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 |
|---|---|---|---|---|
| Electrogastrography CPT 91132 | not published | not published | $3.20 – $25.24 | 20 |
| Electrogastrography w/test CPT 91133 | not published | not published | $10.67 – $28.21 | 20 |
| Electrolyte panel CPT 80051 | $208.80 | $348.00 | $2.14 – $15.98 | 25 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $7.51 – $42.51 | 14 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $8.56 – $144.92 | 21 |
| Electron microscopy diagnostic CPT 88348 | $1,818.60 | $3,031.00 | $31.97 – $554.46 | 25 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $10.48 – $29.52 | 20 |
| Electrophysiologic study CPT 93624 | $4,854.60 | $8,091.00 | $48.14 – $97.99 | 20 |
| Electrophysiology evaluation CPT 93619 | $8,060.40 | $13,434.00 | $146.81 – $369.20 | 20 |
| Electrophysiology evaluation CPT 93620 | $8,395.20 | $13,992.00 | $208.06 – $428.70 | 20 |
| Electrophysiology evaluation CPT 93621 | $8,395.20 | $13,992.00 | $20.00 – $355.12 | 20 |
| Electrophysiology evaluation CPT 93622 | $8,395.20 | $13,992.00 | $20.00 – $505.26 | 20 |
| Electrophysiology evaluation CPT 93641 | $2,997.60 | $4,996.00 | $124.86 – $343.30 | 20 |
| Electrophysiology evaluation CPT 93642 | $2,997.60 | $4,996.00 | $86.84 – $343.30 | 20 |
| Electrophysiology evaluation CPT 93644 | $2,997.60 | $4,996.00 | $57.74 – $106.10 | 20 |
| Electrophys map 3d add-on CPT 93613 | $10,291.80 | $17,153.00 | $82.43 – $493.00 | 20 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $12.05 | $20.08 | $7.21 – $19.43 | 42 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $41.63 – $814.39 | 39 |
| Embolization s&i CPT 75894 | $575.40 | $959.00 | $46.88 – $1,740.90 | 21 |
| Embo or occlude vascular arterial s&i CPT 37242 | $11,889.00 | $19,815.00 | $124.47 – $11,042.29 | 41 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $11,889.00 | $19,815.00 | $172.75 – $4,631.00 | 22 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $18,759.60 | $31,266.00 | $147.70 – $4,745.86 | 41 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,889.00 | $19,815.00 | $112.91 – $5,977.23 | 41 |
| Embryo hatching CPT 89253 | not published | not published | $322.95 – $468.00 | 12 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $28.11 – $408.28 | 33 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $254.56 – $827.80 | 20 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $237.69 – $1,011.20 | 20 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $8.10 – $49.30 | 20 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $17.33 – $76.56 | 39 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $1,344.60 | $2,241.00 | $23.63 – $58.75 | 21 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $1,680.00 | $2,800.00 | $28.35 – $74.01 | 21 |
| Emg cranial nerve bilateral CPT 95868 | $633.60 | $1,056.00 | $19.39 – $55.80 | 21 |
| Emg needle test 1-extremity CPT 95860 | $1,007.40 | $1,679.00 | $17.13 – $46.89 | 21 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $33.83 – $141.35 | 21 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $8.19 – $16.47 | 21 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $5.29 – $30.07 | 25 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $5.29 – $30.07 | 25 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $5.29 – $30.07 | 25 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $7,951.80 | $13,253.00 | $69.10 – $4,631.00 | 41 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $69.38 – $1,515.56 | 39 |
| Endo cath bile duct s&i CPT 74328 | $258.00 | $430.00 | $19.99 – $250.00 | 22 |
| Endo cath panc duct s&i CPT 74329 | $258.00 | $430.00 | $19.95 – $226.78 | 21 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $20.41 – $96.97 | 39 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $18.08 – $107.56 | 39 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $85.85 – $1,761.38 | 39 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $100.87 – $1,761.38 | 39 |
| Endoluminal bx biliary tree CPT 47543 | $1,873.20 | $3,122.00 | $47.27 – $1,416.85 | 21 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $1,873.20 | $3,122.00 | $34.20 – $1,416.85 | 21 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,647.60 | $7,746.00 | $56.83 – $217.70 | 20 |
| Endoluminl ivus oct c ea CPT 92979 | $4,647.60 | $7,746.00 | $34.70 – $109.50 | 20 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $43.13 – $2,090.81 | 39 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $68.36 – $3,271.62 | 39 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $43.02 – $2,201.23 | 39 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $34.17 – $211.20 | 20 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $56.52 – $814.39 | 39 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $3.96 – $31.74 | 20 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $29.48 – $464.17 | 39 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $180.90 – $2,842.25 | 39 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $78.72 – $2,252.84 | 39 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $25.12 – $464.17 | 39 |
| Endoscopy of ureter CPT 50951 | not published | not published | $66.19 – $1,592.02 | 39 |
| Endoscopy of ureter CPT 50953 | not published | not published | $70.21 – $1,592.02 | 39 |
| Endoscopy swallow (fees) vid CPT 92612 | $332.40 | $554.00 | $11.66 – $122.16 | 20 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $47.91 – $741.27 | 39 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $239.38 – $1,142.06 | 20 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $374.69 – $1,399.65 | 14 |
| Endovasc tempory vessel occl CPT 61623 | $7,031.40 | $11,719.00 | $120.32 – $4,631.00 | 22 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $445.30 – $2,851.07 | 14 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $51.40 – $284.70 | 20 |
| Endovenous laser vein addon 36479 CPT 36479 | $5,965.80 | $9,943.00 | $33.73 – $4,631.00 | 22 |
| Endovenous mchnchem 1st vein CPT 36473 | $7,951.80 | $13,253.00 | $42.84 – $4,631.00 | 41 |
| Endovenous mchnchem add-on CPT 36474 | $5,965.80 | $9,943.00 | $21.46 – $4,631.00 | 22 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $33.62 – $260.85 | 20 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $8,939.40 | $14,899.00 | $43.45 – $4,631.00 | 41 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $6,954.60 | $11,591.00 | $21.71 – $4,631.00 | 22 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $234.90 | $391.50 | $32.33 – $82.67 | 41 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $203.03 | $338.38 | $0.68 – $1.92 | 22 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $112.80 | $188.00 | $5.92 – $27.31 | 23 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $56.96 – $327.80 | 20 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $270.86 – $1,148.60 | 20 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $279.31 – $999.40 | 20 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $304.72 – $979.07 | 20 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $347.95 – $1,122.78 | 20 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $186.71 – $742.90 | 20 |
| Enzyme cell activity ra CPT 82658 | $291.60 | $486.00 | $8.54 – $100.39 | 25 |
| Enzyme histochemistry CPT 88319 | $309.00 | $515.00 | $11.23 – $195.12 | 25 |
| Ep & ablate supravent arrhyt CPT 93653 | $39,549.60 | $65,916.00 | $206.92 – $1,040.85 | 20 |
| Ep & ablate ventric tachy CPT 93654 | $45,855.60 | $76,426.00 | $275.65 – $1,389.08 | 20 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $4,771.80 | $7,953.00 | $113.00 – $4,631.00 | 41 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $21.52 – $165.45 | 20 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $7,865.40 | $13,109.00 | $109.56 – $4,631.00 | 41 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $16.32 – $121.15 | 20 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,283.40 | $2,139.00 | $14.28 – $1,416.85 | 21 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $80.22 – $477.36 | 39 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $48.83 – $462.90 | 39 |
| Epiglottidectomy CPT 31420 | not published | not published | $190.99 – $2,702.95 | 39 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $979.42 – $5,582.72 | 16 |
| Ep induct arrhy by elect pacing CPT 93618 | $5,956.80 | $9,928.00 | $80.27 – $190.00 | 20 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $121.01 – $1,487.08 | 39 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $102.14 – $1,487.08 | 39 |
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.