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)
• Also available in a .txt file
• MyChart Patient Cost Estimates
• MHHCC Machine Readable File (MRF)

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.

We offer detailed price estimates related to future inpatient and outpatient services.

Contact Pricing Support by any of the following:

Phone: 812-450-5103

Email: MemorialCostQuote@hcrsolutions.com

Send us a MyChart Message directly from your MyChart account by clicking "send a message", ask a customer service question, and select estimate requests or estimate questions.

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

Questions about Financial Assistance? Please call our Financial Assistance Staff available at 800-467-6802 (option 5 then option 4 for Memorial Hospital).

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 812-450-5103.