Ascension St. Vincent Carmel Ambulatory Surgery Center
13421 Old Meridian St., Carmel, IN · Ascension · · NPI 1497782833
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $255.22 – $1,415.40 | 20 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $146.94 – $987.53 | 20 |
| #cf-97variants CPT 81220 | $970.20 | $1,617.00 | $222.64 – $1,269.05 | 23 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $98.35 – $991.96 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $55.53 – $384.75 | 16 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $38.89 – $221.66 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $2,693.40 | $4,489.00 | $17.16 – $1,416.85 | 40 |
| Change cystostomy tube simple CPT 51705 | $1,065.60 | $1,776.00 | $11.13 – $1,416.85 | 40 |
| Change gastric port open CPT 43888 | not published | not published | $98.17 – $1,822.02 | 39 |
| Change g-tube to g-j perc CPT 49446 | $5,713.80 | $9,523.00 | $41.92 – $4,631.00 | 41 |
| Change nephroureteral cath CPT 50387 | $4,249.20 | $7,082.00 | $21.29 – $4,631.00 | 41 |
| Change of ureter tube/stent CPT 50688 | $2,347.80 | $3,913.00 | $17.17 – $1,416.85 | 40 |
| Change of windpipe airway 31502 CPT 31502 | $1,132.20 | $1,887.00 | $8.55 – $1,416.85 | 41 |
| Change stent via transureth CPT 50385 | not published | not published | $50.36 – $4,769.51 | 40 |
| Change ureter stent percut CPT 50382 | $8,498.40 | $14,164.00 | $59.09 – $4,631.00 | 41 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $4.71 – $598.96 | 23 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $15.47 – $102.61 | 14 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $38.47 – $204.76 | 14 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $57.36 – $274.80 | 14 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $40.80 – $168.40 | 14 |
| Chemo adm cns w/lmbr punct CPT 96450 | $591.60 | $986.00 | $12.06 – $284.82 | 21 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $28.38 – $1,380.56 | 40 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $17.81 – $64.00 | 20 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $20.40 – $77.15 | 20 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $28.82 – $109.43 | 39 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $26.37 – $95.79 | 39 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $48.69 – $599.32 | 39 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $27.65 – $110.55 | 39 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $40.74 – $258.11 | 39 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $10.07 – $67.46 | 39 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $8.05 – $60.31 | 39 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $32.36 – $112.10 | 39 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,113.60 | $1,856.00 | $26.18 – $923.77 | 40 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $718.80 | $1,198.00 | $22.45 – $954.45 | 40 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $28.55 – $103.32 | 39 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $33.00 – $119.47 | 39 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $9.75 – $135.99 | 21 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $22.42 – $344.60 | 21 |
| Chemo ia push tecnique CPT 96420 | $364.80 | $608.00 | $13.55 – $182.85 | 21 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $37.64 – $149.84 | 21 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $26.22 – $213.45 | 21 |
| Chemotaxis assay CPT 86155 | not published | not published | $5.29 – $36.46 | 25 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $6.04 – $273.78 | 21 |
| Chemotx admn pertl cav impl CPT 96446 | $620.40 | $1,034.00 | $3.12 – $494.36 | 21 |
| Chest 2 vws w oblique CPT 71048 | $210.00 | $350.00 | $5.73 – $446.39 | 22 |
| Chest apical lordotic proj CPT 71047 | $195.60 | $326.00 | $5.33 – $242.27 | 21 |
| Chest CT scan (with and without contrast) CPT 71270 | $542.40 | $904.00 | $49.10 – $650.00 | 43 |
| Chest CT scan (with contrast) CPT 71260 | $542.40 | $904.00 | $43.30 – $650.00 | 43 |
| Chest CT scan (without contrast) CPT 71250 | $542.40 | $904.00 | $36.28 – $650.00 | 43 |
| Chest X-ray CPT 71046 | $185.40 | $309.00 | $4.17 – $250.00 | 41 |
| Chest X-ray (single view) CPT 71045 | $162.60 | $271.00 | $2.74 – $250.00 | 41 |
| Chg pr pul rehab for copd patients CPT 94626 | $289.20 | $482.00 | $6.58 – $6.58 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $520.80 | $868.00 | $14.79 – $199.64 | 21 |
| Chimerism anal no cell selec CPT 81267 | $1,424.40 | $2,374.00 | $102.45 – $473.01 | 16 |
| Chimerism anal w/cell select CPT 81268 | $713.40 | $1,189.00 | $128.78 – $594.60 | 16 |
| Chlamydia culture CPT 87110 | $59.40 | $99.00 | $6.61 – $44.69 | 25 |
| Chlamydia trachomatis ag if CPT 87270 | $183.60 | $306.00 | $5.67 – $27.31 | 25 |
| Chlamydia type CPT 87140 | $54.00 | $90.00 | $2.64 – $12.70 | 25 |
| Chlnggrphy intraop addl s&i CPT 74301 | $258.00 | $430.00 | $5.92 – $175.57 | 21 |
| Chloramphenicol sodium injec HCPCS J0720 | $126.46 | $210.76 | $39.35 – $109.46 | 22 |
| Chloride CPT 82435 | $70.80 | $118.00 | $1.32 – $10.49 | 25 |
| Chloride 24 hour urine CPT 82436 | $101.40 | $169.00 | $2.38 – $13.11 | 25 |
| Chloroprocaine hcl injection HCPCS J2401 | $44.99 | $74.99 | $0.04 – $0.12 | 32 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $661.24 | $1,102.07 | $69.64 – $125.83 | 22 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $53.03 | $88.38 | $22.41 – $86.14 | 22 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $10.28 | $17.14 | $0.17 – $3.70 | 22 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $1,380.60 | $2,301.00 | $16.85 – $573.97 | 21 |
| Cholangiogram percutaneous compl CPT 47532 | $2,134.80 | $3,558.00 | $61.72 – $1,416.85 | 21 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $258.00 | $430.00 | $8.46 – $250.00 | 22 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $282.27 – $1,360.10 | 20 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $218.24 – $997.50 | 20 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $250.96 – $1,108.20 | 20 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,690.60 | $6,151.00 | $125.48 – $4,631.00 | 22 |
| Cholesterol CPT 82465 | $98.40 | $164.00 | $1.32 – $9.92 | 25 |
| Cholesterol body fluid CPT 84999 | $4,368.60 | $7,281.00 | $0.01 – $3,640.50 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $305.40 | $509.00 | $6.02 – $30.53 | 25 |
| Cholinesterase CPT 82480 | $140.40 | $234.00 | $3.89 – $17.94 | 25 |
| Cholinesterase challenge CPT 95857 | not published | not published | $5.03 – $257.28 | 21 |
| Chorion biopsy CPT 59015 | not published | not published | $23.88 – $144.37 | 39 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $205.25 | $342.09 | $9.41 – $54.77 | 22 |
| Chrom analysis CPT 88273 | $397.20 | $662.00 | $18.20 – $79.37 | 25 |
| Chromatogram assay sugars CPT 84375 | $145.20 | $242.00 | $6.61 – $88.92 | 25 |
| Chromatography CPT 83021 | $175.20 | $292.00 | $8.92 – $41.18 | 25 |
| Chromogenic substrate assay CPT 85130 | $237.60 | $396.00 | $3.97 – $27.11 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $575.40 | $959.00 | $22.82 – $130.05 | 23 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $94.23 – $395.94 | 25 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $79.62 – $394.83 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,595.40 | $2,659.00 | $70.62 – $286.12 | 25 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $85.52 – $394.83 | 25 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $85.14 – $342.66 | 25 |
| Chromosome analysis 5 CPT 88261 | $1,873.80 | $3,123.00 | $105.74 – $602.70 | 25 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $98.11 – $394.83 | 25 |
| Chromosome analys placenta CPT 88267 | $1,366.20 | $2,277.00 | $101.85 – $429.94 | 25 |
| Chromosome banding study CPT 88283 | not published | not published | $38.86 – $156.41 | 25 |
| Chromosome count additional CPT 88285 | $189.00 | $315.00 | $10.76 – $61.35 | 25 |
| Chromosome karyotype study CPT 88280 | $363.60 | $606.00 | $14.22 – $76.31 | 25 |
| Chromosome study additional CPT 88289 | $174.00 | $290.00 | $19.51 – $78.50 | 25 |
| Chronic urticaria - sendout CPT 86343 | $223.80 | $373.00 | $6.15 – $28.41 | 25 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $7.93 – $140.22 | 25 |
| Cidofovir injection HCPCS J0740 | $1,099.26 | $1,832.10 | $554.19 – $1,416.70 | 41 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.