Ascension St. Vincent Naab Surgery Center
8260 Naab Rd, Indianapolis, IN · Ascension · · NPI 1447297684
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 |
|---|---|---|---|---|
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $20.33 – $129.09 | 20 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $60.15 – $878.95 | 39 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $18.21 – $135.88 | 20 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $36.10 – $152.53 | 39 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $153.00 | $255.00 | $8.30 – $212.57 | 23 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $39.62 – $926.15 | 39 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $22.55 – $130.37 | 39 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $13.16 – $88.08 | 20 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $54.48 – $608.23 | 39 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,350.60 | $2,251.00 | $43.28 – $1,440.64 | 42 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $82.55 – $503.82 | 39 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $0.38 – $6.73 | 20 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $28.82 – $187.09 | 39 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $40.26 – $1,320.79 | 39 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $30.29 – $165.68 | 39 |
| Destruction benign lesions < 14 lesions CPT 17110 | $296.40 | $494.00 | $10.16 – $481.98 | 23 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,012.40 | $3,354.00 | $39.32 – $1,416.85 | 40 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $15.86 – $122.74 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,622.80 | $11,038.00 | $58.96 – $4,631.00 | 41 |
| Destruction ciliary body CPT 66700 | not published | not published | $73.75 – $1,158.89 | 39 |
| Destruction ciliary body CPT 66720 | not published | not published | $79.19 – $958.01 | 39 |
| Destruction ciliary body CPT 66740 | not published | not published | $73.75 – $958.01 | 39 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $31.31 – $196.77 | 39 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $29.33 – $1,320.79 | 39 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $28.29 – $181.02 | 39 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $22.76 – $144.57 | 39 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $27.82 – $176.27 | 39 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $21.71 – $138.77 | 39 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $25.41 – $160.76 | 39 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $20.60 – $101.47 | 20 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $33.85 – $926.15 | 39 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $15.66 – $114.73 | 39 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $148.24 – $1,320.79 | 39 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $34.29 – $1,553.00 | 39 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $19.27 – $115.71 | 39 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $18.80 – $90.28 | 39 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $9.49 – $68.47 | 25 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $18.97 – $99.57 | 25 |
| Developmental screen/score/document 96110 CPT 96110 | $151.80 | $253.00 | $5.44 – $22.80 | 20 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $21.81 – $530.21 | 21 |
| Device intraute mirena HCPCS J7298 | $1,803.72 | $3,006.20 | $874.21 – $2,767.82 | 23 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $9.95 – $56.67 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $145.20 | $242.00 | $3.38 – $250.00 | 43 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $319.80 | $533.00 | $0.12 – $233.33 | 23 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $4,745.71 | $7,909.51 | $76.13 – $715.20 | 42 |
| Dextran 40 infusion HCPCS J7100 | $173.97 | $289.95 | $17.77 – $87.84 | 16 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $78.83 | $131.39 | $0.99 – $2.90 | 22 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.67 | $131.12 | $1.00 – $17.96 | 16 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $79.76 | $132.93 | $0.99 – $4.75 | 22 |
| Dextrose 5 % IV bolus HCPCS J7070 | $78.86 | $131.44 | $1.99 – $9.43 | 22 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $541.20 | $902.00 | $7.93 – $50.68 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $250.80 | $418.00 | $3.97 – $22.14 | 25 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $43.56 – $741.27 | 39 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $74.31 – $2,648.76 | 39 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $26.31 – $124.37 | 20 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $35.48 – $599.32 | 39 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $8.59 – $60.55 | 20 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $53.40 | $89.00 | $18.60 – $56.57 | 14 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $53.40 | $89.00 | $15.12 – $54.02 | 14 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $11.35 – $65.51 | 39 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $841.80 | $1,403.00 | $18.19 – $1,285.51 | 42 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $378.00 | $630.00 | $27.03 – $327.17 | 21 |
| Diagnostic Mammogram (one breast) CPT 77065 | $276.60 | $461.00 | $21.32 – $255.68 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $0.01 – $34.97 | 13 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $11,889.00 | $19,815.00 | $43.85 – $4,631.00 | 22 |
| Dialysis one evaluation CPT 90945 | $1,568.40 | $2,614.00 | $14.43 – $80.70 | 14 |
| Diathermy eg microwave CPT 97024 | not published | not published | $0.63 – $8.43 | 21 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $122.25 | $203.75 | $0.08 – $0.17 | 16 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $80.83 | $134.71 | $5.47 – $17.16 | 16 |
| Dicyclomine injection HCPCS J0500 | $193.54 | $322.57 | $24.97 – $83.14 | 22 |
| Diffusing capacity CPT 94729 | $413.40 | $689.00 | $6.56 – $46.25 | 20 |
| Digital analysis of eeg CPT 95957 | not published | not published | $47.03 – $94.40 | 20 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $191.62 | $319.36 | $5.43 – $35.37 | 22 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,815.78 | $11,359.63 | $617.81 – $10,998.23 | 42 |
| Digoxin total therapeutic drug level CPT 80162 | $220.80 | $368.00 | $6.28 – $30.28 | 25 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $308.90 | $514.84 | $28.52 – $379.96 | 23 |
| Dilate biliary duct/ampulla CPT 47542 | $1,873.20 | $3,122.00 | $37.66 – $1,416.85 | 21 |
| Dilate esophagus CPT 43453 | not published | not published | $22.44 – $814.39 | 39 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $20.76 – $460.37 | 39 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $90.63 – $258.40 | 14 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $45.31 – $258.40 | 14 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $128.87 – $954.80 | 14 |
| Dilate tear duct opening CPT 68801 | not published | not published | $16.18 – $86.85 | 20 |
| Dilate urethra stricture CPT 53600 | not published | not published | $13.71 – $102.15 | 39 |
| Dilate urethra stricture CPT 53601 | not published | not published | $11.52 – $83.84 | 20 |
| Dilate urethra stricture CPT 53605 | not published | not published | $13.93 – $1,592.02 | 39 |
| Dilate urethra stricture CPT 53621 | not published | not published | $15.57 – $114.55 | 39 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $8.95 – $63.18 | 39 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $36.78 – $599.32 | 39 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $9.57 – $47.26 | 39 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $43.73 – $599.32 | 39 |
| Dilation of salivary duct CPT 42660 | $1,088.40 | $1,814.00 | $18.23 – $1,416.85 | 40 |
| Dilation of urethra CPT 53661 | not published | not published | $8.67 – $62.59 | 20 |
| Dilation of urethra CPT 53665 | not published | not published | $8.31 – $910.38 | 39 |
| Dilation of vagina CPT 57400 | not published | not published | $26.57 – $1,553.00 | 39 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $13.68 – $90.50 | 39 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $18.78 – $137.57 | 39 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $32.78 – $1,592.02 | 33 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $54.82 – $1,592.02 | 33 |
| Dimecaprol injection HCPCS J0470 | $199.46 | $332.44 | $47.58 – $135.41 | 41 |
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.