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 |
|---|---|---|---|---|
| Lengthen radius or ulna CPT 25391 | not published | not published | $194.38 – $8,594.98 | 39 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $222.06 – $4,222.89 | 39 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $609.00 | $1,015.00 | $100.00 – $100.00 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $612.60 | $1,021.00 | $68.16 – $349.20 | 20 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $164.09 | $273.48 | $2.56 – $9.16 | 23 |
| Leukacyte transfusion CPT 86950 | not published | not published | $18.52 – $249.33 | 25 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $4.10 – $23.69 | 25 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $9,320.28 | $15,533.80 | $163.21 – $1,375.38 | 44 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $7,821.38 | $13,035.63 | $641.42 – $3,797.11 | 42 |
| Levalbuterol non-comp unit HCPCS J7614 | $20.15 | $33.58 | $0.06 – $1.02 | 19 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $124.96 | $208.27 | $0.03 – $0.29 | 23 |
| Levetiracetam therapeutic drug level CPT 80177 | $346.80 | $578.00 | $6.54 – $30.21 | 23 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $64.88 | $108.13 | $0.40 – $7.13 | 22 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $665.44 | $1,109.07 | $21.12 – $23.76 | 9 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $6,415.80 | $10,693.00 | $260.39 – $633.00 | 11 |
| Lidocaine therapeutic drug level CPT 80176 | $204.00 | $340.00 | $6.61 – $33.49 | 25 |
| Ligate leg veins open CPT 37761 | not published | not published | $136.34 – $1,515.56 | 39 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $152.39 – $1,515.56 | 39 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $15.30 – $107.69 | 20 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $118.57 – $1,515.56 | 39 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $104.35 – $1,515.56 | 39 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $71.61 – $1,553.00 | 39 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $49.75 – $668.59 | 39 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $61.57 – $1,515.56 | 39 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $175.24 – $504.07 | 20 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $196.77 – $565.85 | 20 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $176.57 – $515.42 | 20 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $94.46 – $461.50 | 20 |
| Ligation major artery neck CPT 37615 | not published | not published | $118.34 – $528.10 | 20 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $130.56 – $1,515.56 | 39 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $328.59 – $1,206.30 | 20 |
| Ligation of femoral vein CPT 37650 | not published | not published | $125.27 – $1,515.56 | 39 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $403.01 – $2,245.90 | 20 |
| Ligation of neck artery CPT 37606 | not published | not published | $138.21 – $600.30 | 20 |
| Ligation of salivary duct CPT 42665 | not published | not published | $47.58 – $1,291.25 | 39 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $187.16 – $1,515.56 | 39 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $64.63 – $1,515.56 | 39 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $93.03 – $1,515.56 | 39 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $164.04 – $1,515.56 | 39 |
| Limb exercise test CPT 95875 | not published | not published | $19.66 – $41.72 | 21 |
| Limited visual field xm CPT 92081 | not published | not published | $5.63 – $18.20 | 20 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $206.92 | $344.87 | $3.30 – $21.21 | 22 |
| Lipase CPT 83690 | $174.60 | $291.00 | $3.23 – $15.71 | 25 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $81.24 – $1,291.25 | 39 |
| Lipoprotein blood high res frac & quant CPT 83701 | $119.40 | $199.00 | $12.45 – $77.20 | 25 |
| Lipoprotein blood quant CPT 83704 | $303.60 | $506.00 | $15.58 – $77.95 | 23 |
| Lipoprotein direct measurement hdl CPT 83718 | $195.00 | $325.00 | $3.87 – $18.67 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | $170.40 | $284.00 | $3.97 – $23.94 | 25 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $14.02 – $77.95 | 23 |
| 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 | 25 |
| Lithium therapeutic drug level CPT 80178 | $189.60 | $316.00 | $3.13 – $15.07 | 25 |
| 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 | 20 |
| Liver elastography 91200 CPT 91200 | not published | not published | $5.22 – $495.69 | 21 |
| Liver Function Test CPT 80076 | $241.20 | $402.00 | $2.99 – $18.63 | 25 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $314.26 – $998.37 | 20 |
| Liver imaging CPT 78201 | $1,031.40 | $1,719.00 | $15.23 – $338.34 | 42 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $17.05 – $366.36 | 42 |
| Liver/spleen imag static only CPT 78215 | $1,635.00 | $2,725.00 | $17.33 – $348.41 | 42 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $18.25 – $249.61 | 42 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $8.36 – $51.12 | 20 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $91.66 – $1,487.08 | 39 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $2.57 | $4.29 | $0.84 – $3.51 | 22 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $261.04 | $435.07 | $0.69 – $3.29 | 23 |
| Loudness balance test CPT 92562 | not published | not published | $3.99 – $30.91 | 20 |
| Low back disk surgery CPT 63030 | not published | not published | $196.26 – $3,321.81 | 39 |
| Low cost skin substitute app HCPCS C5271 | $1,380.00 | $2,300.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5273 | $6,739.20 | $11,232.00 | $926.15 – $926.15 | 19 |
| Low cost skin substitute app HCPCS C5275 | $1,380.00 | $2,300.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5277 | $4,450.20 | $7,417.00 | $318.97 – $325.96 | 20 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $542.40 | $904.00 | $45.27 – $448.02 | 42 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $542.40 | $904.00 | $43.10 – $650.00 | 43 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $542.40 | $904.00 | $35.75 – $650.00 | 43 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $582.60 | $971.00 | $59.65 – $700.00 | 43 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $582.60 | $971.00 | $50.49 – $485.37 | 42 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $582.60 | $971.00 | $35.16 – $700.00 | 43 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $240.00 | $400.00 | $4.83 – $250.00 | 24 |
| Lower jaw bone graft CPT 21215 | not published | not published | $178.70 – $3,692.26 | 39 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $2.21 – $700.25 | 20 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $141.40 – $4,445.47 | 39 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $163.58 – $4,445.47 | 39 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $161.62 – $4,445.47 | 39 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $178.04 – $4,445.47 | 39 |
| L/s ratio fetal lung CPT 83661 | $163.80 | $273.00 | $3.97 – $50.14 | 25 |
| Lumbar diskogram s&i CPT 72295 | $1,227.60 | $2,046.00 | $18.75 – $1,298.32 | 23 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $309.95 – $13,239.40 | 39 |
| Lumizyme injection HCPCS J0221 | $1,594.90 | $2,658.16 | $153.59 – $454.43 | 41 |
| Lung function test (mbc/mvv) CPT 94200 | $229.20 | $382.00 | $3.99 – $12.50 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $556.80 | $928.00 | $5.93 – $20.10 | 20 |
| Lung perfusion imaging CPT 78580 | $1,709.40 | $2,849.00 | $24.71 – $415.22 | 42 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $355.87 – $1,901.30 | 14 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $298.13 | $496.88 | $189.26 – $458.10 | 40 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $237.20 | $395.34 | $38.35 – $91.40 | 41 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $365.28 | $608.80 | $223.13 – $535.12 | 18 |
| Lvad shower bag heartmate HCPCS Q0501 | $972.60 | $1,621.00 | $32.61 – $1,194.60 | 21 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $6.43 – $51.33 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $131.92 – $851.20 | 20 |
| Lymphatics/lymph node imaging CPT 78195 | $2,593.80 | $4,323.00 | $37.21 – $609.90 | 42 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.06 – $83.36 | 25 |
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.