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 |
|---|---|---|---|---|
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $69.92 – $398.57 | 23 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $69.92 – $398.57 | 23 |
| Cystatin c CPT 82610 | $135.00 | $225.00 | $6.65 – $42.23 | 23 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $199.60 – $1,137.72 | 16 |
| Cystine urine quantitative CPT 82131 | $694.20 | $1,157.00 | $7.93 – $52.39 | 25 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $102.82 – $1,592.02 | 39 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $315.60 | $526.00 | $7.14 – $250.00 | 24 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $7,351.58 – $7,351.58 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $64.74 – $280.96 | 39 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $191.61 – $1,225.50 | 20 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $158.95 – $971.80 | 20 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $149.20 – $3,292.16 | 31 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $35.66 – $1,592.02 | 39 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $51.70 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $38.09 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $38.43 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $53.06 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $62.27 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $84.62 – $2,419.37 | 39 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $45.33 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $35.03 – $255.21 | 39 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $57.11 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $69.78 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $43.39 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $42.17 – $306.66 | 39 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $52.62 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $60.57 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $62.60 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $60.18 – $2,419.37 | 39 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $32.68 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $59.22 – $910.38 | 39 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $53.24 – $1,592.02 | 39 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $56.92 – $1,592.02 | 39 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $27.12 – $306.66 | 39 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $36.45 – $910.38 | 39 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $35.88 – $306.66 | 39 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $72.59 – $1,592.02 | 39 |
| Cystoscopy inject material CPT 52327 | not published | not published | $56.60 – $3,392.95 | 39 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $61.98 – $1,592.02 | 39 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $39.14 – $910.38 | 39 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $53.61 – $910.38 | 39 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $69.32 – $2,419.37 | 39 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $28.61 – $910.38 | 39 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $61.78 – $910.38 | 39 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $100.48 – $1,592.02 | 39 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $167.42 – $1,592.02 | 39 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $65.37 – $1,592.02 | 39 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $79.80 – $1,592.02 | 39 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $89.12 – $2,419.37 | 39 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $100.91 – $2,419.37 | 39 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $89.82 – $2,419.37 | 39 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $84.62 – $2,419.37 | 39 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $96.35 – $2,419.37 | 39 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $76.46 – $1,592.02 | 39 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $85.21 – $1,592.02 | 39 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $57.65 – $1,592.02 | 39 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $32.74 – $910.38 | 39 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $30.51 – $910.38 | 39 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $13.11 – $642.63 | 20 |
| Cystourethro w/implant CPT 52441 | not published | not published | $49.21 – $843.58 | 20 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $74.28 – $1,592.02 | 39 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $66.71 – $1,592.02 | 39 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $61.30 – $1,592.02 | 39 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $197.47 | $329.12 | $0.83 – $2.78 | 24 |
| Cytogenetics 25-99 CPT 88274 | $419.40 | $699.00 | $19.72 – $96.63 | 25 |
| Cytogenetics 3-5 CPT 88272 | $277.80 | $463.00 | $16.28 – $92.80 | 25 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $464.00 – $2,644.80 | 23 |
| Cytogenom microarray copy nmbr var CPT 81228 | $2,056.80 | $3,428.00 | $32.77 – $2,052.00 | 23 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $263.40 | $439.00 | $5.29 – $32.81 | 25 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $356.40 | $594.00 | $6.61 – $38.42 | 25 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $5.92 – $30.60 | 23 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,635.28 | $4,392.13 | $1,308.77 – $4,083.62 | 42 |
| Cyto/molecular report CPT 88291 | $207.00 | $345.00 | $3.54 – $75.92 | 25 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $12.10 – $57.84 | 25 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.86 – $33.40 | 25 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $8.21 – $85.93 | 25 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $328.80 | $548.00 | $10.24 – $112.72 | 23 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $211.20 | $352.00 | $14.32 – $60.67 | 25 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $175.80 | $293.00 | $11.48 – $46.19 | 25 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $246.60 | $411.00 | $8.90 – $100.09 | 25 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $235.80 | $393.00 | $7.43 – $85.93 | 25 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $238.20 | $397.00 | $3.17 – $32.02 | 23 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $227.40 | $379.00 | $6.51 – $87.00 | 25 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $367.20 | $612.00 | $16.66 – $213.17 | 25 |
| Cytopath smear other source CPT 88160 | not published | not published | $6.48 – $100.48 | 25 |
| Cytopath smear other source CPT 88162 | not published | not published | $9.71 – $119.39 | 25 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $7.08 – $113.98 | 25 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $5.29 – $36.30 | 25 |
| Cytotoxic antibody screening CPT 86807 | $642.60 | $1,071.00 | $13.22 – $179.32 | 25 |
| Cytotoxic antibody screening CPT 86808 | $567.00 | $945.00 | $9.26 – $67.67 | 25 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $769.80 | $1,283.00 | $20.88 – $195.84 | 23 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $182.06 | $303.43 | $3.73 – $28.77 | 24 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $3,019.83 | $5,033.05 | $329.19 – $4,439.81 | 43 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,070.44 | $5,117.40 | $15.18 – $46.72 | 42 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $647.87 | $1,079.78 | $0.04 – $0.52 | 20 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $15,683.37 | $26,138.95 | $48.70 – $115.67 | 41 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,500.25 | $9,167.08 | $2.93 – $23.58 | 44 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $363.03 | $605.05 | $220.74 – $569.01 | 42 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $194.08 | $323.46 | $28.30 – $120.12 | 43 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $40.29 – $281.34 | 14 |
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.