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Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure) cost in Indiana

$7,293
Cash from
$7,293–$23,940
Cash range · 8 distinct prices
$4,211
Insurer rates from
8
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jan 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLECrawfordsville$23,940$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLEMooresville$17,338$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERDyer$16,978$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL - CARMELCarmel$7,293$4,211Jul 2025472 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTCrown Point$14,662$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTERMunster$12,582$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITYMichigan City$11,943$4,211Jan 2026288 days old
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTELafayette$17,231$4,211Jan 2026288 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 CenterFluo bile duct imaging w/icg
  • Bethesda Hospital Inc.Fluo bile duct imaging w/icg
  • Clinton Memorial HospitalFluo bile duct imaging w/icg
  • Dayton Osteopathic HospitalFluo bile duct imaging w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLEFluo bile duct imaging w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTFluo bile duct imaging w/icg|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYERFluo bile duct imaging w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTEFluo bile duct imaging w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITYFluo bile duct imaging w/icg
  • FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLEFluo bile duct imaging w/icg

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