Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC)
10580 N Meridian Street, Carmel, IN · Ascension · · NPI 1982681748
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lip surgery procedure CPT 40799 | not published | not published | $0.01 – $87.15 | 17 |
| Listeria monocytogenes CPT 86723 | not published | not published | $5.29 – $30.07 | 24 |
| Lithium therapeutic drug level CPT 80178 | $189.60 | $316.00 | $3.13 – $15.07 | 24 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,460.60 | $19,101.00 | $133.22 – $133.22 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $265.13 – $840.00 | 19 |
| Liver elastography 91200 CPT 91200 | not published | not published | $7.73 – $495.69 | 20 |
| Liver Function Test CPT 80076 | $241.20 | $402.00 | $2.99 – $18.63 | 24 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $314.26 – $998.37 | 19 |
| Liver imaging CPT 78201 | not published | not published | $15.23 – $338.34 | 41 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $17.05 – $366.36 | 41 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $17.33 – $348.41 | 41 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $18.55 – $249.61 | 41 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $8.36 – $51.12 | 19 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $123.51 – $1,487.08 | 38 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $261.04 | $435.07 | $0.69 – $3.29 | 22 |
| Loudness balance test CPT 92562 | not published | not published | $3.99 – $30.91 | 19 |
| Low back disk surgery CPT 63030 | not published | not published | $196.26 – $3,321.81 | 38 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $542.40 | $904.00 | $45.27 – $448.02 | 41 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $542.40 | $904.00 | $43.10 – $650.00 | 42 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $542.40 | $904.00 | $35.75 – $650.00 | 42 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $582.60 | $971.00 | $82.27 – $700.00 | 42 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $582.60 | $971.00 | $64.01 – $485.37 | 41 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $582.60 | $971.00 | $53.39 – $700.00 | 42 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $240.00 | $400.00 | $4.83 – $250.00 | 23 |
| Lower jaw bone graft CPT 21215 | not published | not published | $217.88 – $3,692.26 | 38 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $17.02 – $700.25 | 19 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $193.98 – $4,445.47 | 38 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $218.48 – $4,445.47 | 38 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $214.87 – $4,445.47 | 38 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $236.36 – $4,445.47 | 38 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $3.97 – $50.14 | 24 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $28.23 – $1,298.32 | 22 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $404.06 – $13,239.40 | 38 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $3.99 – $12.50 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $556.80 | $928.00 | $6.03 – $20.10 | 19 |
| Lung perfusion imaging CPT 78580 | not published | not published | $24.71 – $415.22 | 41 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $355.87 – $1,901.30 | 13 |
| Lvad shower bag heartmate HCPCS Q0501 | $707.40 | $1,179.00 | $32.61 – $399.57 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $9.69 – $51.33 | 13 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $188.90 – $851.20 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $37.21 – $609.90 | 41 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.06 – $83.36 | 24 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $18.52 – $111.79 | 24 |
| Lymphocytotoxicity assay CPT 86805 | $408.00 | $680.00 | $19.84 – $432.08 | 24 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $30.81 – $390.80 | 22 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $34.08 – $722.38 | 41 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $29.44 – $1,806.01 | 41 |
| Lymph vessel x-ray trunk CPT 75807 | $1,176.60 | $1,961.00 | $37.36 – $439.41 | 22 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $31.07 – $279.43 | 38 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $31.77 – $1,553.00 | 38 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $43.15 – $910.38 | 38 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $2.59 – $17.44 | 22 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.11 – $9.74 | 22 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.02 – $9.83 | 22 |
| Magnesium CPT 83735 | $145.20 | $242.00 | $2.73 – $15.28 | 24 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $64.61 | $107.68 | $0.05 – $1.51 | 21 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $57.47 – $632.63 | 41 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 24 |
| Male sling procedure CPT 53440 | not published | not published | $193.44 – $9,871.23 | 38 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 19 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $76.07 – $801.87 | 38 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $97.33 – $801.87 | 38 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $129.00 | $215.00 | $3.64 – $23.70 | 19 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $142.20 | $237.00 | $4.20 – $29.50 | 19 |
| Manipulation of hip joint CPT 27275 | not published | not published | $45.77 – $801.87 | 38 |
| Manipulation of spine CPT 22505 | not published | not published | $31.90 – $801.87 | 38 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $22.74 – $80.84 | 38 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.12 | $66.86 | $2.20 – $5.87 | 15 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $1.76 – $11.56 | 24 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $44.57 – $71.30 | 19 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $45.97 – $165.04 | 19 |
| Map tachycard site(s) CPT 93609 | $6,303.60 | $10,506.00 | $66.00 – $130.10 | 19 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 19 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 38 |
| Mast mod rad CPT 19307 | not published | not published | $192.23 – $2,482.82 | 38 |
| Mastoidectomy CPT 69501 | not published | not published | $133.53 – $2,702.95 | 38 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $176.91 – $2,702.95 | 38 |
| Mastoids complete CPT 70130 | not published | not published | $6.67 – $83.81 | 22 |
| Mastoid surgery revision CPT 69603 | not published | not published | $232.90 – $2,702.95 | 38 |
| Mastopexy CPT 19316 | not published | not published | $133.14 – $2,482.82 | 38 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 38 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 24 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 24 |
| Maxillofacial fixation CPT 21100 | not published | not published | $99.06 – $2,702.95 | 38 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $277.20 | $462.00 | $5.29 – $32.97 | 24 |
| Mayo aathr protein s free CPT 85306 | $587.40 | $979.00 | $6.61 – $34.93 | 24 |
| Mayo activated protein c resistance assay CPT 85307 | $1,128.00 | $1,880.00 | $6.61 – $34.93 | 24 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $111.60 | $186.00 | $6.61 – $33.70 | 24 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $283.20 | $472.00 | $5.29 – $30.64 | 24 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $231.00 | $385.00 | $7.44 – $34.38 | 24 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $642.00 | $1,070.00 | $60.06 – $277.32 | 22 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $633.60 | $1,056.00 | $43.83 – $208.98 | 22 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $540.00 – $2,644.80 | 22 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.