▸ Hospital · IN · CCN 152020

Ascension St. Vincent Seton Specialty Hospital

8050 TOWNSHIP LINE ROAD, INDIANAPOLIS, IN, 46260

72 beds1

Compliance grade

100/100

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Rates published

49,297

last crawl 2026-05-23

▸ Compare with other hospitals All IN hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351712001_st-vincent-seton-specialty-hospital-inc_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	16	—	—	$1,124	$13,400	$19,901
Psychiatric diagnostic evaluation	CPT	90791	7	—	—	$101.42	$115.91	$203.36
Psychiatric eval with medical services	CPT	90792	7	—	—	$109.4	$128.8	$210.5
Psychotherapy 30 minutes	CPT	90832	7	—	—	$49.13	$66.81	$85.78
Psychotherapy 45 minutes	CPT	90834	7	—	—	$65.16	$82.39	$128.83
Psychotherapy 60 minutes	CPT	90837	7	—	—	$97.58	$124.27	$194.22
Crisis psychotherapy 60 minutes	CPT	90839	7	—	—	$39.67	$121.83	$283.38
emergency
ED visit level 1	CPT	99281	7	—	—	$3.65	$29.68	$33.3
ED visit level 2	CPT	99282	7	—	—	$6.88	$54.83	$60.5
ED visit level 3	CPT	99283	7	—	—	$11.03	$90.79	$102.81
ED visit level 4	CPT	99284	7	—	—	$20.44	$160.13	$174.23
ED visit level 5	CPT	99285	7	—	—	$30.5	$235.33	$252.81
Critical care, first hour	CPT	99291	7	—	—	$38.08	$301.25	$330.48
imaging
CT head without contrast	CPT	70450	20	$904	$542.4	$28.11	$66.53	$650
CT head with contrast	CPT	70460	20	$904	$542.4	$35.79	$111.2	$650
CT head with and without contrast	CPT	70470	20	$904	$542.4	$43.36	$111.2	$650
CT neck with contrast	CPT	70491	20	$904	$542.4	$40.71	$119.1	$650
MRI brain without contrast	CPT	70551	20	—	—	$52.83	$148.3	$700
MRI brain with contrast	CPT	70552	20	—	—	$64.01	$250.13	$700
MRI brain with and without contrast	CPT	70553	20	—	—	$81.95	$232.74	$842.23
Chest X-ray single view	CPT	71045	18	$271	$162.6	$2.74	$18.46	$250
Chest X-ray 2 views	CPT	71046	18	$309	$185.4	$4.17	$28.46	$250
Chest X-ray 3 views	CPT	71047	7	$326	$195.6	$5.33	$22.96	$242.27
CT chest without contrast	CPT	71250	20	$904	$542.4	$36.28	$94.83	$650
CT chest with contrast	CPT	71260	20	$904	$542.4	$43.3	$119.58	$650
CT chest with and without contrast	CPT	71270	20	$904	$542.4	$49.1	$148.65	$650
MRI chest without contrast	CPT	71550	20	—	—	$52.07	$232.03	$932.92
MRI chest with contrast	CPT	71551	20	—	—	$61.83	$335.35	$1,044.03
MRI chest with and without contrast	CPT	71552	20	—	—	$80.61	$324.3	$1,303.89
Lumbosacral spine X-ray	CPT	72100	10	$400	$240	$4.83	$24.05	$266.72
CT cervical spine without contrast	CPT	72125	20	$904	$542.4	$36.4	$96.03	$650
CT thoracic spine without contrast	CPT	72128	20	$904	$542.4	$35.75	$95.55	$650
CT lumbar spine without contrast	CPT	72131	20	$904	$542.4	$35.75	$95.07	$650
MRI cervical spine without contrast	CPT	72141	20	—	—	$53.22	$167.02	$700
MRI thoracic spine without contrast	CPT	72146	20	—	—	$53.22	$166.62	$700
MRI lumbar spine without contrast	CPT	72148	20	—	—	$53.39	$167.79	$700
MRI lumbar spine with and without contrast	CPT	72149	20	—	—	$64.01	$250.13	$652.74
MRI cervical spine with and without contrast	CPT	72156	20	—	—	$81.95	$232.74	$845.81
MRI lumbar spine with contrast	CPT	72158	20	—	—	$82.27	$232.74	$835.97
CT pelvis without contrast	CPT	72192	20	$904	$542.4	$35.02	$70.2	$650
CT pelvis with contrast	CPT	72193	20	$904	$542.4	$41.27	$119.58	$650
Shoulder X-ray	CPT	73030	10	$652	$391.2	$3.87	$19.58	$250
Humerus X-ray	CPT	73060	10	$604	$362.4	$3.82	$19.58	$250
Hand X-ray 3 views	CPT	73130	10	$672	$403.2	$3.88	$18.91	$250
MRI upper extremity joint without contrast	CPT	73221	20	—	—	$49.04	$148.3	$700
MRI upper extremity joint with and without contrast	CPT	73223	20	—	—	$76.78	$254.14	$1,021.8
Hip X-ray 2 views	CPT	73510	6	—	—	$14.1	$21.3	$35.4
Knee X-ray 1-2 views	CPT	73560	10	$696	$417.6	$3.64	$18.22	$250
Ankle X-ray 3 views	CPT	73610	10	$654	$392.4	$3.88	$19.25	$436.09
MRI lower extremity joint without contrast	CPT	73721	20	—	—	$49.04	$148.3	$700
MRI lower extremity joint with and without contrast	CPT	73723	20	—	—	$76.78	$255.1	$1,025.66
CT abdomen without contrast	CPT	74150	20	$904	$542.4	$35.09	$77.1	$256.66
CT abdomen with contrast	CPT	74160	20	$904	$542.4	$44.89	$119.1	$650
CT abdomen with and without contrast	CPT	74170	20	$904	$542.4	$50.02	$140.01	$650
CT abdomen and pelvis without contrast	CPT	74176	20	$904	$542.4	$62.32	$147.3	$650
CT abdomen and pelvis with contrast	CPT	74177	20	$904	$542.4	$65.14	$232.74	$650
CT abdomen and pelvis with and without contrast	CPT	74178	20	$904	$542.4	$71.93	$232.74	$751.3
MRI abdomen without contrast	CPT	74181	20	—	—	$52.07	$178.45	$717.48
MRI abdomen with and without contrast	CPT	74183	20	—	—	$80.61	$275.04	$1,105.85
Abdominal ultrasound complete	CPT	76700	20	$867	$520.2	$25.92	$68.16	$578.12
Abdominal ultrasound limited	CPT	76705	20	$549	$329.4	$19.37	$66.53	$400
Retroperitoneal ultrasound complete	CPT	76770	20	$532	$319.2	$24.92	$66.53	$400
Obstetric ultrasound first trimester	CPT	76801	20	—	—	$26.04	$66.53	$400
Obstetric ultrasound after first trimester	CPT	76805	20	—	—	$28.13	$66.53	$400
Obstetric ultrasound with fetal anatomy	CPT	76811	20	—	—	$43.65	$129.05	$400
Transvaginal ultrasound	CPT	76830	20	—	—	$22.28	$66.53	$400
Pelvic ultrasound complete	CPT	76856	20	$572	$343.2	$22.35	$66.53	$400
Scrotal ultrasound	CPT	76870	10	$637	$382.2	$22.01	$51.12	$424.75
Diagnostic mammography unilateral	CPT	77065	7	—	—	$21.32	$85.44	$255.68
Diagnostic mammography bilateral	CPT	77066	7	—	—	$27.03	$103.16	$327.17
Screening mammography bilateral	CPT	77067	7	—	—	$21.77	$100.4	$270.19
EKG complete	CPT	93000	7	—	—	$4.54	$24.45	$32.45
EKG tracing only	CPT	93005	7	$502	$301.2	$2.76	$15.78	$19.71
EKG interpretation only	CPT	93010	7	—	—	$1.78	$8.67	$12.74
Transthoracic echocardiogram complete	CPT	93306	7	$3,919	$2,351.4	$45.57	$156.02	$557.6
Transthoracic echocardiogram	CPT	93307	7	—	—	$32.39	$90.45	$377.78
Stress echocardiogram	CPT	93350	7	—	—	$51.11	$99.61	$395.51
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	16	—	—	$7,939.93	$13,833	$19,901
COPD w MCC	MS-DRG	190	16	—	—	$7,939.93	$13,833	$19,901
COPD w CC	MS-DRG	191	16	—	—	$7,939.93	$13,833	$19,901
COPD w/o CC/MCC	MS-DRG	192	16	—	—	$7,939.93	$13,833	$19,901
Simple pneumonia & pleurisy w CC	MS-DRG	194	16	—	—	$7,939.93	$13,833	$19,901
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	16	—	—	$7,939.93	$13,833	$19,901
AMI discharged alive w MCC	MS-DRG	280	16	—	—	$7,939.93	$13,833	$19,901
AMI discharged alive w CC	MS-DRG	281	16	—	—	$7,939.93	$13,833	$19,901
AMI discharged alive w/o CC/MCC	MS-DRG	282	16	—	—	$7,939.93	$13,833	$19,901
Heart failure & shock w MCC	MS-DRG	291	16	—	—	$7,939.93	$13,833	$19,901
Heart failure & shock w CC	MS-DRG	292	16	—	—	$7,939.93	$13,833	$19,901
Heart failure & shock w/o CC/MCC	MS-DRG	293	16	—	—	$7,939.93	$13,833	$19,901
Cardiac arrhythmia w MCC	MS-DRG	308	16	—	—	$7,939.93	$13,833	$19,901
Cardiac arrhythmia w CC	MS-DRG	309	16	—	—	$7,939.93	$13,833	$19,901
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	16	—	—	$7,939.93	$13,833	$19,901
GI hemorrhage w CC	MS-DRG	378	16	—	—	$7,939.93	$13,833	$19,901
GI hemorrhage w/o CC/MCC	MS-DRG	379	16	—	—	$7,939.93	$13,833	$19,901
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	16	—	—	$7,939.93	$13,833	$19,901
Fractures of femur w/o MCC	MS-DRG	533	16	—	—	$7,939.93	$13,833	$19,901
Kidney/UTI w MCC	MS-DRG	689	16	—	—	$7,939.93	$13,833	$19,901
Kidney/UTI w/o MCC	MS-DRG	690	16	—	—	$7,939.93	$13,833	$19,901
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	16	—	—	$7,939.93	$13,833	$19,901
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	16	—	—	$7,939.93	$13,833	$19,901
Initial hospital care, low complexity	CPT	99221	7	—	—	$15.87	$97.63	$113.35
Initial hospital care, moderate complexity	CPT	99222	7	—	—	$21.81	$139.44	$155.78
Initial hospital care, high complexity	CPT	99223	7	—	—	$32.08	$205.76	$229.13
Hospital discharge, <30 min	CPT	99238	7	—	—	$11.96	$76.1	$85.42
Hospital discharge, >30 min	CPT	99239	7	—	—	$17.21	$108.35	$122.96
lab
Basic metabolic panel (BMP)	CPT	80048	10	$363	$217.8	$3.47	$5.62	$19.29
General health panel	CPT	80050	10	$706	$423.6	$14.55	$21.16	$195.16
Electrolyte panel	CPT	80051	10	$348	$208.8	$2.14	$4.68	$15.98
Comprehensive metabolic panel	CPT	80053	10	$565	$339	$5	$7.04	$24.08
Lipid panel	CPT	80061	10	$509	$305.4	$6.02	$9.55	$30.53
Renal function panel	CPT	80069	10	$528	$316.8	$4.11	$5.62	$19.79
Hepatic function panel	CPT	80076	10	$402	$241.2	$2.99	$5.62	$18.63
Urinalysis non-automated	CPT	81002	10	$99	$59.4	$1.32	$2.65	$7.93
Urinalysis automated	CPT	81003	10	$169	$101.4	$1.32	$2.25	$5.13
Glucose quantitative	CPT	82947	10	$130	$78	$1.94	$3.93	$8.96
Hemoglobin A1c	CPT	83036	10	$418	$250.8	$3.97	$7.19	$22.14
Thyroid stimulating hormone (TSH)	CPT	84443	10	$502	$301.2	$5.29	$14.08	$38.3
Complete blood count with automated differential	CPT	85025	10	$284	$170.4	$3.68	$6.52	$17.72
Complete blood count without differential	CPT	85027	10	$214	$128.4	$3.06	$5.42	$14.75
Urine culture bacterial	CPT	87086	10	$373	$223.8	$2.65	$6.61	$18.4
Urine culture identification	CPT	87088	10	$196	$117.6	$3.97	$6.79	$18.45
Tissue exam by pathologist level IV	CPT	88305	10	$812	$487.2	$12.8	$45.95	$277.37
maternity
Fetal non-stress test	CPT	59025	18	—	—	$8.25	$26.4	$58.95
Routine obstetric care including vaginal delivery	CPT	59400	5	—	—	$307.69	$2,263.19	$2,263.19
Vaginal delivery only	CPT	59409	7	—	—	$138.49	$794.3	$989.23
Vaginal delivery with postpartum	CPT	59410	5	—	—	$159.53	$1,089.77	$1,139.5
Routine obstetric care with C-section	CPT	59510	5	—	—	$348.34	$2,263.19	$2,488.17
C-section delivery only	CPT	59514	7	—	—	$163.74	$860.52	$1,169.6
C-section with postpartum	CPT	59515	5	—	—	$191.97	$1,221.1	$1,371.18
office
Office visit, new patient, 15-29 min	CPT	99202	7	—	—	$7.89	$64.84	$73.29
Office visit, new patient, 30-44 minutes	CPT	99203	7	—	—	$12.11	$96.34	$106.19
Office visit, new patient, 45-59 min	CPT	99204	7	—	—	$20.23	$153.33	$162.17
Office visit, new patient, 60-74 min	CPT	99205	7	—	—	$26.31	$194.62	$201.3
Office visit, established patient, 5 min	CPT	99211	7	$360	$216	$1.55	$16.86	$19.98
Office visit, established patient, 10-19 min	CPT	99212	7	$418	$250.8	$4.09	$36.49	$43
Office visit, established patient, 20-29 minutes	CPT	99213	7	$556	$333.6	$7.82	$63.83	$71.77
Office visit, established patient, 30-39 minutes	CPT	99214	7	$667	$400.2	$12.21	$96.38	$105.54
Office visit, established patient, 40-54 min	CPT	99215	7	—	—	$17.49	$133.17	$141.38
preventive
Upper GI endoscopy diagnostic	CPT	43235	18	—	—	$33.84	$214.9	$460.37
Upper GI endoscopy with biopsy	CPT	43239	18	—	—	$40.24	$274.3	$460.37
Sigmoidoscopy diagnostic	CPT	45330	18	—	—	$14.46	$150.92	$318.54
Sigmoidoscopy with biopsy	CPT	45331	18	—	—	$17.35	$111.99	$464.17
Colonoscopy diagnostic	CPT	45378	18	—	—	$50.85	$297.75	$464.17
Colonoscopy with biopsy	CPT	45380	18	—	—	$61.03	$358.77	$599.32
Colonoscopy with polyp removal	CPT	45385	18	—	—	$72.43	$425.99	$599.32
surgery
Total shoulder arthroplasty	CPT	23472	18	—	—	$387.26	$1,673.9	$13,700
Hip hemiarthroplasty	CPT	27125	7	—	—	$286.15	$1,461.9	$2,043.94
Total hip replacement	CPT	27130	18	—	—	$369.98	$1,975	$9,045.08
Total knee replacement	CPT	27447	18	—	—	$397.12	$2,089.4	$8,859.71
Knee revision arthroplasty single component	CPT	27486	7	—	—	$362.11	$1,887.3	$2,586.47
Knee revision arthroplasty all components	CPT	27487	7	—	—	$457.62	$2,439.3	$3,268.72
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$123.44	$940.3	$1,224.04
Shoulder arthroscopy with rotator cuff repair	CPT	29827	18	—	—	$280.16	$1,294.1	$3,321.81
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$161.62	$791.7	$1,487.08
ACL reconstruction	CPT	29888	18	—	—	$253.25	$1,381.2	$4,403.04
Major small/large bowel procedures w MCC	MS-DRG	329	16	—	—	$7,939.93	$13,833	$19,901
Major small/large bowel procedures w CC	MS-DRG	330	16	—	—	$7,939.93	$13,833	$19,901
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	16	—	—	$7,939.93	$13,833	$19,901
CABG single arterial graft	CPT	33533	7	—	—	$497.38	$2,187.05	$3,552.71
CABG 2 arterial grafts	CPT	33534	7	—	—	$573.67	$2,829	$4,097.66
CABG 3 arterial grafts	CPT	33535	7	—	—	$632.47	$3,090.2	$4,517.63
CABG 4+ arterial grafts	CPT	33536	7	—	—	$676.88	$3,350.5	$4,834.88
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	16	—	—	$7,939.93	$13,833	$19,901
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	16	—	—	$7,939.93	$13,833	$19,901
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	16	—	—	$7,939.93	$13,833	$19,901
Open appendectomy	CPT	44950	7	—	—	$143.8	$685.7	$1,027.14
Laparoscopic appendectomy	CPT	44970	7	—	—	$131.4	$673	$938.59
Major joint replacement w MCC	MS-DRG	469	16	—	—	$7,939.93	$13,833	$19,901
Major joint replacement w/o MCC	MS-DRG	470	16	—	—	$7,939.93	$13,833	$19,901
Laparoscopic cholecystectomy	CPT	47562	18	—	—	$163.63	$892	$2,648.76
Lap cholecystectomy with cholangiography	CPT	47563	18	—	—	$168.66	$965.28	$10,581
Hip & femur procedures except major joint w MCC	MS-DRG	480	16	—	—	$7,939.93	$13,833	$19,901
Hip & femur procedures except major joint w CC	MS-DRG	481	16	—	—	$7,939.93	$13,833	$19,901
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	16	—	—	$7,939.93	$13,833	$19,901
Open umbilical hernia repair	CPT	49560	7	—	—	$165.01	$782.3	$1,178.64
Umbilical hernia repair age 5+	CPT	49585	7	—	—	$96.3	$472.8	$687.88
Lap inguinal hernia repair	CPT	49650	18	—	—	$94.14	$516.4	$2,648.76
Lap incisional hernia repair	CPT	49652	7	—	—	$194.34	$1,191.29	$1,388.11
Total abdominal hysterectomy	CPT	58150	7	—	—	$226.26	$1,202.18	$1,616.16
Vaginal hysterectomy	CPT	58260	18	—	—	$189.28	$1,039.67	$2,090.81
Lap-assisted vaginal hysterectomy	CPT	58550	18	—	—	$202.85	$1,213.6	$2,648.76
Lap-assisted vaginal hysterectomy >250g	CPT	58552	18	—	—	$223.87	$1,327.01	$4,445.47
Lap salpingo-oophorectomy	CPT	58661	18	—	—	$148.96	$856.61	$2,648.76
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$7,939.93	$13,965	$19,901
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$7,939.93	$13,965	$19,901
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$7,939.93	$13,965	$19,901
Complex cataract surgery	CPT	66982	18	—	—	$247.62	$1,085.3	$1,768.72
Cataract surgery with lens implant	CPT	66984	18	—	—	$176.01	$766.16	$1,257.21
Intravitreal injection	CPT	67028	18	—	—	$39.75	$72.77	$283.93
Vitrectomy mechanical	CPT	67042	18	—	—	$344.97	$1,559.34	$2,464.05
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	16	—	—	$7,939.93	$13,833	$19,901
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	16	—	—	$7,939.93	$13,833	$19,901
PCI single major coronary artery	CPT	92920	18	—	—	$179.03	$796.79	$9,845.53
PCI with drug-eluting stent	CPT	92928	18	—	—	$198.81	$884.66	$15,991
PCI bypass graft	CPT	92937	7	—	—	$198.59	$763.59	$15,991
Left heart catheterization	CPT	93452	19	—	—	$179.38	$611.42	$14,592
Coronary angiography with cath	CPT	93455	18	—	—	$208.63	$711.57	$2,261.57
Coronary angiography with bypass cath	CPT	93458	18	—	—	$220.47	$752.13	$2,340.29

Payer mix (top 30)

Payer	Codes covered	Median rate
encore exclusive	198	$311.13
Anthem BCBS	198	$161.26
UnitedHealthcare	197	$138.49
patoka valley tier 2	158	$201.16
patoka valley tier 1	158	$201.16
mhs care connect	153	$97.35
Medicaid	153	$97.35
Humana	133	$1,598.24
Aetna	123	$464.17
smarthealth ppo/hdhp 20161001	109	$232.77
Medicare Advantage	76	$232.74
immergrun	76	$232.74
secure horizons-pacificare	76	$232.74
Medicare	76	$232.74
corizon	76	$232.74
personalized care	76	$232.74
CareSource	76	$232.74
ascension complete mcr	76	$232.74
Ambetter	76	$232.74
smarthealth ppo	69	$74.75
unified group services	41	$18,572
Cigna	40	$17,562
encore	40	$13,400
advantage 360	40	$11,850
one health plan	40	$11,500
prohealth	40	$7,939.93
sagamore plus drg	40	$19,607
siho ppo	40	$15,000
suburban/sho	40	$7,939.93
unified zionsville	40	$14,464