Price Estimator

Dear Consumer,

Thank you for taking an interest in your health care costs.

Memorial Hospital and Health Care Center is providing this service to assist you in determining your out-of-pocket costs prior to electing to move forward with your procedures. Find resources linked in blue below.

Download the Complete Price List for all services (including all Diagnosis Related Group listings in Excel)
Out-of-Pocket Calculator

Please note: If you do not see your insurance carrier listed in the link, you will need to call your insurance carrier or our Financial Assistance Staff below for an estimate.

Download Memorial Hospital and Health Care Center's Financial Assistance Application Form. Download Spanish version
Review Frequently Asked Questions

Questions? Please call our Financial Assistance Staff available at (812) 996-0413 or (812) 996-0637.

A patient may ask for an estimate of the amount the patient will be charged for a non-emergency medical service provided in a practitioner office/ facility. The law requires that an estimate be provided within five (5) business days. Please contact our Financial Assistance Staff for assistance.”

Your right to receive a “Good Faith Estimate” PDF

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Memorial Hospital and Health Care Center at 812-996-5770 or 812-996-0637.