How many shoppable procedure prices are published for St Vincent Heart Center?

St Vincent Heart Center in Carmel, IN currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Vincent Heart Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Vincent Heart Center's median negotiated commercial rate is 0.5× the regionally adjusted fair BaseRate benchmark.

What is St Vincent Heart Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St Vincent Heart Center an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 107 Beds · urban Updated: 01/01/2026

St Vincent Heart Center

10580 N Meridian St, Carmel, IN 46290 · 118 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.49×vs. Fair Market Price

Typical commercial prices here are 51% below the fair benchmark (0.49×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness100

Price Logic85

Peer Alignment65

Clean Billing81

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.49× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

St Vincent Heart Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.6× Medicare, p50 0.54× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.73× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 107 in IN · 2nd State Percentile#45 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 51% below peer Fair BaseRate (0.49×)
Self-pay cash beats commercial insurance on 4% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 85% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
Captive ER (2.3×) & laboratory (1.7×) services average 1.33× higher multiples than routine shoppable care (0.6×)
Upper-quartile procedures (Q75 0.73×) jump +35% above the median procedure ratio (Q50 0.54×)
Unnegotiated chargemaster list prices average 14.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.33× Divergence

0.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+35% Upper Tail

Q25 0.31× · Q50 0.54× · Q75 0.73×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

3.4× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

4% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at St Vincent Heart Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,847	$8,223	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,847	$17,936	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,847	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,847	$19,432	0.7×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$13,847	$30,775	0.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,263	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,263	$2,975	0.8×
Blood transfusion CPT Code: `36430`	$1,739	$1,739	$498	3.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$892	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$792	$3,372	0.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$766	$2,540	0.3×
Bunion correction surgery CPT Code: `28296`	—	$648	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$557	$3,629	0.2×
Breast lump removal CPT Code: `19120`	—	$506	$3,875	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,154	$466	$1,021	0.5×
Rabies immune globulin HCPCS Code: `90375`	—	$336	$322	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$359	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$298	$981	0.3×
X-ray, pelvis CPT Code: `72170`	$258	$258	$110	2.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$274	$987	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$542	$233	$448	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$583	$233	$511	0.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$163	$151	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$560	$180	$185	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$583	$168	$338	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,751	$140	$272	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$542	$147	$303	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$583	$148	$343	0.4×
MRI, knee or other leg joint CPT Code: `73721`	—	$148	$369	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,351	$162	$583	0.3×
New patient office visit (30-44 min) CPT Code: `99203`	$390	$106	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$400	$106	$123	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	—	$100	$123	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$103	$148	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$124	$181	0.7×
CT scan, sinuses CPT Code: `70486`	$542	$101	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$542	$95	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$542	$96	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$542	$95	$168	0.6×
Family therapy session CPT Code: `90847`	—	$96	$173	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$542	$111	$242	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$542	$111	$258	0.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$82	$166	0.5×
Neurobehavioral status check CPT Code: `96116`	—	$86	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	—	$409	$347	1.2×
Drug screening test HCPCS Code: `G0480`	$379	$379	$116	3.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$339	$339	$11	30.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$305	$305	$14	21.8×
Hepatitis C antibody test CPT Code: `86803`	$316	$316	$15	21.1×
Culture, blood CPT Code: `87040`	$287	$287	$11	26.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$301	$301	$18	16.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$316	$316	$20	15.8×
Blood test, liver function panel CPT Code: `80076`	$241	$241	$9	26.8×
Blood test, basic metabolic panel CPT Code: `80048`	$218	$218	$9	24.2×
Blood test, vitamin D CPT Code: `82306`	$231	$231	$31	7.5×
Culture, bacterial CPT Code: `87070`	$201	$201	$9	22.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$211	$211	$19	11.1×
Blood test, lipase CPT Code: `83690`	$175	$175	$7	25.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$145	$145	$14	10.4×
Blood test, vitamin B12 CPT Code: `82607`	$155	$155	$16	9.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$163	$203	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$166	$133	$140	0.9×
Blood test, sodium CPT Code: `84295`	$75	$75	$5	15.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$100	$100	$8	12.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$73	$73	$5	14.6×
Blood test, calcium CPT Code: `82310`	$56	$56	$5	11.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$138	$78	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$92	$111	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$334	$72	$87	0.8×
Care planning with family CPT Code: `90887`	—	$75	$107	0.7×
Ultrasound, pelvis CPT Code: `76856`	$343	$67	$130	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$520	$68	$134	0.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$349	$66	$132	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$329	$61	$126	0.5×
CT scan, pelvis CPT Code: `72192`	$542	$70	$163	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$542	$67	$160	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$35	$39	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$127	$49	$56	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$128	$68	$86	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$24	$25	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$92	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$20	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$29	$37	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$64	$3	$4	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$251	$7	$10	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$25	$38	0.7×
Review of medical records for care CPT Code: `90889`	—	$41	$114	0.4×
Psychological testing by technician CPT Code: `96138`	—	$36	$395	0.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$75	$3	$4	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$24	$35	0.7×
Blood test, hemoglobin CPT Code: `85018`	$53	$2	$3	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$25	$38	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$61	$26	$40	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$75	$22	$34	0.6×
Physical therapy (gait training) CPT Code: `97116`	$74	$21	$33	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$48	$24	$38	0.6×
Blood test, potassium CPT Code: `84132`	$68	$3	$5	0.6×
Blood test, amylase CPT Code: `82150`	$185	$4	$7	0.6×
Blood test, magnesium CPT Code: `83735`	$145	$4	$7	0.6×
Orthotic fitting and training CPT Code: `97760`	$67	$28	$51	0.5×
Prosthetic fitting and training CPT Code: `97761`	$76	$24	$45	0.5×
X-ray, chest (two views) CPT Code: `71046`	$185	$28	$93	0.3×
X-ray, hip CPT Code: `73502`	$275	$28	$93	0.3×
X-ray, lower back CPT Code: `72110`	$347	$33	$112	0.3×
Group therapy session CPT Code: `90853`	—	$29	$100	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$135	$2	$3	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$121	$3	$6	0.5×
Speech therapy (group session) CPT Code: `92508`	—	$13	$27	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$301	$16	$64	0.3×
X-ray, shoulder CPT Code: `73030`	$293	$20	$92	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$250	$20	$93	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$27	$128	0.2×
X-ray, foot CPT Code: `73630`	$293	$19	$92	0.2×
X-ray, hand CPT Code: `73130`	$302	$19	$93	0.2×
X-ray, ankle CPT Code: `73610`	$294	$19	$93	0.2×
X-ray, chest (single view) CPT Code: `71045`	$163	$18	$92	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$113	$25	$201	0.1×
Blood antibody screen CPT Code: `86850`	$89	$4	$46	0.1×

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St Vincent Heart Center (Zero PHI Required)

CMS CCN: 150153

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash Request Quote

Insurer Median $13,847

1. Amount on Your Bill or Quote ($) Pre-filled with St Vincent Heart Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Vincent Heart Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$25,010 Above Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your bill ($33,233) is $25,010 above the denoised Fair BaseRate ($8,223) and 5.9× the $5,676 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 364492612

Public IRS & CMS ownership records classify St Vincent Heart Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait185 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (384 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Vincent Heart Center.

Price Index: 0.27× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+126.4%

Median Household Income$117,957U.S. Census ACS

Local Uninsured Share4.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 150153 EIN 364492612

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 150153) ↗ Verify IRS Form 990 (EIN 364492612) ↗ CMS HCRIS Cost Reports ↗

Published MRF File364492612_st-vincent-heart-center-of-indiana-llc_standardcharges.csv!364492612_st.-vincent-heart-center-of-indiana,-llc_standardcharges.csv

Publication / Vintage01/01/2026 · 46.67 MB

Validated Rate Rows4,548 (CMS v3.0.0)

File Integrity Digest4dc75bdf63f27793c071…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy