 35-0913537 (Franciscan Health Indianapolis). 21 health plans and networks list 35-0913537 for it.
CMS lists 19 services at Franciscan Health Carmel, including Alcohol and/or Drug Service, Anesthesia, Chemotherapy, Clinical Laboratory, CT Scan, Diagnostic Radiology.
Franciscan Health Carmel has 6 beds. Facility type: Short Term Acute Care Hospital.
Franciscan Health Carmel is located at 12188b North Meridian Street, Carmel, IN 46032. Its main phone number is 3177054500.
Franciscan Health Carmel's CMS Certification Number (CCN), also called its Medicare provider number, is 150182.
The National Provider Identifier (NPI) on file for Franciscan Health Carmel is 1639455868.
Franciscan Health Carmel is affiliated with Franciscan Health.
Franciscan Health Carmel lists 29 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
304 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers