Indiana · 1,494 published self-pay prices, from $26,039 to $459,000.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,494 published items.
| Item | Cash price | Setting |
|---|---|---|
| AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION | $29,819 | Outpatient |
| ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $35,201 | Outpatient |
| ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 4,000 (+/-) UNIT IV SOLUTION | $29,047 | Outpatient |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula | $28,676 | Outpatient |
| Arthroscopy Hip W/Acetabuloplasty | $42,359 | Outpatient |
| Arthrs Knee Drilling Osteochond Dissecans Lesion | $39,657 | Outpatient |
| ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION | $56,805 | Outpatient |
| ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN | $53,041 | Outpatient |
| ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION | $39,764 | Outpatient |
| BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $42,271 | Outpatient |
| BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION | $32,721 | Outpatient |
| BUROSUMAB-TWZA 30 MG/ML SUBCUTANEOUS SOLUTION | $44,161 | Outpatient |
| CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $50,928 | Outpatient |
| CABAZITAXEL IV SOLUTION FOR DESENSITIZATION | $46,140 | Outpatient |
| CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER | $32,456 | Outpatient |
| CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $65,419 | Outpatient |
| CAPLACIZUMAB-YHDP 11 MG INJECTION KIT | $32,968 | Outpatient |
| CAPLACIZUMAB-YHDP 11 MG SOLUTION FOR INJECTION | $32,968 | Outpatient |
| CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION | $42,221 | Outpatient |
| Colonoscopy Flexible With Decompression | $29,642 | Outpatient |
| DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN | $47,545 | Outpatient |
| DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION | $36,720 | Outpatient |
| DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION | $56,659 | Outpatient |
| ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION | $34,898 | Outpatient |
| EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION | $26,739 | Outpatient |
| EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN | $63,092 | Outpatient |
| EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION | $42,317 | Outpatient |
| EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION | $60,452 | Outpatient |
| EMICIZUMAB-KXWH 300 MG/2 ML (150 MG/ML) SUBCUTANEOUS SOLUTION | $120,904 | Outpatient |
| EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION | $55,634 | Outpatient |
| EVINACUMAB-DGNB 150 MG/ML INTRAVENOUS SOLUTION | $150,000 | Outpatient |
| Excision Maxillary Torus Palatinus | $35,273 | Outpatient |
| GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN | $35,628 | Outpatient |
| GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION | $50,124 | Outpatient |
| GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $138,528 | Outpatient |
| GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION | $71,084 | Outpatient |
| HC 018078 Defibrillator Consulta Crt | $56,959 | Outpatient |
| HC 018079 Defibrillator | $49,937 | Outpatient |
| HC 018080 Defibrillator | $29,720 | Outpatient |
| HC 018082 Defibrillator Secura Dr Icd | $55,412 | Outpatient |
| HC 041815 Ipg Eon Mini R | $46,403 | Outpatient |
| HC 063272 Neurostimulato | $31,537 | Outpatient |
| HC 070344 Implt Cylinder | $27,824 | Outpatient |
| HC 070345 Implant 700lg | $28,351 | Outpatient |
| HC 074723 Pump Penile 70 | $27,824 | Outpatient |
| HC 086022 Generator Restor Neuro Stimulator | $45,908 | Outpatient |
| HC 086642 Stem Knee Gic42 Sz 8 Sht Tpr Pc Std Ofst | $26,183 | Outpatient |
| HC 088504 Cyberonic Generator Bipol Puls | $53,002 | Outpatient |
| HC 092808 Fusion Met 14mm Med Peek Body | $26,689 | Outpatient |
| HC 099943 Spacer Independent Sml to Lrg | $29,005 | Outpatient |
| HC 099946 Spacer Independent Sml to Lrg | $29,005 | Outpatient |
| HC 099951 Spacer Independent Sml to Lrg | $29,005 | Outpatient |
| HC 099957 Spacer Independent Sml to Lrg | $29,005 | Outpatient |
| HC 099960 Spacer Independent Sml to Lrg | $29,005 | Outpatient |
| HC 103349 Catheter Impel | $54,001 | Outpatient |
| HC 105337 Defibrillator | $37,173 | Outpatient |
| HC 113554 Neurostimulato | $47,494 | Outpatient |
| HC 118201 Femur Knee Psc Intlk Fem S Vang S | $30,826 | Outpatient |
| HC 118210 Femur Knee Intlk Fem Vang Ssk | $30,826 | Outpatient |
| HC 118894 Defibrillator Fortify Dr40 | $34,349 | Outpatient |
| HC 118895 Defibrillator Fortify Dr40 W Conn | $32,950 | Outpatient |
| HC 118896 Defibrillator Fortify Vr40 | $48,987 | Outpatient |
| HC 118897 Defibrillator Fortify Vr40 W Conn | $48,987 | Outpatient |
| HC 120503 Femur Rev Cocr Sz 15r X 260mm Por Bow Std Echelon | $34,841 | Outpatient |
| HC 120586 Default Construct Component | $30,671 | Outpatient |
| HC 124396 Neurostimulatr | $72,863 | Outpatient |
| HC 124631 Pump Synchrome | $28,891 | Outpatient |
| HC 124718 Defibrillator Crt Unify 73x40x14 | $61,117 | Outpatient |
| HC 125572 Pacemaker Insync III | $26,364 | Outpatient |
| HC 128747 Pump Penile 700lgx Preconnect | $27,295 | Outpatient |
| HC 130567 Penile Prosthe | $28,351 | Outpatient |
| HC 130600 Defibrillator Lumax Dl Chambr 540 | $31,194 | Outpatient |
| HC 130601 Defibrillator Lumax Dl Chambr 340 | $28,595 | Outpatient |
| HC 130603 Defibrillator Lumax Sngl Chmbr340 | $36,247 | Outpatient |
| HC 130623 Defibrillator Lumax Crt 540 Hf T | $50,687 | Outpatient |
| HC 130624 Defibrillator Lumax Crt 340 Hf T | $55,408 | Outpatient |
| HC 131016 Defibrillator Inogen X4 Crt-D | $39,303 | Outpatient |
| HC 131289 Defibrillator Crt Viva Quad Dtba1qq | $43,930 | Outpatient |
| HC 131451 Defibrillator Inogen Mini Icd Dr D013 | $36,100 | Outpatient |
| HC 131453 Defibrillator Crd Viva Crt D Qd S Is-4 Df1 US | $42,890 | Outpatient |
| HC 134659 Catheter Impel | $67,501 | Outpatient |
| HC 134744 Graft Endovasc Aaa Main Body 28x | $28,642 | Outpatient |
| HC 134831 Defibrillator | $36,129 | Outpatient |
| HC 134832 Defibrillator | $41,200 | Outpatient |
| HC 136279 Pacemaker St Jude 2525t | $26,397 | Outpatient |
| HC 137155 Stim Vagal Nerve #102r | $55,253 | Outpatient |
| HC 139706 Mesh Permacol Collagen 1mm 18x28 | $33,121 | Outpatient |
| HC 139753 Pump Synchromed II | $28,891 | Outpatient |
| HC 141324 Icd Entrust Dr | $59,999 | Outpatient |
| HC 142709 Generator Prec | $44,034 | Outpatient |
| HC 144341 Icd Dc Medtronic-Concerto | $52,146 | Outpatient |
| HC 144342 Icd Dc Medtronic-Virtuoso | $47,194 | Outpatient |
| HC 144674 Icd Virtuoso Vr D154vwc | $39,815 | Outpatient |
| HC 145430 Mesh Permacol Collagen 18x | $33,121 | Outpatient |
| HC 145432 Mesh Permacol | $37,819 | Outpatient |
| HC 156437 Defibrillator Protecta Xt Dr | $32,194 | Outpatient |
| HC 156438 Defibrillator | $39,707 | Outpatient |
| HC 156439 Defibrillator Protecta Xt Vr | $29,595 | Outpatient |
| HC 156867 Generator Puls | $41,653 | Outpatient |
| HC 157070 Graft Abd 28x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163879 Graft Abd 23x12mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163881 Graft Abd 23x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163882 Graft Abd 23x12mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163883 Graft Abd 23x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163884 Graft Abd 23x14.5mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163885 Graft Abd 23x14.5mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163886 Graft Abd 26x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163887 Graft Abd 26x12mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163888 Graft Abd 26x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163889 Graft Abd 26x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163890 Graft Abd 26x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163891 Graft Abd 26x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163892 Graft Abd 26x14.5mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163895 Graft Abd 28x12mmx Ipsi Leg C3 | $30,601 | Outpatient |
| HC 163896 Graft Abd 28x12mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163897 Graft Abd 28x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163898 Graft Abd 28x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163899 Graft Abd 28x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163900 Graft Abd 28x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163901 Graft Abd 31x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163903 Graft Abd 31x14.5mmx Ipsi Leg C3 | $27,297 | Outpatient |
| HC 163906 Graft Thoracic 45x Tomo Gore Tag | $44,405 | Outpatient |
| HC 163907 Graft Thoracic 45x Tomo Gore Tag | $44,405 | Outpatient |
| HC 163908 Graft Thoracic 45x Tomo Gore Tag | $44,405 | Outpatient |
| HC 163916 Graft Bifud Main Body 36xx145mm | $27,939 | Outpatient |
| HC 163917 Graft Bifud Main Body 36xx145mm | $27,939 | Outpatient |
| HC 163918 Graft Bifud Main Body 36xx145mm | $27,939 | Outpatient |
| HC 163919 Graft Bifud Main Body 36xx145mm | $27,939 | Outpatient |
| HC 163920 Graft Bifud Main Body 36xx145mm | $27,939 | Outpatient |
| HC 169252 Restore Advance Neurostimulator | $51,451 | Outpatient |
| HC 169333 Neurostimulato | $34,561 | Outpatient |
| HC 170389 Defibrillator Icd Current Dr Rf | $47,536 | Outpatient |
| HC 171441 Fusion Met Intbd X26x32 8deg Cage | $26,348 | Outpatient |
| HC 171919 Restore Sensor | $44,409 | Outpatient |
| HC 172123 Defibrillator Consulta Crt | $59,378 | Outpatient |
| HC 173018 Kit Component Generator 27804240 | $35,722 | Outpatient |
| HC 173601 Graft Taa Endo X108mm Zenith Tx2 | $36,094 | Outpatient |
| HC 173602 Graft Taa Endo X108mm Zenith Tx2 | $36,094 | Outpatient |
| HC 173609 Graft Aaa 22x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173614 Graft Aaa 24x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173619 Graft Aaa 26x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173628 Graft Aaa 30x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173629 Graft Aaa 30x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173633 Graft Aaa 32x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173638 Graft Aaa 36x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173639 Graft Aaa 36x Bifud Zenith Flex | $28,642 | Outpatient |
| HC 173684 Graft Taa Endo 28x Prox Zenithtx2 | $34,052 | Outpatient |
| HC 173685 Graft Taa Endo 28x Prox Zenithtx2 | $29,634 | Outpatient |
| HC 173686 Graft Taa Endo | $34,052 | Outpatient |
| HC 173687 Graft Taa Endo 30x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173688 Graft Taa Endo 30x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173689 Graft Taa Endo 30x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173690 Graft Taa Endo 32x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173691 Graft Taa Endo 32x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173692 Graft Taa Endo 32x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173693 Graft Taa Endo 34x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173694 Graft Taa Endo 34x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173695 Graft Taa Endo 34x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173696 Graft Taa Endo 36x Prox Zenithtx2 | $29,634 | Outpatient |
| HC 173697 Graft Taa Endo | $29,634 | Outpatient |
| HC 173698 Graft Taa Endo 36x Prox Zenithtx2 | $34,052 | Outpatient |
| HC 173699 Graft Taa Endo 38x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173700 Graft Taa Endo 38x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173701 Graft Taa Endo 38x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173702 Graft Taa Endo 40x Prox Zenithtx2 | $34,052 | Outpatient |
| HC 173703 Graft Taa Endo 40x Prox Zenithtx2 | $29,634 | Outpatient |
| HC 173704 Graft Taa Endo 40x Prox Zenithtx2 | $34,052 | Outpatient |
| HC 173705 Graft Taa Endo 42x Prox Zenithtx2 | $29,634 | Outpatient |
| HC 173706 Graft Taa Endo 42x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173707 Graft Taa Endo 42x Prox Zenithtx2 | $36,094 | Outpatient |
| HC 173708 Graft Taa 32x Prox Tpr Zenith Tx2 | $29,634 | Outpatient |
| HC 173709 Graft Taa 32x | $34,052 | Outpatient |
| HC 173710 Graft Taa 34x Prox Tpr Zenith Tx2 | $36,094 | Outpatient |
| HC 173711 Graft Taa 34x | $36,094 | Outpatient |
| HC 173712 Graft Taa 36x Prox Tpr Zenith Tx2 | $29,634 | Outpatient |
| HC 173713 Graft Taa 36x | $36,094 | Outpatient |
| HC 173714 Graft Taa 38x Prox Tpr Zenith Tx2 | $29,634 | Outpatient |
| HC 173715 Graft Taa 38x Prox Tpr Zenith Tx2 | $34,052 | Outpatient |
| HC 173716 Graft Taa 40x Prox Tpr Zenith Tx2 | $36,094 | Outpatient |
| HC 173717 Graft Taa 40x Prox Tpr Zenith Tx2 | $36,094 | Outpatient |
| HC 173718 Graft Taa 42x Prox Tpr Zenith Tx2 | $36,094 | Outpatient |
| HC 173719 Graft Taa 42x Prox Tpr Zenith Tx2 | $36,094 | Outpatient |
| HC 174009 Defibrillator | $39,707 | Outpatient |
| HC 174868 Spacer Lat Pkti 8 11mm Trail 18x | $26,039 | Outpatient |
| HC 174869 Spacer Lat Pkti 8 11mm Trail 18x | $26,039 | Outpatient |
| HC 174870 Spacer Lat Pkti 8 11mm Trail 18x | $26,039 | Outpatient |
| HC 174871 Spacer Lat Pkti 8 11mm Trail 18x | $26,039 | Outpatient |
| HC 174872 Spacer Lat Pkti 8 11mm Trail 18x | $26,039 | Outpatient |
| HC 174873 Spacer Lat Pkti 8 11mm Lead 18x | $26,039 | Outpatient |
| HC 174874 Spacer Lat Pkti 8 11mm Lead 18x | $26,039 | Outpatient |
| HC 174875 Spacer Lat Pkti 8 11mm Lead 18x | $26,039 | Outpatient |
| HC 174876 Spacer Lat Pkti 8 11mm Lead 18x | $26,039 | Outpatient |
| HC 174877 Spacer Lat Pkti 8 11mm Lead 18x | $26,039 | Outpatient |
| HC 174878 Spacer Lat Pkti 9 12mm Trail 18x | $26,039 | Outpatient |
| HC 174879 Spacer Lat Pkti 9 12mm Trail 18x | $26,039 | Outpatient |
| HC 174881 Spacer Lat Pkti 9 12mm Trail 18x | $26,039 | Outpatient |
| HC 174882 Spacer Lat Pkti 9 12mm Trail 18x | $26,039 | Outpatient |
| HC 174883 Spacer Lat Pkti 9 12mm Lead 18x | $26,039 | Outpatient |
| HC 174884 Spacer Lat Pkti 9 12mm Lead 18x | $26,039 | Outpatient |
| HC 174885 Spacer Lat Pkti 9 12mm Lead 18x | $26,039 | Outpatient |
| HC 174888 Spacer Lat Pkti 10 14mm Trail 18x | $26,039 | Outpatient |
| HC 174889 Spacer Lat Pkti 10 14mm Trail 18x | $26,039 | Outpatient |
| HC 174890 Spacer Lat Pkti 10 14mm Trail 18x | $26,039 | Outpatient |
| HC 174891 Spacer Lat Pkti 10 14mm Trail 18x | $26,039 | Outpatient |
| HC 174892 Spacer Lat Pkti 10 14mm Trail 18x | $26,039 | Outpatient |
| HC 174893 Spacer Lat Pkti 10 14mm Lead 18x | $26,039 | Outpatient |
| HC 174894 Spacer Lat Pkti 10 14mm Lead 18x | $26,039 | Outpatient |
| HC 174895 Spacer Lat Pkti 10 14mm Lead 18x | $26,039 | Outpatient |
| HC 174896 Spacer Lat Pkti 10 14mm Lead 18x | $26,039 | Outpatient |
| HC 174897 Spacer Lat Pkti 10 14mm Lead 18x | $26,039 | Outpatient |
| HC 174898 Spacer Lat Pkti 11 15mm Trail 18x | $26,039 | Outpatient |
| HC 174899 Spacer Lat Pkti 11 15mm Trail 18x | $26,039 | Outpatient |
| HC 174900 Spacer Lat Pkti 11 15mm Trail 18x | $26,039 | Outpatient |
| HC 174901 Spacer Lat Pkti 11 15mm Trail 18x | $26,039 | Outpatient |
| HC 174902 Spacer Lat Pkti 11 15mm Trail 18x | $26,039 | Outpatient |
| HC 174903 Spacer Lat Pkti 11 15mm Lead 18x | $26,039 | Outpatient |
| HC 174904 Spacer Lat Pkti 11 15mm Lead 18x | $26,039 | Outpatient |
| HC 174905 Spacer Lat Pkti 11 15mm Lead 18x | $26,039 | Outpatient |
| HC 174906 Spacer Lat Pkti 11 15mm Lead 18x | $26,039 | Outpatient |
| HC 174907 Spacer Lat Pkti 11 15mm Lead 18x | $26,039 | Outpatient |
| HC 174908 Spacer Lat Pkti 12 16mm Trail 18x | $26,039 | Outpatient |
| HC 174909 Spacer Lat Pkti 12 16mm Trail 18x | $26,039 | Outpatient |
| HC 174911 Spacer Lat Pkti 12 16mm Trail 18x | $26,039 | Outpatient |
| HC 174912 Spacer Lat Pkti 12 16mm Trail 18x | $26,039 | Outpatient |
| HC 174913 Spacer Lat Pkti 12 16mm Lead 18x | $26,039 | Outpatient |
| HC 174915 Spacer Lat Pkti 12 16mm Lead 18x | $26,039 | Outpatient |
| HC 174917 Spacer Lat Pkti 12 16mm Lead 18x | $26,039 | Outpatient |
| HC 175007 Spacer Pk 6deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175008 Spacer Pk 6deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175009 Spacer Pk 6deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175010 Spacer Pk 6deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175011 Spacer Pk 6deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175012 Spacer Pk 12deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175013 Spacer Pk 12deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175014 Spacer Pk 12deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175015 Spacer Pk 12deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175016 Spacer Pk 12deg Nrrw Solitaire 35 | $31,486 | Outpatient |
| HC 175017 Spacer Pk 6deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175018 Spacer Pk 6deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175019 Spacer Pk 6deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175020 Spacer Pk 6deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175021 Spacer Pk 6deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175022 Spacer Pk 12deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175023 Spacer Pk 12deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175024 Spacer Pk 12deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175025 Spacer Pk 12deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175026 Spacer Pk 12deg Med Solitaire 35 | $31,486 | Outpatient |
| HC 175027 Spacer Pk 6deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175028 Spacer Pk 6deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175029 Spacer Pk 6deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175030 Spacer Pk 6deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175031 Spacer Pk 6deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175032 Spacer Pk 12deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175033 Spacer Pk 12deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175034 Spacer Pk 12deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175035 Spacer Pk 12deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175036 Spacer Pk 12deg Wide Solitaire 35 | $31,486 | Outpatient |
| HC 175761 Defibrillator Secura Dr US MR | $64,224 | Outpatient |
| HC 175762 Defibrillator | $36,129 | Outpatient |
| HC 175769 Defibrillator | $33,273 | Outpatient |
| HC 175770 Defibrillator Energen Icd E140 | $49,075 | Outpatient |
| HC 175773 Defibrillator Energen Crt | $48,089 | Outpatient |
| HC 175774 Defibrillator Energen Crt | $48,089 | Outpatient |
| HC 176726 Defibrillator | $31,194 | Outpatient |
| HC 176727 Defibrillator | $50,687 | Outpatient |
| HC 176728 Defibrillator Lumax Sgl Chm Land | $30,673 | Outpatient |
| HC 176729 Defibrillator | $51,987 | Outpatient |
| HC 176730 Defibrillator | $32,493 | Outpatient |
| HC 176731 Defibrillator Lumax Sgl Chm Cell | $31,973 | Outpatient |
| HC 177206 Defibrillator Protecta Xt Dr | $32,194 | Outpatient |
| HC 177207 Defibrillator Protecta Crt D | $42,951 | Outpatient |
| HC 177666 Defibrillator | $36,652 | Outpatient |
| HC 178033 Defibrillator | $33,273 | Outpatient |
| HC 178035 Defibrillator | $37,247 | Outpatient |
| HC 178036 Defibrillator Ellipse Dr Icd | $37,247 | Outpatient |
| HC 178037 Defibrillator Unify Assura Icd Cd3257 | $48,706 | Outpatient |
| HC 178038 Defibrillator | $66,056 | Outpatient |
| HC 178365 Defibrillator Unify Quadra Icd | $66,056 | Outpatient |
| HC 178369 Defibrillator Quadra Assura Crt D 40 | $66,056 | Outpatient |
| HC 178370 Set Catheter 4 | $67,501 | Outpatient |
| HC 178914 Defibrillator Ellipse Dr Icd Cd2311 | $38,830 | Outpatient |
| HC 178966 Stimulator Veg | $77,742 | Outpatient |
| HC 179160 Defibrillator Lumax Dx | $30,673 | Outpatient |
| HC 179161 Defibrillator | $31,973 | Outpatient |
| HC 179162 Defibrillator Fortify Assura Dr Icd | $37,247 | Outpatient |
| HC 179163 Defibrillator | $66,056 | Outpatient |
| HC 179619 Endograft Tag Conformable | $45,161 | Outpatient |
| HC 179620 Endograft Tag Conformable | $45,161 | Outpatient |
| HC 179624 Endograft Tag Conformable | $45,161 | Outpatient |
| HC 179630 Endograft Tag Conformable | $39,303 | Outpatient |
| HC 179636 Endograft Tag Conformable | $45,161 | Outpatient |
| HC 179878 Pump Blood Cen | $34,021 | Outpatient |
| HC 180061 Defibrillator Evera Xt Dr | $35,578 | Outpatient |
| HC 180062 Defibrillator Evera Xt Dr | $34,253 | Outpatient |
| HC 180063 Defibrillator Evera S Dr | $34,261 | Outpatient |
| HC 180064 Defibrillator Evera S Dr | $34,261 | Outpatient |
| HC 180065 Defibrillator Viva Xt Crt D | $42,890 | Outpatient |
| HC 180066 Defibrillator Viva Xt Crt D | $42,890 | Outpatient |
| HC 180067 Defibrillator Viva S Crt D | $42,890 | Outpatient |
| HC 180068 Defibrillator Viva S Crt D | $42,890 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Indiana or browse all procedures.