Instillation, hexaminolevulinate hydrochloride, 100 mg cost in Indiana
$1,192
Cash from
$1,192–$2,512
Cash range · 10 distinct prices
$1,192
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $1,192 | $2,750 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $1,383 | $2,750 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $1,403 | $2,750 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $1,594 | $2,750 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $1,594 | $2,750 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $1,594 | $2,750 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $1,603 | $2,750 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,751 | $2,078 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $2,115 | $2,750 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $2,155 | $2,750 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $2,512 | $2,254 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $2,268 | $2,718 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterInsti hexaminolevulinate hcl
- Berger HospitalInsti hexaminolevulinate hcl
- Bethesda Hospital Inc.Insti hexaminolevulinate hcl
- Clinton Memorial HospitalInsti hexaminolevulinate hcl
- Dayton Osteopathic HospitalInsti hexaminolevulinate hcl
- Doctors HospitalNoncdm Charge Record Pharmacy
- Dublin Methodist HospitalHEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION
- Fairview HospitalHEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION
- Fort Hamilton HospitalInsti hexaminolevulinate hcl
- Grady Memorial HospitalInsti hexaminolevulinate hcl
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.