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

Goshen Hospital

Goshen Health · Goshen, IN

200 High Park Avenue, Goshen, IN 46526(574) 364-1000

3 of 5

CMS star rating

92

Beds

5,527

Inpatient discharges a year

$283.1M

Net patient revenue a year

31

In-network payers

About this hospital

Goshen Hospital is a 92-bed voluntary non-profit - private hospital in Goshen, IN, affiliated with Goshen Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 147 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
CCN
150026
NPI
1740268846
Health system
Goshen Health
Teaching
No Medicare-funded residents
County
Elkhart County
Metro area
Elkhart-Goshen, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Goshen Hospital 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

$15,943

negotiated rate

Blue Cross$15,943

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 obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,054 - $10,719

from 2 insurers · median $5,886

CignaNot published
Insurer A*$1,054
Insurer B*$10,719
Medicare $3,164Nearby hospitals $9,72339% below nearby hospitals

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$22,674

negotiated rate

Blue Cross$22,674

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 obstetrics / child birth services to CMS

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$35,099

negotiated rate

CignaNot published
Insurer A*$35,099
Medicare $10,389Nearby hospitals $32,9537% above nearby hospitals

23 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Goshen Hospital

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*7
429%
00
Insurer B*23
324%
143
Insurer C*6
67%
00
Insurer D*11
64%
011

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Goshen Hospital, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 158 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.11%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 38 services
    • 391 affiliated clinicians
    See doctors and services
  • Finances

    $283.1M net patient revenue

    • Operating margin on patient care -12.0%
    • $7M unreimbursed and uncompensated care
    • -$6.5M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Randal Christophel, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-6001540Goshen General Hospital60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1740268846 Goshen Hospital Association Inc1114030939 Goshen Hospital Association Inc.1235191032 Goshen Hospital Association Incand 3 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

200 High Park Avenue, Goshen, IN 46526

(574) 364-1000

Get directions

Frequently asked questions

About Goshen Hospital's rates and hospital price transparency.

How much does an MRI cost at Goshen Hospital?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Goshen Hospital range from $156 to $1,253 across 3 insurers. UnitedHealthcare's rate is $1,253. The median at nearby comparable hospitals is $314. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Goshen Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Goshen Hospital range from $301 to $1,001 across 3 insurers. Aetna's rate is $301. The median at nearby comparable hospitals is $669. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Goshen Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Goshen Hospital range from $926 to $3,975 across 2 insurers. Blue Cross Blue Shield's rate is $3,975. The median at nearby comparable hospitals is $4,218. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Goshen Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Goshen Hospital range from $15,943 to $15,943 across 1 insurers. Blue Cross Blue Shield's rate is $15,943. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Goshen Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Goshen Hospital range from $116 to $250 across 2 insurers. UnitedHealthcare's rate is $250. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Goshen Hospital's CMS star rating?

Goshen Hospital 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 Goshen Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Goshen Hospital for fiscal year 2027.

Does Medicare penalize Goshen Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Goshen Hospital's base inpatient payments by an estimated 0.11% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Goshen Hospital?

In 2024, the most common were heart failure and shock with mcc (84 discharges), septicemia or severe sepsis without mv >96 hours with mcc (56 discharges), simple pneumonia and pleurisy with mcc (48 discharges).

What is Goshen Hospital's case mix index?

Goshen Hospital's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% 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