Supplies, drugs & other prices at Franciscan Health Indianapolis

Indianapolis, IN · every code in this section with a posted price and a Medicare benchmark.

123 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,243.24 $5,382 1.5×
2d tte w or w/o fol w/con,co (C8923) $700.85 $3,034 0.8×
2d tte w or w/o fol w/con,fu (C8924) $797.18 $3,451 2.2×
Adm tocilizu covid-19 1st (M0249) $178.79 $774 0.4×
Adm tocilizu covid-19 2nd (M0250) $178.79 $774 0.4×
Admin hepatitis b vaccine (G0010) $36.96 $160 0.7×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$27.03–$36.96 $117–$160 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$43.20–$46.66 $187–$202 varies
Behavior counsel obesity 15m (G0447) $44.12 $191 0.4×
Catheterize for urine spec (P9612) $60.98 $264 6.5×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$2,357.39–$2,579.60 $10,205.15–$11,167.10 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$2,551.20–$2,628.76 $11,044.15–$11,379.90 varies
Depression screen annual (G0444) $24.02 $104 0.6×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$24.95–$44.12 $108–$191 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$11.09–$14.09 $48–$61 varies
Direct refer hospital observ (G0379) $183.41 $794 0.3×
Elec stim other than wound (G0283) $42.97 $186 3.4×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $886.81 $3,839 0.7×
Electrophysiologic eval ccm-d leads separate (0931T) $886.81 $3,839 0.7×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $913.61 $3,955 0.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$11,785.62 $51,020 0.3×
Fecal blood scrn immunoassay (G0328) $18.94 $82 1.0×
Group mnt 2 or more 30 mins (G0271)
range across 2 matching MRF lines
$8.09–$14.09 $35–$61 varies
Hbot, full body chamber, 30m (G0277) $151.77 $657 1.0×
Hep c screen high risk/other (G0472) $84.32 $365 1.8×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$631.51–$688.47 $2,733.80–$2,980.40 varies
Insertion of substernal implantable defibrillator electrode (0572T) $4,833.91 $20,926 0.6×
Insertion perm ccm-d system pulse generator only (0916T) $16,395.69 $70,977 0.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $21,351.56 $92,431 0.9×
Insertion/Replacement Complete Iims (0525T)
unusually low: confirm this is the full procedure
$9,592.04 $41,524 0.5×
Insertion/Replacement Iims Electrode Only (0526T) $7,202.35 $31,179 0.8×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $7,202.35 $31,179 0.8×
Insj ocular telescope prosth (0308T)
likely a partial charge, not the full procedure
$1,984.29 $8,590 0.1×
Insj perm ccm-d sys 1 transvns lead only (0917T) $6,045.27 $26,170 0.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $6,045.27 $26,170 0.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $23,419.47 $101,383 0.7×
Insj Wcs Lv Eltrd Only (0516T) $7,202.35 $31,179 0.7×
Insj Wcs Lv Pg Compnt (0517T) $7,202.35 $31,179 0.7×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $19,144.59 $82,877 0.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $18,334.93 $79,372 0.6×
Interrog dev eval iims ip (0529T) $35.34 $153 0.9×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T) $16.17 $70 0.5×
Mnt subs tx for change dx (G0270)
range across 2 matching MRF lines
$17.09–$27.03 $74–$117 varies
Mra w/cont, abd (C8900) $811.50 $3,513 2.2×
Mra w/cont, chest (C8909) $811.50 $3,513 2.2×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$811.50–$1,623.01 $3,513–$7,026 varies
Mra w/cont, pelvis (C8918) $811.50 $3,513 2.2×
Mra w/o cont, abd (C8901) $757.91 $3,281 3.0×
Mra w/o cont, chest (C8910) $757.91 $3,281 3.0×
Mra w/o cont, lwr ext (C8913) $757.91 $3,281 3.0×
Mra w/o cont, pelvis (C8919) $757.91 $3,281 3.0×
Mra w/o fol w/cont, abd (C8902) $865.79 $3,748 2.3×
Mra w/o fol w/cont, chest (C8911) $865.79 $3,748 2.3×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$865.79–$1,731.58 $3,748–$7,496 varies
Mra w/o fol w/cont, pelvis (C8920) $865.79 $3,748 2.3×
Mra, w/dye, spinal canal (C8931) $351.81 $1,523 1.0×
Mra, w/dye, upper extremity (C8934) $811.50 $3,513 2.2×
Mra, w/o dye, spinal canal (C8932) $270.73 $1,172 1.1×
Mra, w/o dye, upper extr (C8935) $757.91 $3,281 3.0×
Mra, w/o&w/dye, spinal canal (C8933) $432.89 $1,874 1.2×
Mra, w/o&w/dye, upper extr (C8936) $865.79 $3,748 2.3×
Neuro csf prion prtn qual (0035U) $377.22 $1,633 0.7×
Opps service,sched team conf (G0175) $505.20 $2,187 1.1×
Oth resp proc, group (G0239) $30.26 $131 0.8×
Oth resp proc, indiv (G0238) $30.26 $131 1.0×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$7,010.85 $30,350 0.4×
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure
$5,736.19 $24,832 0.5×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$8,604.29 $37,248 0.4×
Perc drug-el cor stent sing (C9600) $10,516.28 $45,525 0.9×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
likely a partial charge, not the full procedure
$1,021.94 $4,424 0.1×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,187.57 $13,799 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$3,187.57 $13,799 0.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$4,164.70 $18,029 0.3×
Place device/marker, non pro (C9728) $1,165.63 $5,046 0.8×
Pne flu hepb cov home admin (M0201) $9.24 $40 0.2×
Pre 3d mdl w/ccta and/or mri (C9793) $606.14 $2,624 0.7×
Prgrmg dev eval iims ip (0528T) $35.34 $153 0.9×
Prgrmg device eval wrls car stimulator in person (0522T) $35.34 $153 0.9×
Prolonged iv inf, req pump (C8957) $740.82 $3,207 3.3×
Prostate biopsy, any mthd (G0416) $274.89 $1,190 0.7×
Psa screening (G0103) $73.69 $319 3.8×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $387.62 $1,678 0.6×
Relocation pg wcs lv pacg battery component only (0862T) $989.14 $4,282 0.5×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $989.14 $4,282 0.5×
Relocation skin pocket implanted ccm-d pg (0925T) $1,336.10 $5,784 0.6×
Removal complete iims (0530T) $3,027.95 $13,108 0.8×
Removal iims electrode only (0531T) $3,027.95 $13,108 0.8×
Removal iims implt mntr only (0532T) $3,027.95 $13,108 0.8×
Removal perm ccm-d system pulse generator only (0919T) $2,658.35 $11,508 0.7×
Removal pg wcs lv pacing both components (0861T) $989.14 $4,282 0.3×
Removal Ss Dfb Electrode (0573T) $2,803.88 $12,138 0.7×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,803.88 $12,138 0.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $451.84 $1,956 0.7×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$8,285.74 $35,869 0.4×
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines
$10,516.28–$21,032.55 $45,525–$91,050 varies
Revasc intravasc lithotripsy (C9764) $8,285.74 $35,869 0.7×
Revasc lith-sten-ath tib/per (C9775) $20,714 $89,671 1.1×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$9,241.39 $40,006 0.5×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$9,241.39 $40,006 0.5×
Revasc lithotrip tibi/perone (C9772) $8,285.74 $35,869 0.7×
Revasc lithotrip-stent-ather (C9767) $18,164.69 $78,635 0.9×
Rmvl & Rplcmt Pg Compnt Wcs (0519T)
likely a partial charge, not the full procedure
$3,027.95 $13,108 0.3×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $2,658.35 $11,508 0.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $2,658.35 $11,508 0.7×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $2,658.35 $11,508 0.7×
Rmvl Pg Compnt Wcs (0518T) $3,027.95 $13,108 0.8×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,803.88 $12,138 0.7×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $16,395.69 $70,977 0.7×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $21,351.56 $92,431 1.9×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $15,717.47 $68,041 0.7×
Screen pap by tech w md supv (P3000) $14.09 $61 0.8×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $2,349.50 $10,171 0.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,050.58 $26,193 1.0×
Therapeutic procd strg endur (G0237) $39.50 $171 1.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,483.71 $23,739 0.9×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$1,178.56–$2,693.92 $5,102–$11,662 varies
Trluml perip athrc abd aorta (0236T) $6,373.29 $27,590 0.5×
Trluml Perip Athrc Brchiocph (0237T) $6,373.29 $27,590 0.5×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$8,285.74 $35,869 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $6,373.29 $27,590 0.5×
Tte w or w/o contr, cont ecg (C8930) $1,784.71 $7,726 2.2×
Tte w or wo fol wcon,doppler (C8929) $1,147.15 $4,966 1.4×
Unsched dialysis esrd pt hos (G0257)
range across 3 matching MRF lines
$287.36–$636.64 $1,244–$2,756 varies

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.