Indiana · 1,496 published self-pay prices, from $2,776 to $684,470.
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 1,496 published items.
| Item | Cash price | Setting |
|---|---|---|
| 1-123 MIBG DIAGNOSTIC | $6,983 | Outpatient |
| 3-D PLANNING | $6,565 | Outpatient |
| ABL RENAL TUMOR(S) CRYOTHERAPY | $12,179 | Outpatient |
| ABL RENAL TUMOR(S) RF | $2,784 | Outpatient |
| ABLATE PULM TUMOR RF BILAT | $3,843 | Outpatient |
| ABLATION AV NODE IP | $8,528 | Inpatient |
| ABLATION AV NODE OP | $8,528 | Outpatient |
| ABLATION LIVER TUMOR(S) PERC | $6,403 | Outpatient |
| ABLN THPY ENDO MEC CHEM ADD BL | $4,184 | Outpatient |
| ABLN THPY ENDO MEC CHEM ADD LT | $2,790 | Outpatient |
| ABLN THPY ENDO MEC CHEM ADD RT | $2,790 | Outpatient |
| ABLTJ 1/+THYR NDUL 1LOBE PRQ | $4,447 | Outpatient |
| ABLTJ B9 THYR NDUL PERQ LASR | $4,447 | Outpatient |
| ABLTJ IRE LIVER 1+ TUM PERQ | $3,888 | Outpatient |
| ABLTJ IRE PRST8 1+ TUM PERQ | $3,888 | Outpatient |
| ABLTJ PERC PLEX/TRNCL NRV | $10,501 | Outpatient |
| ABLTN BONE TUMOR(S) CT INCL | $6,960 | Outpatient |
| ABLTN ENDOCRINE RF | $2,784 | Outpatient |
| ABLTN THPY ENDOVEN MECH CHEM L | $5,568 | Outpatient |
| ABLTN THPY ENDOVEN MECH CHEM R | $5,568 | Outpatient |
| ABLTN THPY ENDVEN MECH CHEM BL | $8,351 | Outpatient |
| ACCESSORY SET BERLIN HEART | $3,946 | Outpatient |
| Afamitresgene Autoleucel Inj | $684,470 | Outpatient |
| AFO SPIRAL PREFABRICATED | $3,400 | Outpatient |
| AICD DUAL CHAMBER | $16,450 | Outpatient |
| AICD OTHER THAN SING/DUAL | $15,742 | Outpatient |
| AICD SINGLE CHAMBER | $11,083 | Outpatient |
| ALCOHOL SEPTAL ABLATION | $14,000 | Outpatient |
| Aldesleukin Inj 18 MillionUnits/mL (SubQ) | $5,486 | Outpatient |
| Allopurinol Inj 500 mg (UD) | $5,602 | Outpatient |
| ALS-1 EMERGENCY TRANSPORT | $4,465 | Outpatient |
| ALS-1 NON-EMERGENCY TRNSPRT | $2,898 | Outpatient |
| ALS-2 TRANSPORT | $6,720 | Outpatient |
| AMBULANCE; SCT | $8,863 | Outpatient |
| AMNIO OR BIODMATRIX INJ 1 CC | $6,145 | Outpatient |
| AMNIOBAND 1 MG | $5,525 | Outpatient |
| ANGIO ADRENAL BIL SEL S&I IP | $8,539 | Inpatient |
| ANGIO ADRENAL BIL SEL S&I OP | $6,569 | Outpatient |
| ANGIO ADRENAL UNI SEL S&I IP | $3,536 | Inpatient |
| ANGIO CATH CAROTD ART | $7,940 | Outpatient |
| ANGIO CATH CAROTD ART BL | $11,910 | Outpatient |
| ANGIO CATH CAROTD ART-BL | $11,910 | Outpatient |
| ANGIO CATH CARTID/INOM EXT BIL | $8,290 | Outpatient |
| ANGIO CATH CARTID/INOM EXT UNI | $5,527 | Outpatient |
| ANGIO CATH CARTID/INOM INT BIL | $10,964 | Outpatient |
| ANGIO CATH CARTID/INOM INT UNI | $7,309 | Outpatient |
| ANGIO CATH SUBCLAVIAN ART | $7,262 | Outpatient |
| ANGIO CATH SUBCLAVIAN ART BL | $10,894 | Outpatient |
| ANGIO CATH SUBCLAVIAN ART-BL | $10,894 | Outpatient |
| ANGIO CATH THORACIC AORTA | $4,248 | Outpatient |
| ANGIO CATH THORACIC AORTA BL | $4,248 | Outpatient |
| ANGIO CATH THORACIC AORTA-BL | $4,248 | Outpatient |
| ANGIO CATH VERTEBRAL ART BL | $11,910 | Outpatient |
| ANGIO CATH VERTEBRAL ART LT | $7,940 | Outpatient |
| ANGIO CATH VERTEBRAL ART RT | $7,940 | Outpatient |
| ANGIO CATH VERTEBRAL ART-BL | $11,910 | Outpatient |
| ANGIO EXST CATH TC F/U IP | $3,536 | Inpatient |
| ANGIO EXTREM BIL S&I IP | $8,539 | Inpatient |
| ANGIO EXTREM BIL S&I OP | $6,569 | Outpatient |
| ANGIO EXTREM UNI S&I IP | $8,539 | Inpatient |
| ANGIO EXTREM UNI S&I OP | $6,569 | Outpatient |
| ANGIO INTRNL MAMMARY S&I IP | $8,539 | Inpatient |
| ANGIO INTRNL MAMMARY S&I OP | $6,569 | Outpatient |
| ANGIO PELV SUPRA SEL S&I IP | $14,147 | Inpatient |
| ANGIO PELV SUPRA SEL S&I OP | $10,882 | Outpatient |
| ANGIO PULM BIL SEL S&I IP | $8,539 | Inpatient |
| ANGIO PULM BIL SEL S&I OP | $6,569 | Outpatient |
| ANGIO PULM NONSEL S&I IP | $3,536 | Inpatient |
| ANGIO PULM UNI SEL S&I IP | $8,539 | Inpatient |
| ANGIO PULM UNI SEL S&I OP | $6,569 | Outpatient |
| ANGIO PULMONARY UNI S&I IP | $8,539 | Inpatient |
| ANGIO PULMONARY UNI S&I OP | $6,569 | Outpatient |
| ANGIO SPINAL SEL S&I IP | $14,147 | Inpatient |
| ANGIO SPINAL SEL S&I OP | $10,882 | Outpatient |
| ANGIO VISC SUPRA SEL S&I IP | $14,147 | Inpatient |
| ANGIO VISC SUPRA SEL S&I OP | $10,882 | Outpatient |
| ANGIOGRAPHY BYPASS GRAFT | $6,615 | Outpatient |
| ANGIOPLASTY FIST GRAFT LT | $5,757 | Outpatient |
| ANGIOPLASTY FIST GRAFT RT | $5,757 | Outpatient |
| Angiotensin II Inj 2.5 mg/mL (IV) | $2,951 | Outpatient |
| Anti-Thymocyte Globulin (Equine) Atgam 250 mg/5 mL (IV) | $3,144 | Outpatient |
| Antivenin Snake-Bite Crotalidae (Ovine) | $8,724 | Outpatient |
| AOI SND PROC REPL EXCL ACTUA | $5,895 | Outpatient |
| AORTGM ABD W/BL RUNOFF S&I IP | $8,539 | Inpatient |
| AORTGM ABD W/BL RUNOFF S&I OP | $6,569 | Outpatient |
| AORTGRM/LEXT W SERIAL S&I IP | $8,539 | Inpatient |
| AORTGRM/LEXT W SERIAL S&I OP | $6,569 | Outpatient |
| AORTO/AORTC RPR NON RUP | $11,348 | Outpatient |
| AORTO/AORTC RPR RUP | $16,951 | Outpatient |
| AORTO/ILIAC RPR BIL NON RUP | $19,149 | Outpatient |
| AORTO/ILIAC RPR BIL RUP | $31,850 | Outpatient |
| AORTO/ILIAC RPR UNI NON RUP | $12,766 | Outpatient |
| AORTO/ILIAC RPR UNI RUP | $21,233 | Outpatient |
| AORTOGRAM ABDOMEN S&I IP | $8,539 | Inpatient |
| AORTOGRAM ABDOMEN S&I OP | $6,569 | Outpatient |
| AORTOGRAM THORAC S&I IP | $14,147 | Inpatient |
| AORTOGRAM THORAC S&I OP | $10,882 | Outpatient |
| AORTOGRM ABDOMEN W SERIAL IP | $8,539 | Inpatient |
| AORTOGRM ABDOMEN W SERIAL OP | $6,569 | Outpatient |
| AORTOGRM THOR W SERIAL IP | $14,147 | Inpatient |
| AORTOGRM THOR W SERIAL OP | $10,882 | Outpatient |
| AORTOGRM THOR WO SERIAL S&I IP | $8,539 | Inpatient |
| AORTOGRM THOR WO SERIAL S&I OP | $6,569 | Outpatient |
| ART OCCL EMBO NONHEMORR | $12,167 | Outpatient |
| ART OCCL EMBO W/ PEDD | $12,167 | Outpatient |
| ART VEN OCCL EMBOLIC HEMORR | $14,714 | Outpatient |
| ART/VEN THRMBLYS SBSQ DAY | $5,568 | Outpatient |
| ARTACENT WOUND SQ CM | $9,508 | Outpatient |
| ARTERIAL THROMBOLYSIS 1ST DAY | $11,802 | Outpatient |
| ARTHRD SI JT PRQ WO TFXJ DEV | $3,842 | Outpatient |
| ARTHRODESIS SI JNT PERC W/GUID | $3,842 | Outpatient |
| ASD/PFO/FEN CLOSURE-PEDS RH | $26,175 | Outpatient |
| ASHKENAZI JEWISH ASSOC DIS SO | $4,160 | Outpatient |
| ATHERECTOMY ABDOMINAL AORTA | $6,605 | Outpatient |
| ATHERECTOMY BRACHIOCEPHALIC | $10,274 | Outpatient |
| ATHERECTOMY ILIAC | $4,728 | Outpatient |
| ATHERECTOMY ILIAC LT | $4,728 | Outpatient |
| ATHERECTOMY ILIAC RT | $4,728 | Outpatient |
| ATHERECTOMY RENAL | $10,558 | Outpatient |
| ATHERECTOMY RENAL LT | $10,558 | Outpatient |
| ATHERECTOMY RENAL RT | $10,558 | Outpatient |
| ATHERETCOMY VISCERAL | $10,558 | Outpatient |
| AUD OSSEO DEV ABUTMENT | $7,461 | Outpatient |
| AUTO CELL PROCESS SYS | $15,908 | Outpatient |
| AUTOLOGOUS ISLET CELL ISOLATIN | $33,016 | Outpatient |
| Axicabtagene Ciloleucel Inj (IV) | $284,472 | Outpatient |
| BALLOON ANGIOPLSTY INTRACRANL | $11,204 | Outpatient |
| BALN DIL INTRCRNL VASOSPM 1VSL | $4,176 | Outpatient |
| BAND ANNULOPLASTY | $4,260 | Outpatient |
| BAR PECTUS | $8,641 | Outpatient |
| BASILAR ART ANGIO/STENT PLCMNT | $11,204 | Outpatient |
| Basiliximab Inj 20 mg (UD) | $5,037 | Outpatient |
| Basiliximab Inj 4 mg/mL (IV) | $5,037 | Outpatient |
| BEDSIDE SURG MAJOR BASE 1/2 HR | $5,568 | Outpatient |
| BERLIN HRT CANNULA | $12,236 | Outpatient |
| BILIARY ENDO DILAT W/STENT | $2,784 | Outpatient |
| BILIARY ENDO W/BIOPSY(S) | $2,784 | Outpatient |
| BILIARY ENDO W/STONE REMVL | $4,176 | Outpatient |
| BIOPSY OF PROSTATE | $4,203 | Outpatient |
| BMT ALLOGENEIC RELATED | $34,096 | Outpatient |
| BMT ALLOGENEIC UNRELATED | $64,912 | Outpatient |
| Botulism Immune Globulin Inj 50 mg/mL (IV) | $67,096 | Outpatient |
| BRACHY HIGH DOSE >12 CH W/DOS | $7,464 | Outpatient |
| BRACHY HIGH DSE 2-12 CH W/DOS | $4,892 | Outpatient |
| BRACHY TX PLAN+DOSIMETRY COMP | $3,458 | Outpatient |
| BRACHY TX PLAN+DOSIMETRY INTER | $2,997 | Outpatient |
| BRACHYTX NON-STRYTTRIUM-90 | $43,929 | Outpatient |
| BRCA FULL SEQUENCE ANALYSIS SO | $3,871 | Outpatient |
| BRCA1,2 GEN FULL SEQ DUPDEL SO | $3,871 | Outpatient |
| BRCA1&2 GEN ASEQ DUPDEL IBM SO | $3,871 | Outpatient |
| BRCA1&2 SEQ & FULL DUP/DEL SO | $3,871 | Outpatient |
| Brexucabtagene autoleucel Inj (IV) | $260,984 | Outpatient |
| BRONCH THERMOPLASTY 1 LOBE | $3,024 | Outpatient |
| BRONCH THERMOPLASTY 2+ LOBES | $3,165 | Outpatient |
| BRONCH W/FLURO/TRANS BROCNL BX | $4,176 | Outpatient |
| BRONCH WITH LUNG BIOPSY | $3,842 | Outpatient |
| BRONCHIAL BIVLV REM INITIAL | $3,024 | Outpatient |
| BRONCHIAL VALVE INITIAL INSERT | $3,024 | Outpatient |
| BRONCHOSCOPY DX | $2,784 | Outpatient |
| BRONCHOSCOPY PLACE PERC TRACH | $2,784 | Outpatient |
| BRONCHOSCOPY W/BAL | $4,098 | Outpatient |
| BUNDLE OF HIS RECORDING | $4,037 | Outpatient |
| Buprenorphine ER Inj 100 mg | $7,655 | Outpatient |
| Buprenorphine ER Inj 128 mg | $6,175 | Outpatient |
| Buprenorphine ER Inj 300 mg | $7,655 | Outpatient |
| Buprenorphine ER Inj 64 mg | $6,175 | Outpatient |
| Buprenorphine ER Inj 96 mg | $6,175 | Outpatient |
| BX BRST PERC 1ST LSN MRI WIRE | $3,980 | Outpatient |
| BX BRST PERC 1ST LSN STER CLIP | $4,151 | Outpatient |
| BX BRST PERC 1ST LSN STER WIRE | $4,151 | Outpatient |
| BX BRST PERC 1ST LSN STEROTAC | $4,151 | Outpatient |
| BX BRST PERC 1ST LSN W MRI | $3,980 | Outpatient |
| BX BRST PERC 1ST LSN W/US GUID | $4,134 | Outpatient |
| BX BRST PERC 1STLSN MRI/CLIP | $3,980 | Outpatient |
| BX BRST PERC 1STLSN USGUID/CLP | $4,134 | Outpatient |
| BX BRST PERC 1STLSN USGUID/WIR | $4,134 | Outpatient |
| BX BRST PERC EA ADD LES CLP | $2,937 | Outpatient |
| BX BRST PERC EA ADD LES MRI | $2,937 | Outpatient |
| BX BRST PERC EA ADD LES WIRE | $2,937 | Outpatient |
| CAGE NEURO IMPL | $10,928 | Outpatient |
| CAGE PYRAMESH | $5,602 | Outpatient |
| CAGE PYROMESH | $11,589 | Outpatient |
| Calcitonin Inj 400 units/2 mL | $3,798 | Outpatient |
| Calcitonin Inj 400 units/2 mL (UD) | $3,798 | Outpatient |
| Capsaicin 8% Kit (2 System) | $2,874 | Outpatient |
| Capsaicin 8% Kit (4 System) | $5,748 | Outpatient |
| CAR-T CELL AUTO-SCT INFUSION | $5,304 | Outpatient |
| CARDIAC MONITOR SYS | $17,425 | Outpatient |
| CARDIC EVENT RECORDR INSERT IP | $4,650 | Inpatient |
| CARDIC EVENT RECORDR INSERT OP | $4,134 | Outpatient |
| Carmustine Inj 3.3 mg/mL (IV) | $5,247 | Outpatient |
| Carmustine Wafer | $42,838 | Outpatient |
| CAROTID STENT PLCMT W/FILTER | $5,568 | Outpatient |
| CAROTID STENT PLCMT W/O FILTER | $5,568 | Outpatient |
| CASE LEVEL 2 INITIAL 1/2 HR | $3,562 | Outpatient |
| CASE LEVEL 3 INITIAL 1/2 HR | $5,342 | Outpatient |
| CASE LEVEL 4 INITIAL 1/2 HR | $8,013 | Outpatient |
| CASE LEVEL 5 INITIAL 1/2 HR | $12,020 | Outpatient |
| CASE LEVEL 5A EA ADDTL 1/2 HR | $3,005 | Outpatient |
| CASE LEVEL 6 INITIAL 1/2 HR | $18,030 | Outpatient |
| CASE LEVEL 6A EA ADDTL 1/2 HR | $4,508 | Outpatient |
| CASE LEVEL 7 INITIAL 1/2 HR | $27,044 | Outpatient |
| CASE LEVEL 7A EA ADDTL 1/2 HR | $6,761 | Outpatient |
| CATCHER URETHRAL STONE | $3,991 | Outpatient |
| CATH EXTERNAL CAROTID | $2,784 | Outpatient |
| CATH EXTERNAL CAROTID BL | $4,177 | Outpatient |
| CATH EXTERNAL CAROTID-BL | $4,177 | Outpatient |
| CATH CORONARY DRUG DELIVERY | $11,118 | Outpatient |
| CATH GUIDING | $11,544 | Outpatient |
| CATH HEMODIALYSIS LONG-TERM | $3,185 | Outpatient |
| CATH MAPPING TO ID TACHYCRD IP | $4,183 | Inpatient |
| CATH MAPPING TO ID TACHYCRD OP | $4,183 | Outpatient |
| CATH PLC FOR COR ANGIOGRAPHY | $7,320 | Outpatient |
| CATH TRANS ATHEREC ROTATION | $10,693 | Outpatient |
| CATH TRANS ATHERECROTATION | $3,967 | Outpatient |
| CATH TRANS ATHERECTOMY DIR | $4,576 | Outpatient |
| CATH TRANS INTRA LITHO/CORO | $10,282 | Outpatient |
| CATH TRANSLUMIN DRUG-COAT | $4,889 | Outpatient |
| CATH, BAL DIL, NON-VASCULAR | $5,261 | Outpatient |
| CATH, INTRAVAS ULTRASOUND | $4,343 | Outpatient |
| CATH, TRANS ATHERECTOMY, DIR | $6,796 | Outpatient |
| CATHETER ABLATION | $3,162 | Outpatient |
| CATHETER CTO | $6,230 | Outpatient |
| CATHETER CYSTO PENETRATING | $2,971 | Outpatient |
| CATHETER INTRACRANIEL | $6,573 | Outpatient |
| CATHETER INTRADISCAL | $4,992 | Outpatient |
| CATHETER RF ABLATION | $8,002 | Outpatient |
| CATHETER VNUS CLOSURE | $4,240 | Outpatient |
| CESS THRMBLYS W/CATH RMVL | $2,816 | Outpatient |
| CHARGER ELEC/COMBO VAD REP | $3,196 | Outpatient |
| CHOLEDOCHAL STENT PLCMNT | $4,176 | Outpatient |
| CID EXT CONTROLLER REPL | $6,398 | Outpatient |
| Cidofovir Inj 75 mg/mL (IV) | $3,327 | Outpatient |
| Ciltacabtagene autoleucel Inj | $313,695 | Outpatient |
| CLOSURE PDA | $11,571 | Outpatient |
| CLTX RADIUS H/N FX W/O MAN | $2,776 | Outpatient |
| COCH IMP EXT PROC/CONTR RPLC | $15,742 | Outpatient |
| COCHLEAR REPLACE INTERNAL | $6,363 | Outpatient |
| COL1A1 FULL GENE SEQUENCE | $3,818 | Outpatient |
| COL1A2 FULL GENE SEQUENCE | $3,818 | Outpatient |
| COLONIC MOTILITY | $5,671 | Outpatient |
| COMPLEX PROC 1/2 HR | $12,460 | Outpatient |
| CONF GORE TAG THOR ENDO CTAG | $7,582 | Outpatient |
| CONIZATION OF CERVIX | $2,784 | Outpatient |
| CONSTRUCT MCL DVC FOR IMRT | $4,133 | Outpatient |
| CONSTRUCT MLC DVC FOR IMRT | $4,133 | Outpatient |
| CONTROLLER HVAD | $17,498 | Outpatient |
| CONVERSION EXT BIL DRG CATH | $8,507 | Outpatient |
| COPPER CU 64 DOTATATE DIAG | $4,437 | Outpatient |
| CORONARY FLOW RESERVE MEASURE | $7,312 | Outpatient |
| CORONARY IFR MEASURE | $3,482 | Outpatient |
| CORRJ HALUX RIGDUS W/O IMPLT | $3,112 | Outpatient |
| Corticotropin Gel Inj 80 units/mL | $6,948 | Outpatient |
| CRRT DAILY CHARGE LEVEL I | $2,858 | Outpatient |
| CRRT DAILY CHARGE LEVEL II | $3,162 | Outpatient |
| CRRT DAILY CHARGE LEVEL III | $3,465 | Outpatient |
| CRRT DAILY CHARGE LEVEL IV | $3,768 | Outpatient |
| CRYOABLATE LIVER TUMOR(S) | $3,888 | Outpatient |
| CRYOABLATE PULM TUMORS | $4,445 | Outpatient |
| CRYOBLATE BONE TUMOR W/GUID | $6,960 | Outpatient |
| CTLSO A-P-L CONTROL MOLDED | $6,025 | Outpatient |
| CTLSO A-P-L CONTROL W/ INTER | $3,775 | Outpatient |
| CTLSO MILWAUKE INITIAL MODEL | $2,870 | Outpatient |
| CULTURED CHONDROCYTER IMPLNT | $55,871 | Outpatient |
| Cytomegalovirus Immune Globulin Inj 2.5 GM (IV) | $5,991 | Outpatient |
| Cytomegalovirus Immune Globulin Inj 50 mg/mL (IV) | $5,991 | Outpatient |
| DACTINOmycin Inj 500 mCg/mL (IV) | $2,795 | Outpatient |
| DEFIB EVALUATION IP | $2,999 | Inpatient |
| DEFIB EVALUATION OP | $2,999 | Outpatient |
| Dehydrated Alcohol 99% Inj 5 mL (UD) | $3,333 | Outpatient |
| DELIVERY SYSTEM | $15,908 | Outpatient |
| DERMA-FAT-FASCIA GRAFT | $5,525 | Outpatient |
| DEST PROSTATE RADIOFREQ THERM | $4,176 | Outpatient |
| DEVICE ATHERECTOMY UNSPECIFIED | $10,282 | Outpatient |
| DEVICE CLOSURE | $2,840 | Outpatient |
| DEVICE DIAG INT VASC CATH | $4,215 | Outpatient |
| DEVICE EXT DISTRACTION RIGID | $19,578 | Outpatient |
| DEVICE OCCLUSION CLIP | $12,236 | Outpatient |
| DEVICE VENTRICULAR ASSIST | $48,117 | Outpatient |
| DIAGNOSTIC BRONCHOSCOPY | $2,784 | Outpatient |
| Diclofenac Gel 3% 100 GM | $3,313 | Outpatient |
| Digoxin Immune Fab Inj 10 mg/mL (IV) | $5,113 | Outpatient |
| DILTN URETERS/URETHRA S&I IP | $5,624 | Inpatient |
| DILTN URETERS/URETHRA S&I OP | $4,327 | Outpatient |
| Dinoprostone Vag Supp 20 mg | $4,344 | Outpatient |
| Dinutuximab Inj 3.5 mg/mL (IV) | $10,539 | Outpatient |
| DISC ASPR COMPR W/IMAGNG | $3,202 | Outpatient |
| DISTRACTOR | $10,531 | Outpatient |
| DLYD PLCMT EXT PROS INIT VSL | $6,052 | Outpatient |
| Dupilumab Inj 200 mg/1.14 mL (UD) | $6,789 | Outpatient |
| Dupilumab Inj 300 mg/2 mL (UD) | $6,789 | Outpatient |
| ECHO INTRACARDIAC | $4,424 | Outpatient |
| ECMO ADDL/OXYGEN CHANGE | $8,066 | Outpatient |
| ECMO DAILY MGMT ARTERY MH | $5,267 | Outpatient |
| ECMO DAILY MGMT ARTERY RH | $5,267 | Outpatient |
| ECMO DAILY MGMT VENOUS MH | $4,905 | Outpatient |
| ECMO DAILY MGMT VENOUS RH | $4,905 | Outpatient |
| ECMO INIT TECH SUPPORT ARTERY | $4,458 | Outpatient |
| ECMO INIT TECH SUPPORT VENOUS | $4,458 | Outpatient |
| ECMO INITIATION ARTERY MH | $16,115 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Indiana or browse all procedures.