Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.)
13861 Olio Rd, Fishers, IN · Ascension · · NPI 1881956167
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 |
|---|---|---|---|---|
| Ped critical care initial CPT 99471 | not published | not published | $137.66 – $859.80 | 19 |
| Ped critical care subsq CPT 99472 | not published | not published | $67.59 – $437.80 | 19 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $84.35 – $145.03 | 13 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $145.03 – $400.08 | 13 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $113.18 – $926.15 | 38 |
| Pegaspargase injection HCPCS J9266 | $39,780.27 | $66,300.45 | $13,716.31 – $60,908.69 | 38 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,121.58 | $15,202.63 | $19.84 – $561.57 | 38 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,688.56 | $9,480.93 | $62.38 – $357.11 | 39 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,159.82 | $8,599.70 | $122.10 – $1,059.40 | 41 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,961.60 | $9,936.00 | $112.09 – $1,059.40 | 41 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $4,028.25 | $6,713.75 | $162.99 – $418.93 | 37 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $41,940.84 | $69,901.40 | $1,782.38 – $8,602.88 | 41 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $542.40 | $904.00 | $43.49 – $433.67 | 41 |
| Pelvic CT scan (with contrast) CPT 72193 | $542.40 | $904.00 | $41.27 – $650.00 | 42 |
| Pelvic CT scan (without contrast) CPT 72192 | $542.40 | $904.00 | $35.02 – $650.00 | 42 |
| Pelvic exenteration CPT 45126 | not published | not published | $646.87 – $2,605.30 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $582.60 | $971.00 | $80.61 – $818.70 | 42 |
| Pelvic MRI (with contrast) CPT 72196 | $582.60 | $971.00 | $62.07 – $681.50 | 41 |
| Pelvic MRI (without contrast) CPT 72195 | $582.60 | $971.00 | $52.62 – $700.00 | 42 |
| Pelvic Ultrasound (complete) CPT 76856 | $343.20 | $572.00 | $22.35 – $400.00 | 42 |
| Pelvic Ultrasound (limited) CPT 76857 | $295.20 | $492.00 | $13.51 – $70.15 | 41 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $85.04 | $141.73 | $44.62 – $131.00 | 40 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $16.16 | $26.93 | $1.05 – $9.41 | 38 |
| Peng benzathine/procaine inj HCPCS J0558 | $338.23 | $563.72 | $2.75 – $43.92 | 40 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $48.74 | $81.23 | $16.14 – $54.83 | 34 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $260.60 | $434.34 | $0.43 – $2.64 | 21 |
| Penicillin g procaine inj HCPCS J2510 | $107.18 | $178.64 | $23.50 – $103.39 | 40 |
| Penile injection CPT 54235 | not published | not published | $16.20 – $70.83 | 38 |
| Penile vascular study CPT 93980 | $810.60 | $1,351.00 | $35.19 – $282.55 | 20 |
| Penile vascular study CPT 93981 | not published | not published | $15.55 – $260.45 | 20 |
| Penile venous occlusion CPT 37790 | not published | not published | $130.01 – $1,592.02 | 38 |
| Penis plastic surgery CPT 54360 | not published | not published | $163.76 – $1,592.02 | 38 |
| Penis study CPT 54240 | not published | not published | $22.00 – $57.37 | 39 |
| Pentamidine non-comp unit HCPCS J2545 | $279.76 | $466.27 | $52.22 – $440.02 | 22 |
| Pentazocine injection HCPCS J3070 | $44.17 | $73.62 | $0.02 – $0.02 | 9 |
| Pentobarbital sodium inj HCPCS J2515 | $4,918.36 | $8,197.27 | $18.83 – $118.87 | 21 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $106.32 – $18,138.72 | 39 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $82.55 – $2,648.76 | 38 |
| Percut ablate liver rf CPT 47382 | not published | not published | $201.36 – $12,177.48 | 39 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $83.70 | $139.50 | $42.16 – $112.97 | 20 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $67.34 – $209.79 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $361.32 – $1,936.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $70.01 – $606.20 | 32 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $219.56 – $1,256.00 | 19 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $132.75 – $1,438.67 | 38 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $59.94 – $1,553.00 | 38 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $0.40 – $12.66 | 19 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $7.82 – $18.55 | 19 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $5.89 – $16.43 | 19 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $101.90 – $2,842.25 | 38 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $9.50 – $178.54 | 22 |
| Perit-vens shunt pat tst CPT 78291 | $1,295.40 | $2,159.00 | $26.93 – $426.71 | 41 |
| Perphenazine 4mg oral HCPCS Q0175 | $2.47 | $4.11 | $0.55 – $2.98 | 20 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $197.74 – $1,042.96 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $235.94 – $760.22 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | $4,117.20 | $6,862.00 | $29.62 – $4,391.68 | 21 |
| Perq dev breast 1st strtctc CPT 19283 | $2,305.80 | $3,843.00 | $21.82 – $2,459.52 | 21 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $286.23 – $4,450.23 | 38 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $194.96 – $4,450.23 | 38 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $792.22 – $8,000.18 | 31 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $672.14 – $11,477.74 | 31 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $695.93 – $6,960.20 | 31 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $529.42 – $6,408.37 | 31 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $265.77 – $265.77 | 11 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $94.29 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $127.58 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $152.29 – $12,177.48 | 39 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $23.36 – $125.52 | 32 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $129.37 – $1,487.08 | 38 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $116.48 – $1,487.08 | 38 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $201.13 – $305.80 | 17 |
| Perq transcath closure each CPT 93592 | not published | not published | $141.89 – $413.64 | 13 |
| Perq transcath closure pda CPT 93582 | not published | not published | $218.50 – $603.90 | 19 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $321.77 – $939.04 | 13 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $387.76 – $1,131.53 | 13 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $243.22 – $672.13 | 19 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $134.62 – $134.62 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $57.28 – $1,487.08 | 38 |
| Perq tx malar fracture CPT 21355 | not published | not published | $79.24 – $1,638.27 | 38 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $77.59 – $3,438.65 | 38 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $200.35 – $1,291.25 | 38 |
| Pertussis ag if CPT 87265 | $247.80 | $413.00 | $5.67 – $27.31 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $10,118.19 | $16,863.65 | $14.49 – $37.24 | 41 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,895.00 | $9,825.00 | $86.66 – $2,255.47 | 41 |
| Pet CT whole body initial CPT 78816 | $6,190.20 | $10,317.00 | $87.50 – $2,255.47 | 41 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,504.60 | $5,841.00 | $52.15 – $2,255.47 | 41 |
| Pet image full body CPT 78813 | not published | not published | $71.43 – $2,255.47 | 41 |
| Pet image ltd area CPT 78811 | not published | not published | $56.08 – $2,255.47 | 41 |
| Pet image skull-thigh CPT 78812 | not published | not published | $68.08 – $2,255.47 | 41 |
| Pet image w/ct lmtd CPT 78814 | $5,659.20 | $9,432.00 | $78.64 – $2,255.47 | 41 |
| Pet scan brain perf study CPT 78609 | not published | not published | $42.20 – $2,255.47 | 22 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $4.69 – $31.00 | 13 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $7.07 – $46.00 | 13 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $2.38 – $16.00 | 13 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $76.82 – $1,487.08 | 38 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $40.54 – $47.85 | 13 |
| Ph body fluid CPT 83986 | $99.00 | $165.00 | $1.69 – $8.16 | 24 |
| Phencyclidine (pcp) CPT 83992 | $186.60 | $311.00 | $7.20 – $80.01 | 24 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $135.50 | $225.83 | $27.07 – $109.58 | 21 |
| Phenobarbital therapeutic drug level CPT 80184 | $265.20 | $442.00 | $5.13 – $34.88 | 24 |
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.