Indiana / Ascension St Vincent Heart Center
CMS certification 150153 · Carmel, IN · 2 entries in CMS's price-transparency list
Ascension St Vincent Heart Center: charges and Medicare payments
Ascension St Vincent Heart Center reported 1,189 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 5.72 times what it was paid — among the higher ratios in Indiana, number 11 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 267, Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC: 151 stays at an average charge of $209,847, 5% below the national average. It also billed 1,215 outpatient services, charging 8.99 times what Medicare paid.
- 1Medicare inpatient stays 1,189
- 2Charge ÷ paid, inpatient 5.72×
- 3Rank in IN (highest ratio = 1) 11 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 27 DRGs that can be compared with the national average, Ascension St Vincent Heart Center charged more than the national average in 6 (22%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 151 | $209,847 | -5% | $33,462 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 135 | $257,230 | -35% | $53,762 |
| 291 Heart Failure and Shock with MCC | 88 | $48,099 | -15% | $8,713 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 80 | $131,403 | +15% | $13,591 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 66 | $27,241 | -25% | $5,338 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 64 | $22,821 | -21% | $3,948 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 60 | $198,416 | -32% | $40,989 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 47 | $191,707 | -31% | $37,478 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 47 | $60,648 | +7% | $8,926 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 46 | $61,025 | -4% | $7,364 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 44 | $162,081 | -23% | $27,623 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $55,830 | -26% | $11,831 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 40 | $294,393 | +3% | $47,651 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $172,780 | +6% | $22,509 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 29 | $79,217 | -29% | $16,646 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 26 | $148,927 | -7% | $24,919 |
| 216 Cardiac Valve and Other Major Cardiothoracic Procedures with... | 25 | $401,856 | -18% | $71,970 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 25 | $272,553 | -29% | $53,634 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $54,152 | +7% | $6,340 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 23 | $72,522 | -22% | $13,555 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $93,202 | -17% | $14,594 |
| 324 Coronary Intravascular Lithotripsy with Intraluminal Device... | 15 | $224,107 | +29% | $26,497 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 13 | $228,189 | -15% | $34,674 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13 | $38,110 | -12% | $5,189 |
| 212 Concomitant Aortic and Mitral Valve Procedures | 12 | $389,045 | -32% | $75,966 |
| 303 Atherosclerosis without MCC | 12 | $21,116 | -40% | $4,610 |
| 292 Heart Failure and Shock with CC | 11 | $30,234 | -22% | $6,174 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 656 | $31,753 | $2,932 |
| Level 3 Endovascular Procedures | 135 | $86,620 | $9,929 |
| Level 3 Pacemaker and Similar Procedures | 126 | $45,571 | $9,572 |
| Level 2 Endovascular Procedures | 71 | $50,687 | $5,163 |
| Comprehensive Observation Services | 67 | $20,989 | $2,472 |
| Level 4 Endovascular Procedures | 57 | $134,989 | $15,003 |
| Level 2 ICD and Similar Procedures | 45 | $110,534 | $29,627 |
| Level 2 Pacemaker and Similar Procedures | 19 | $35,589 | $7,674 |
| Level 2 Vascular Procedures | 14 | $8,679 | $1,447 |
| Level 4 Pacemaker and Similar Procedures | 13 | $77,241 | $17,561 |
| Level 1 ICD and Similar Procedures | 12 | $72,150 | $21,237 |
Against the Indiana average
For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Ascension St Vincent Heart Center charged $209,847 on average, 0% less than the Indiana average of $209,909, and was paid $33,462 against a state average of $35,980. For Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization (DRG 219), Ascension St Vincent Heart Center charged $257,230 on average, 23% less than the Indiana average of $334,477, and was paid $53,762 against a state average of $62,507. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent Heart Center charged $48,099 on average, 18% more than the Indiana average of $40,842, and was paid $8,713 against a state average of $10,315. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Ascension St Vincent Heart Center charged $131,403 on average, 13% more than the Indiana average of $116,784, and was paid $13,591 against a state average of $15,401. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,753 was 1% below the state average of $32,147. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $86,620 was 4% above the state average of $83,626. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $45,571 was 22% below the state average of $58,522. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $50,687 was 11% above the state average of $45,581.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ascension St Vincent Heart Center in Carmel, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3812)
- Warning Notice — 2026-05-18 (CMS case 7766)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.