Imaging prices at Ascension St. Vincent Heart Center
Carmel, IN · every code in this section with a posted price and a Medicare benchmark.
179 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $258 | $430 | 2.8× |
| Abdomen 2 views (74019) | $270 | $450 | 2.4× |
| Angio internal mammary (75756) | $1,302 | $2,170 | 0.4× |
| Angio pulmonary bilat (75743) | $3,783 | $6,305 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,138.60 | $5,231 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,936 | $6,560 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $1,968 | $3,280 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,419.60 | $2,366 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,023.60 | $1,706 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$147.60–$295.20 | $246–$492 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,476.20 | $4,127 | 0.4× |
| Artery X-Rays Abdomen (75726) | $3,103.80 | $5,173 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $1,792.80 | $2,988 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,248.80 | $3,748 | 0.4× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,584.60 | $2,641 | 0.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $582.60 | $971 | 1.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $582.60 | $971 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $271.20 | $452 | 2.9× |
| Chest 1 view (71045) | $162.60 | $271 | 1.8× |
| Chest 2 views (71046) | $185.40 | $309 | 2.0× |
| Chest 3 views (71047) | $195.60 | $326 | 2.1× |
| Chest 4 or more views (71048) | $210 | $350 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$192–$384 | $320–$640 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,476.20 | $4,127 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $542.40 | $904 | 1.5× |
| CT abdomen and pelvis without contrast (74176) | $542.40 | $904 | 2.1× |
| CT abdomen w contrast (74160) | $542.40 | $904 | 2.9× |
| CT abdomen w wo contrast (74170) | $542.40 | $904 | 2.9× |
| CT abdomen w/o contrast (74150) | $542.40 | $904 | 4.9× |
| CT Angio Abdomen and Pelvis (74174) | $542.40 | $904 | 1.5× |
| CT Angio Chest (71275) | $542.40 | $904 | 2.9× |
| CT Angio Head (70496) | $542.40 | $904 | 2.9× |
| CT angio hrt w/3d image (75574) | $542.40 | $904 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$542.40–$1,084.80 | $904–$1,808 | varies |
| CT Angio Neck (70498) | $542.40 | $904 | 2.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $542.40 | $904 | 2.9× |
| CT cervical spine w/ contrast (72126) | $542.40 | $904 | 1.5× |
| CT cervical spine w/o contrast (72125) | $542.40 | $904 | 4.9× |
| CT chest w contrast (71260) | $542.40 | $904 | 2.9× |
| CT chest w/wo contrast (71270) | $542.40 | $904 | 2.9× |
| CT head/brain with contrast (70460) | $542.40 | $904 | 2.9× |
| CT head/brain without and with contrast (70470) | $542.40 | $904 | 2.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $542.40 | $904 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $231.60 | $386 | 2.5× |
| CT hrt w/3d image congen (75573) | $542.40 | $904 | 1.5× |
| CT l-spine w&w/o contrast (72133) | $542.40 | $904 | 2.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$542.40–$1,084.80 | $904–$1,808 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$542.40–$1,084.80 | $904–$1,808 | varies |
| CT lumbar spine w contrast (72132) | $542.40 | $904 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $542.40 | $904 | 4.9× |
| CT maxillofacial w contrast (70487) | $542.40 | $904 | 2.9× |
| CT maxillofacial wo contrast (70486) | $542.40 | $904 | 4.9× |
| CT neck tissue combo (70492) | $542.40 | $904 | 2.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $542.40 | $904 | 2.9× |
| CT orbits w/o contrast (70480) | $542.40 | $904 | 4.9× |
| CT pelvis w&w/o contrast (72194) | $542.40 | $904 | 2.9× |
| CT pelvis w/o contrast (72192) | $542.40 | $904 | 4.9× |
| CT scan of leg combo (73702) | $542.40 | $904 | 2.9× |
| CT soft tissue neck w contrast (70491) | $542.40 | $904 | 2.9× |
| CT soft tissue neck w/o contrast (70490) | $542.40 | $904 | 4.9× |
| CT thoracic spine w contrast (72129) | $542.40 | $904 | 2.9× |
| CT thoracic spine w/o contrast (72128) | $542.40 | $904 | 4.9× |
| CT thorax w/o contrast (71250) | $542.40 | $904 | 4.9× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$542.40–$1,084.80 | $904–$1,808 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$542.40–$1,084.80 | $904–$1,808 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $542.40 | $904 | 2.9× |
| Cta Abdomen (74175) | $542.40 | $904 | 2.9× |
| CTA pelvis (72191) | $542.40 | $904 | 2.9× |
| Echo Guide For Artery Repair (76936) | $324.60 | $541 | 1.4× |
| Fluoroscopy up to 1 hr (76000) | $439.20 | $732 | 1.7× |
| Follow-Up Angiography (75898) | $687.60 | $1,146 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$145.20–$290.40 | $242–$484 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$183.60–$367.20 | $306–$612 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$171.60–$343.20 | $286–$572 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,266.80 | $3,778 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,266.80 | $3,778 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $3,084.60 | $5,141 | 2.3× |
| Knee 3 Views (73562) | $229.20 | $382 | 2.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,176.60 | $1,961 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $582.60 | $971 | 1.6× |
| MRA head w/o contrast (70544) | $582.60 | $971 | 2.3× |
| MRA head with contrast (70545) | $582.60 | $971 | 1.6× |
| MRA neck w contrast (70548) | $582.60 | $971 | 1.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $582.60 | $971 | 1.6× |
| MRA neck w/o contrast (70547) | $582.60 | $971 | 2.3× |
| MRI abdomen w contrast (74182) | $582.60 | $971 | 1.6× |
| MRI abdomen w/o contrast (74181) | $582.60 | $971 | 2.3× |
| MRI cardiac w/o cont stress (75559) | $582.60 | $971 | 1.0× |
| MRI cardiac w/o contrast (75557) | $291 | $485 | 1.2× |
| MRI cervical spine w contrast (72142) | $582.60 | $971 | 1.6× |
| MRI cervical spine w/o cont (72141) | $582.60 | $971 | 2.3× |
| MRI chest w/o contrast (71550) | $582.60 | $971 | 2.3× |
| MRI chest with contrast (71551) | $582.60 | $971 | 0.7× |
| MRI chest wo w contrast (71552) | $582.60 | $971 | 1.6× |
| MRI lumbar spine w contrast (72149) | $582.60 | $971 | 1.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $582.60 | $971 | 1.6× |
| MRI orbit face &/neck w/o contrast (70540) | $582.60 | $971 | 2.3× |
| MRI orbit face neck w contrast (70542) | $582.60 | $971 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $582.60 | $971 | 1.6× |
| MRI pelvis w contrast (72196) | $582.60 | $971 | 1.6× |
| MRI pelvis w/o & w contrast (72197) | $582.60 | $971 | 1.6× |
| MRI pelvis w/o contrast (72195) | $582.60 | $971 | 2.3× |
| MRI thoracic spine w/o contrast (72146) | $582.60 | $971 | 2.3× |
| MRI, abdomen, combo (74183) | $582.60 | $971 | 1.6× |
| MRI, dorsal spine combo (72157) | $582.60 | $971 | 1.6× |
| MRI, dorsal spine contrast (72147) | $582.60 | $971 | 1.6× |
| MRI, lumbar spine combo (72158) | $582.60 | $971 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $5,742.60 | $9,571 | 4.2× |
| N-invas est c ffr sw aly CTA (75580) | $3,553.80 | $5,923 | 3.9× |
| Neck soft tissue (70360) | $172.80 | $288 | 1.9× |
| Pelvis 1 or 2 views (72170) | $258 | $430 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $340.20 | $567 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $263.40 | $439 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$196.20–$392.40 | $327–$654 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$258–$516 | $430–$860 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$258–$516 | $430–$860 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $273 | $455 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$151.80–$303.60 | $253–$506 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$195–$390 | $325–$650 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$201.60–$403.20 | $336–$672 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $193.20 | $322 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $204.60 | $341 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$195.60–$391.20 | $326–$652 | varies |
| Radex Spine 1 View Specify Level (72020) | $171.60 | $286 | 1.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$148.20–$296.40 | $247–$494 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$258–$516 | $430–$860 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $259.20 | $432 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $291 | $485 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$261.60–$523.20 | $436–$872 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $226.20 | $377 | 2.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$97.20–$194.40 | $162–$324 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$195–$390 | $325–$650 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$208.80–$417.60 | $348–$696 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$198.60–$397.20 | $331–$662 | varies |
| Ribs bilateral 3 views (71110) | $292.20 | $487 | 2.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$162.60–$325.20 | $271–$542 | varies |
| Thoracic spine 2 views (72070) | $238.20 | $397 | 2.2× |
| Thoracic spine 3 views (72072) | $283.80 | $473 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $331.20 | $552 | 3.0× |
| Ultrasound, abdomen limited (76705) | $329.40 | $549 | 3.0× |
| Us chest (76604) range across 2 matching MRF lines |
$117.60–$235.20 | $196–$392 | varies |
| Us complete joint (76881) | $334.80 | $558 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $281.40 | $469 | 2.5× |
| Us pelvic non ob complete (76856) | $343.20 | $572 | 3.1× |
| Us retroperitoneal complete (76770) | $319.20 | $532 | 2.9× |
| Us retroperitoneal limited (76775) | $324.60 | $541 | 2.9× |
| Us scrotum and contents (76870) | $382.20 | $637 | 3.5× |
| Us thyroid (76536) | $348.60 | $581 | 3.2× |
| Vein X-Ray Chest (75827) | $1,908 | $3,180 | 1.1× |
| Venogram Sinus/Jugular (75860) | $1,294.80 | $2,158 | 0.4× |
| Venography Adrenal Unilateral (75840) | $1,372.80 | $2,288 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,770 | $2,950 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,146.60 | $1,911 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $529.20 | $882 | 0.3× |
| Venography Renal Bilateral (75833) | $2,242.20 | $3,737 | 0.7× |
| Venography Renal Unilateral (75831) | $1,419.60 | $2,366 | 0.4× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,651.20 | $2,752 | 0.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$145.20–$290.40 | $242–$484 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,476.20 | $4,127 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$160.20–$320.40 | $267–$534 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $172.80 | $288 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $274.80 | $458 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $376.80 | $628 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $274.80 | $458 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $376.80 | $628 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $478.80 | $798 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $249.60 | $416 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $226.80 | $378 | 2.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$258–$516 | $430–$860 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$181.20–$362.40 | $302–$604 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $208.80 | $348 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $240 | $400 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $309.60 | $516 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $219 | $365 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $283.80 | $473 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306.60 | $511 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $348 | $580 | 3.1× |
| Xr facial bones less than 3 views (70140) | $208.20 | $347 | 2.3× |
| Xr orbits complete 4 views (70200) | $247.80 | $413 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.