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 |
|---|---|---|---|---|
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $7.41 – $61.97 | 20 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $5,568.00 | $9,280.00 | $18.29 – $108.92 | 21 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $175.17 – $1,022.00 | 20 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $4,552.80 | $7,588.00 | $67.47 – $4,631.00 | 22 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $167.59 – $686.10 | 20 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $84.19 – $1,487.08 | 39 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $21.78 – $183.70 | 39 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $35.98 – $668.59 | 39 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $18.77 – $82.01 | 39 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $49.63 – $279.43 | 39 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $58.58 – $1,553.00 | 39 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $95.70 – $1,487.08 | 39 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $82.04 – $1,487.08 | 39 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $89.99 – $599.32 | 39 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $51.83 – $1,291.25 | 39 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $35.52 – $668.59 | 39 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $247.78 – $881.30 | 20 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $221.23 – $813.20 | 20 |
| Drng ovary abscess perqt 58822 CPT 58822 | $4,839.60 | $8,066.00 | $146.09 – $4,631.00 | 22 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $354.08 – $1,165.00 | 20 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $35.00 – $652.86 | 39 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $28.48 – $279.43 | 39 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $20.03 | $33.39 | $0.81 – $5.45 | 23 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $40.32 | $67.20 | $2.14 – $21.78 | 22 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $3,325.20 | $5,542.00 | $10.92 – $108.92 | 21 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,662.60 | $2,771.00 | $9.28 – $108.92 | 21 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $7,852.80 | $13,088.00 | $16.91 – $108.92 | 21 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $5,301.00 | $8,835.00 | $14.33 – $108.92 | 21 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $7,038.60 | $11,731.00 | $37.56 – $48.68 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $291.00 | $485.00 | $20.89 – $144.29 | 20 |
| Drug assay caffeine CPT 80155 | $346.80 | $578.00 | $7.72 – $87.94 | 23 |
| Drug assay posaconazole CPT 80187 | not published | not published | $10.84 – $61.81 | 23 |
| Drug assay rufinamide CPT 80210 | not published | not published | $10.84 – $61.81 | 22 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $15.43 – $87.94 | 23 |
| Drug assay voriconazole CPT 80285 | not published | not published | $10.84 – $61.81 | 23 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $46.60 | 20 |
| Drug of abuse screen urine CPT 80305 | $354.00 | $590.00 | $5.94 – $28.73 | 23 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $9.85 – $61.81 | 23 |
| Drug test def 1-7 classes HCPCS G0480 | $378.60 | $631.00 | $31.98 – $114.43 | 21 |
| Drug test def 8-14 classes HCPCS G0481 | $378.60 | $631.00 | $45.77 – $156.59 | 21 |
| Drug test prsmv instrmnt CPT 80306 | $354.00 | $590.00 | $7.18 – $39.08 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $354.00 | $590.00 | $31.70 – $141.68 | 23 |
| Drvvt confirm - quest CPT 85597 | $288.00 | $480.00 | $5.00 – $40.99 | 25 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $48.26 – $630.05 | 39 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $36.93 – $1,130.49 | 40 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $33.45 – $221.38 | 39 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $28.36 – $179.60 | 39 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $33.10 – $223.45 | 39 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $44.40 – $301.07 | 39 |
| Ductogram sgl duct CPT 77053 | $258.00 | $430.00 | $12.67 – $178.54 | 23 |
| Duodenal motility study CPT 91022 | not published | not published | $27.79 – $141.65 | 20 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,201.20 | $2,002.00 | $36.29 – $897.51 | 39 |
| Duplex scan unilateral study 93986 CPT 93986 | $600.60 | $1,001.00 | $22.50 – $424.98 | 39 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $787.80 | $1,313.00 | $8.84 – $190.01 | 21 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $959.40 | $1,599.00 | $17.52 – $201.43 | 21 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,493.40 | $2,489.00 | $16.24 – $549.90 | 21 |
| Dxa bone density axl vrt fx CPT 77085 | $466.80 | $778.00 | $5.95 – $86.01 | 21 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $98.40 | $164.00 | $61.94 – $61.94 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $36.07 – $741.27 | 39 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $36.07 – $741.27 | 39 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $35.62 – $741.27 | 39 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $8.05 – $12.00 | 20 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $14.73 – $460.37 | 39 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $21.48 – $460.37 | 39 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $8.91 – $62.11 | 20 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $16.46 – $94.98 | 39 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $37.26 – $207.37 | 39 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $38.33 – $741.27 | 39 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $26.40 – $150.27 | 39 |
| Dynamic surface emg CPT 96002 | not published | not published | $3.72 – $531.65 | 21 |
| Ear and throat examination CPT 92502 | not published | not published | $16.50 – $98.50 | 20 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $9.72 – $110.17 | 39 |
| Ear cartilage graft CPT 21235 | not published | not published | $111.91 – $2,702.95 | 39 |
| Ear irrigation 69209 CPT 69209 | $175.80 | $293.00 | $1.85 – $283.42 | 21 |
| Ear protector evaluation CPT 92596 | not published | not published | $6.24 – $28.52 | 20 |
| Ecg 12 lead tracing only CPT 93005 | $301.20 | $502.00 | $1.36 – $15.78 | 20 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $1.49 – $11.60 | 20 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $1.11 – $7.20 | 20 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $34.17 – $172.93 | 20 |
| Ecg external < 48 hours recording CPT 93225 | $816.00 | $1,360.00 | $5.31 – $25.96 | 20 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $7.58 – $36.64 | 20 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $384.00 | $640.00 | $3.18 – $13.67 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $766.20 | $1,277.00 | $3.18 – $13.67 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,352.00 | $3,920.00 | $45.57 – $262.23 | 20 |
| Echocardiography doppler color flow mapping CPT 93325 | $606.60 | $1,011.00 | $2.46 – $60.88 | 20 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $720.60 | $1,201.00 | $18.29 – $93.40 | 20 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $356.40 | $594.00 | $5.27 – $54.10 | 20 |
| Echo exam of eye CPT 76516 | not published | not published | $14.01 – $95.29 | 23 |
| Echo exam of eye CPT 76519 | not published | not published | $14.80 – $106.08 | 23 |
| Echo exam of eye CPT 76529 | $164.40 | $274.00 | $13.94 – $93.87 | 23 |
| Echo exam of eye thickness CPT 76514 | $129.00 | $215.00 | $2.47 – $14.30 | 23 |
| Echo exam of fetal heart CPT 76825 | $324.60 | $541.00 | $38.58 – $436.44 | 42 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $20.23 – $312.41 | 42 |
| Echo exam of fetal heart CPT 76827 | $324.60 | $541.00 | $14.28 – $94.60 | 23 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $10.13 – $50.05 | 23 |
| Echo exam uterus 76831- CPT 76831 | $325.80 | $543.00 | $22.22 – $177.19 | 42 |
| Echograp trans r pros study CPT 76873 | $753.00 | $1,255.00 | $31.75 – $188.70 | 42 |
| Echo guidance radiotherapy CPT 76965 | $1,666.80 | $2,778.00 | $15.78 – $48.00 | 21 |
| Echo guide for amniocentesis CPT 76946 | $257.40 | $429.00 | $6.20 – $43.61 | 21 |
| Echo guide for artery repair CPT 76936 | $324.60 | $541.00 | $50.88 – $189.97 | 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.