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 |
|---|---|---|---|---|
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $18.52 – $111.79 | 25 |
| Lymphocytotoxicity assay CPT 86805 | $408.00 | $680.00 | $19.84 – $432.08 | 25 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $30.81 – $390.80 | 23 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $34.08 – $722.38 | 42 |
| Lymph vessel x-ray trunk CPT 75805 | $588.60 | $981.00 | $29.44 – $1,806.01 | 42 |
| Lymph vessel x-ray trunk CPT 75807 | $1,176.60 | $1,961.00 | $37.36 – $439.41 | 23 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $31.07 – $279.43 | 39 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $27.26 – $1,553.00 | 39 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $43.15 – $910.38 | 39 |
| Macro exam dissect molec study ea CPT 88387 | $175.20 | $292.00 | $2.59 – $17.44 | 23 |
| Macroscopic exam arthropod CPT 87168 | $85.80 | $143.00 | $2.11 – $9.74 | 23 |
| Macroscopic exam parasite CPT 87169 | $52.20 | $87.00 | $2.02 – $9.83 | 23 |
| Magnesium CPT 83735 | $145.20 | $242.00 | $2.73 – $15.28 | 25 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $118.81 | $198.01 | $0.05 – $1.51 | 22 |
| Magnetic image bone marrow CPT 77084 | $582.60 | $971.00 | $57.47 – $632.63 | 42 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 25 |
| Male sling procedure CPT 53440 | not published | not published | $161.59 – $9,871.23 | 39 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 20 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $64.42 – $801.87 | 39 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $80.33 – $801.87 | 39 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $129.00 | $215.00 | $3.64 – $23.70 | 20 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $142.20 | $237.00 | $4.20 – $29.50 | 20 |
| Manipulation of hip joint CPT 27275 | not published | not published | $35.40 – $801.87 | 39 |
| Manipulation of spine CPT 22505 | not published | not published | $25.01 – $801.87 | 39 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $14.54 – $80.84 | 39 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.12 | $66.86 | $2.20 – $5.87 | 16 |
| Manual diff wbc count b-coat CPT 85009 | $75.60 | $126.00 | $1.76 – $11.56 | 25 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $403.80 | $673.00 | $43.90 – $71.30 | 20 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $25.92 – $165.04 | 20 |
| Map tachycard site(s) CPT 93609 | $6,303.60 | $10,506.00 | $66.00 – $130.10 | 20 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,700.60 | $4,501.00 | $200.00 – $200.00 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 20 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 39 |
| Mast mod rad CPT 19307 | not published | not published | $186.23 – $2,482.82 | 39 |
| Mastoidectomy CPT 69501 | not published | not published | $111.76 – $2,702.95 | 39 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $148.20 – $2,702.95 | 39 |
| Mastoids complete CPT 70130 | $390.00 | $650.00 | $6.67 – $83.81 | 23 |
| Mastoid surgery revision CPT 69603 | not published | not published | $193.42 – $2,702.95 | 39 |
| Mastopexy CPT 19316 | not published | not published | $120.38 – $2,482.82 | 39 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 39 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $3,901.80 | $6,503.00 | $18.55 – $108.92 | 21 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 25 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 25 |
| Maxillofacial fixation CPT 21100 | not published | not published | $96.71 – $2,702.95 | 39 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $277.20 | $462.00 | $5.29 – $32.97 | 25 |
| Mayo aathr protein s free CPT 85306 | $587.40 | $979.00 | $6.61 – $34.93 | 25 |
| Mayo activated protein c resistance assay CPT 85307 | $1,128.00 | $1,880.00 | $6.61 – $34.93 | 25 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 23 |
| 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 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $111.60 | $186.00 | $6.61 – $33.70 | 25 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $283.20 | $472.00 | $5.29 – $30.64 | 25 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $231.00 | $385.00 | $7.44 – $34.38 | 25 |
| 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 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $642.00 | $1,070.00 | $60.06 – $277.32 | 23 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $633.60 | $1,056.00 | $43.83 – $208.98 | 23 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 21 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,056.80 | $3,428.00 | $540.00 – $2,644.80 | 23 |
| Mayo androstenedione CPT 82157 | $204.60 | $341.00 | $10.58 – $66.76 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $331.20 | $552.00 | $6.61 – $33.29 | 25 |
| Mayo antithrombin iii antigen CPT 85301 | $525.60 | $876.00 | $5.34 – $24.65 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $82.80 | $138.00 | $5.29 – $34.31 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $304.20 | $507.00 | $9.42 – $70.36 | 23 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $190.80 | $318.00 | $5.02 – $23.21 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $418.20 | $697.00 | $60.88 – $330.24 | 22 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 22 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $207.00 | $345.00 | $3.97 – $29.41 | 25 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $51.00 | $85.00 | $3.97 – $30.07 | 25 |
| Mayo brcmg brucella antibody igm CPT 86622 | $131.40 | $219.00 | $3.97 – $20.36 | 25 |
| Mayo c1 esterase inhibitor CPT 83883 | $240.60 | $401.00 | $2.65 – $31.01 | 25 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 16 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $189.00 | $315.00 | $1.70 – $38.46 | 25 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $174.60 | $291.00 | $13.09 – $61.06 | 23 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $318.00 | $530.00 | $60.36 – $278.66 | 16 |
| Mayo ceruloplasmin CPT 82390 | $208.80 | $348.00 | $5.08 – $24.49 | 25 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $73.20 | $122.00 | $5.29 – $32.19 | 25 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $268.80 | $448.00 | $5.29 – $29.37 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $49.20 | $82.00 | $3.97 – $26.95 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $49.20 | $82.00 | $3.97 – $28.91 | 25 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.40 | $494.00 | $59.26 – $265.60 | 25 |
| Mayo chromium CPT 82495 | $145.20 | $242.00 | $9.60 – $46.24 | 25 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $4.90 – $51.87 | 16 |
| Mayo coccidioides antibody CPT 86635 | $214.20 | $357.00 | $3.97 – $26.15 | 25 |
| Mayo cocou cortisone urine CPT 82542 | $406.20 | $677.00 | $8.31 – $54.93 | 25 |
| Mayo cortisol free CPT 82530 | $130.80 | $218.00 | $7.91 – $38.10 | 25 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $79.80 | $133.00 | $16.85 – $102.60 | 26 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $145.20 | $242.00 | $3.97 – $27.63 | 25 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | $204.60 | $341.00 | $7.93 – $44.23 | 25 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $24.34 – $235.58 | 23 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $119.40 | $199.00 | $6.54 – $30.21 | 25 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $217.80 | $363.00 | $11.90 – $57.62 | 25 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 16 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 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.