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Critical Access HospitalVoluntary Non-Profit - Private

Iu Health Paoli Hospital

Indiana University Health ยท Paoli, IN

642 West Hospital Road, Paoli, IN 47454(812) 723-2811

33

In-network payers

359

Disclosed rate categories

24

Beds

About this hospital

Iu Health Paoli Hospital is a 24-bed voluntary non-profit - private hospital in Paoli, IN, affiliated with Indiana University Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 359 disclosed rate categories.

CCN (Medicare provider number)

151306

NPI

1912984451

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

24

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

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

Prices for common services

The 24 services Iu Health Paoli 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.

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$175 - $3,182

from 4 insurers ยท median $2,806

UnitedHealthcare$2,784
Insurer A*$175
Insurer B*$2,828
Insurer C*$3,182
Medicare $558Nearby hospitals $1,42996% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,479 - $4,826

from 4 insurers ยท median $4,742

Blue Cross$4,826
Insurer A*$2,479
Insurer B*$4,659
Insurer C*$4,826
Medicare $927Nearby hospitals $1,040356% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$2,601 - $5,000

from 3 insurers ยท median $5,000

Blue Cross$5,000
Insurer A*$2,601
Insurer B*$5,000
Medicare $1,223Nearby hospitals $1,076365% above nearby hospitals

Typical for a hospital with this service line

Childbirth ยท Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,821

negotiated rate

Blue Cross$3,821

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

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$445 - $8,670

from 4 insurers ยท median $7,562

Aetna$445
Insurer A*$7,541
Insurer B*$7,583
Insurer C*$8,670
Medicare $1,323Nearby hospitals $2,557196% above nearby hospitals

Hospital reports nuclear medicine services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$525 - $725

from 4 insurers ยท median $725

Cigna$725
Insurer A*$525
Insurer B*$725
Insurer C*$725
Medicare $356Nearby hospitals $1,07533% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$382 - $725

from 4 insurers ยท median $648

Cigna$571
Insurer A*$382
Insurer B*$725
Insurer C*$725
Medicare $107Nearby hospitals $54319% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,457 - $4,250

from 4 insurers ยท median $3,277

Blue Cross$4,250
Insurer A*$1,457
Insurer B*$2,305
Insurer C*$4,250
Medicare $1,223Nearby hospitals $1,69194% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,804 - $15,510

from 3 insurers ยท median $15,510

Aetna$7,804
Insurer A*$15,510
Insurer B*$15,510
Medicare $6,176

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$2,394 - $5,820

from 4 insurers ยท median $4,603

Blue Cross$4,603
Insurer A*$2,394
Insurer B*$4,603
Insurer C*$5,820
Medicare $950Nearby hospitals $1,008357% above nearby hospitals

Typical for a hospital with this service line

Childbirth ยท Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$3,821

negotiated rate

Blue Cross$3,821

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

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

CPT 58571

$44,382

negotiated rate

Blue Cross$44,382
Medicare $10,860

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,852 - $6,133

from 3 insurers ยท median $6,133

Aetna$1,852
Insurer A*$6,133
Insurer B*$6,133
Medicare $2,358

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$445 - $725

from 4 insurers ยท median $725

Cigna$725
Insurer A*$445
Insurer B*$725
Insurer C*$725
Medicare $244Nearby hospitals $89419% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Arthroscopic shoulder decompression

CPT 29826

$9,516 - $18,951

from 3 insurers ยท median $18,951

Aetna$9,516
Insurer A*$18,951
Insurer B*$18,951
Nearby hospitals $9111980% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$115 - $200

from 4 insurers ยท median $200

Cigna$200
Insurer A*$115
Insurer B*$200
Insurer C*$200
Medicare $89Nearby hospitals $12560% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$140 - $175

from 4 insurers ยท median $175

UnitedHealthcare$175
Insurer A*$140
Insurer B*$175
Insurer C*$175
Medicare $92Nearby hospitals $15215% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$373 - $725

from 4 insurers ยท median $694

Cigna$662
Insurer A*$373
Insurer B*$725
Insurer C*$725
Medicare $179Nearby hospitals $61114% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$15,355 - $30,000

from 3 insurers ยท median $30,000

Aetna$15,355
Insurer A*$30,000
Insurer B*$30,000
Medicare $10,860

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$1,655 - $5,650

from 4 insurers ยท median $5,105

Aetna$1,655
Insurer A*$4,732
Insurer B*$5,479
Insurer C*$5,650
Medicare $877Nearby hospitals $2,181134% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$465 - $925

from 4 insurers ยท median $925

Cigna$925
Insurer A*$465
Insurer B*$925
Insurer C*$925
Medicare $356Nearby hospitals $1,27728% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$5,610 - $9,660

from 3 insurers ยท median $6,413

Blue Cross$9,660
Insurer A*$5,610
Insurer B*$6,413
Medicare $3,307Nearby hospitals $5,18724% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$25,427

negotiated rate

Blue Cross$25,427
Medicare $6,176Nearby hospitals $19,03134% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$3,515 - $6,979

from 3 insurers ยท median $6,979

Aetna$3,515
Insurer A*$6,979
Insurer B*$6,979
Medicare $6,048

Typical for a hospital with this service line

How the insurers pay at Iu Health Paoli 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*14
351%
54
Insurer B*24
348%
132
Insurer C*20
297%
65
Insurer D*19
149%
111

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 Iu Health Paoli Hospital.

Location

642 West Hospital Road, Paoli, IN 47454

(812) 723-2811

Get directions

Frequently asked questions

About Iu Health Paoli Hospital's rates and hospital price transparency.

How much does an MRI cost at Iu Health Paoli Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Iu Health Paoli Hospital range from $465 to $925 across 4 insurers. Cigna's rate is $925. The median at nearby comparable hospitals is $1,277. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Iu Health Paoli Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Iu Health Paoli Hospital range from $525 to $725 across 4 insurers. Cigna's rate is $725. The median at nearby comparable hospitals is $1,075. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Iu Health Paoli Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Iu Health Paoli Hospital range from $2,601 to $5,000 across 3 insurers. Blue Cross Blue Shield's rate is $5,000. The median at nearby comparable hospitals is $1,076. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Iu Health Paoli Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Iu Health Paoli Hospital range from $3,821 to $3,821 across 1 insurers. Blue Cross Blue Shield's rate is $3,821. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Iu Health Paoli Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Iu Health Paoli Hospital range from $140 to $175 across 4 insurers. UnitedHealthcare's rate is $175. The median at nearby comparable hospitals is $152. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Iu Health Paoli Hospital have?

Iu Health Paoli Hospital has 24 beds. Facility type: Critical Access Hospital.

Where is Iu Health Paoli Hospital and what is its phone number?

Iu Health Paoli Hospital is located at 642 West Hospital Road, Paoli, IN 47454. Its main phone number is (812) 723-2811.

What is Iu Health Paoli Hospital's CCN (Medicare provider number)?

Iu Health Paoli Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151306.

What is Iu Health Paoli Hospital's NPI number?

The National Provider Identifier (NPI) on file for Iu Health Paoli Hospital is 1912984451.

What health system is Iu Health Paoli Hospital part of?

Iu Health Paoli Hospital is affiliated with Indiana University Health.

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
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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.

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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
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