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Ascension St Vincent Hospital

2001 W 86Th St, Indianapolis, IN 46260 · (317) 338-7000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 2/5Indianapolis, IN metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

25,282 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $132

$218
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 6 lines · metro median $966

$542
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $542

$542
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $542

$542
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 12 lines · metro median $131

$131
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 12 lines · metro median $42

$30
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 12 lines · metro median $55

$40
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines · metro median $378

$378
cash
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Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $74

$74
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $160

$98
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $197

$85
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 12 lines · metro median $131

$131
cash
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Left heart catheterization

CPT 93452 · lowest of 4 lines · metro median $13,433

$14,930
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $147

$305
cash
Liver function panel

CPT 80076 · lowest of 6 lines · metro median $158

$241
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 8 lines · metro median $932

$583
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 12 lines · metro median $583

$583
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $583

$583
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $583

$583
cash
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Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 72 lines · metro median $2,216

$2,298
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $325

$390
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 8 lines · metro median $419

$505
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $550

$664
cash
PSA test (prostate)

CPT 84153 · lowest of 12 lines · metro median $82

$70
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $84

$95
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 32 lines · metro median $61

$48
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $531

$531
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Prostate biopsy

CPT 55700 · lowest of 38 lines · metro median $3,604

$3,604
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $54

$71
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $125

$85
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $206

$85
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $302

$85
cash
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Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $250

$250
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 16 lines · metro median $2,770

$2,770
cash
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Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 36 lines · metro median $1,970

$2,942
cash
TSH test (thyroid)

CPT 84443 · lowest of 12 lines · metro median $82

$82
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $462

$331
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 6 lines · metro median $520

$520
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Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $75

$135
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 6 lines · metro median $347

$347
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.