PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Church

Franciscan Health Lafayette

Franciscan Health · Lafayette, IN

1701 South Creasy Lane, Lafayette, IN 47905(765) 502-4334

3 of 5

CMS star rating

196

Beds

8,973

Inpatient discharges a year

$451.2M

Net patient revenue a year

36

In-network payers

About this hospital

Franciscan Health Lafayette is a 196-bed voluntary non-profit - church hospital in Lafayette, IN, affiliated with Franciscan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 339 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
150109
NPI
1356435341
Health system
Franciscan Health
Teaching
No Medicare-funded residents
County
Tippecanoe County
Metro area
Lafayette-West Lafayette, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2004

Prices for common services

The 24 services Franciscan Health Lafayette 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.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$11,923 - $22,419

from 4 insurers · median $15,520

Aetna$19,045
Insurer A*est.$11,923
Insurer B*$11,994
Insurer C*$22,419

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$17,143 - $35,697

from 4 insurers · median $24,554

Aetna$26,586
Insurer A*$17,143
Insurer B*est.$22,523
Insurer C*$35,697

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,579 - $21,170

from 4 insurers · median $10,803

Blue Cross$4,579
Insurer A*$6,721
Insurer B*est.$14,884
Insurer C*est.$21,170
Medicare $3,085Nearby hospitals $8,00535% above nearby hospitals

29 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$34,014 - $79,399

from 4 insurers · median $57,897

Blue Cross$34,014
Insurer A*$56,028
Insurer B*$59,766
Insurer C*est.$79,399
Medicare $12,466Nearby hospitals $31,70583% above nearby hospitals

29 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Franciscan Health Lafayette

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
812%
140
Insurer B*23
582%
133
Insurer C*23
557%
200
Insurer D*24
363%
127

How we chose these services: 8 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 6 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 Lafayette, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 161 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.13%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 34 services
    • 518 affiliated clinicians
    See doctors and services
  • Finances

    $451.2M net patient revenue

    • Operating margin on patient care 0.5%
    • $11.8M unreimbursed and uncompensated care
    • $66.6M net income
    See finances
  • Ownership and leadership

    Owned by Franciscan Alliance Inc

    • Church
    • Kevin D Leahy, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Franciscan Health Lafayette in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-2056396Franciscan Health Lafayette64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1356435341 Franciscan Health Lafayette1245569144 Franciscan Health Lafayette1538253521 Franciscan Health Lafayetteand 24 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.

Location

1701 South Creasy Lane, Lafayette, IN 47905

(765) 502-4334

Get directions

Frequently asked questions

About Franciscan Health Lafayette's rates and hospital price transparency.

How much does a CT scan cost at Franciscan Health Lafayette?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Franciscan Health Lafayette range from $1,294 to $2,812 across 4 insurers. Cigna's rate is $2,812. The median at nearby comparable hospitals is $657. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Franciscan Health Lafayette?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Franciscan Health Lafayette range from $2,953 to $9,465 across 4 insurers. Aetna's rate is $2,953. The median at nearby comparable hospitals is $3,984. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Franciscan Health Lafayette?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Franciscan Health Lafayette range from $11,923 to $22,419 across 4 insurers. Aetna's rate is $19,045. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Franciscan Health Lafayette?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Franciscan Health Lafayette range from $169 to $397 across 4 insurers. UnitedHealthcare's rate is $277. The median at nearby comparable hospitals is $156. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Franciscan Health Lafayette?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Franciscan Health Lafayette range from $34,014 to $79,399 across 4 insurers. Blue Cross Blue Shield's rate is $34,014. The median at nearby comparable hospitals is $31,705. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Franciscan Health Lafayette's CMS star rating?

Franciscan Health Lafayette has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Franciscan Health Lafayette a teaching hospital?

CMS reports no Medicare-funded interns or residents at Franciscan Health Lafayette for fiscal year 2027.

Does Medicare penalize Franciscan Health Lafayette for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Franciscan Health Lafayette's base inpatient payments by an estimated 0.13% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Franciscan Health Lafayette?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (257 discharges), heart failure and shock with mcc (112 discharges), acute myocardial infarction, discharged alive with mcc (81 discharges).

What is Franciscan Health Lafayette's case mix index?

Franciscan Health Lafayette's Medicare case mix index is 1.88 for fiscal year 2027, higher than 69% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster