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 |
|---|---|---|---|---|
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $4,847.57 | $8,079.29 | $1.38 – $4.84 | 24 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $26.75 – $192.86 | 39 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,074.20 | $1,790.33 | $7.82 – $20.52 | 35 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,519.32 | $2,532.20 | $8.79 – $50.49 | 43 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $273.34 | $455.57 | $13.28 – $39.43 | 22 |
| Epstein barr early antigen antibody CPT 86663 | $142.80 | $238.00 | $5.29 – $29.91 | 25 |
| Epstein barr nuclear antigen antibody CPT 86664 | $120.60 | $201.00 | $5.29 – $34.86 | 25 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $231.00 | $385.00 | $6.50 – $41.36 | 25 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $319.29 | $532.15 | $4.84 – $65.11 | 35 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,178.18 | $5,296.96 | $16.55 – $42.05 | 41 |
| Ercp biliary & pancreas CPT 74330 | $258.00 | $430.00 | $21.24 – $250.00 | 22 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $135.27 – $3,249.59 | 39 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $112.18 – $1,761.38 | 39 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $127.58 – $1,761.38 | 39 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $136.00 – $2,521.33 | 39 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $121.08 – $1,761.38 | 39 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $111.50 – $814.39 | 39 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $99.40 – $814.39 | 39 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $140.76 – $3,253.60 | 39 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $81.65 – $1,761.38 | 39 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $296.58 | $494.30 | $95.76 – $355.66 | 43 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $364.08 | $606.80 | $12.97 – $152.25 | 23 |
| ER Visit (level 1, minor) CPT 99281 | $345.60 | $576.00 | $3.45 – $33.30 | 20 |
| ER Visit (level 2) CPT 99282 | $525.00 | $875.00 | $6.73 – $60.50 | 20 |
| ER Visit (level 3) CPT 99283 | $1,047.00 | $1,745.00 | $10.08 – $102.81 | 20 |
| ER Visit (level 4) CPT 99284 | $2,568.00 | $4,280.00 | $19.14 – $174.23 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $3,146.40 | $5,244.00 | $28.23 – $252.81 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $272.94 | $454.90 | $76.29 – $176.98 | 35 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $562.34 | $937.23 | $0.22 – $0.43 | 31 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $19.00 – $226.78 | 21 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $38.48 – $172.59 | 20 |
| Esophageal motility CPT 78258 | not published | not published | $24.18 – $378.60 | 42 |
| Esophageal recording CPT 93615 | $10,986.00 | $18,310.00 | $7.53 – $16.96 | 20 |
| Esophageal recording CPT 93616 | $10,986.00 | $18,310.00 | $7.53 – $24.42 | 20 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $296.79 – $1,317.00 | 20 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $320.40 – $1,468.40 | 20 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $55.12 – $814.39 | 39 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $26.96 – $142.75 | 39 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $68.56 – $814.39 | 39 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $54.07 – $3,759.23 | 39 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $44.65 – $814.39 | 39 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $29.93 – $814.39 | 39 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $49.40 – $814.39 | 39 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $26.99 – $814.39 | 39 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $24.67 – $460.37 | 39 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $22.62 – $129.07 | 39 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $36.58 – $814.39 | 39 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $58.15 – $2,588.86 | 39 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $33.84 – $814.39 | 39 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $76.27 – $844.52 | 39 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $50.28 – $1,761.38 | 39 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $35.18 – $814.39 | 39 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $155.93 – $2,702.95 | 39 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $39.96 – $814.39 | 39 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $62.34 – $814.39 | 39 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $55.07 – $814.39 | 39 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $50.19 – $814.39 | 39 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $42.04 – $814.39 | 39 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $45.91 – $814.39 | 39 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $52.77 – $814.39 | 39 |
| Esophagus motility study CPT 91010 | $1,686.00 | $2,810.00 | $29.11 – $101.65 | 20 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $35.61 – $387.35 | 20 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $40.80 – $814.39 | 39 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $33.25 – $814.39 | 39 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $233.43 – $1,049.31 | 20 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $342.48 – $1,528.82 | 20 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $3.82 – $12.49 | 20 |
| Esoph imped function test CPT 91037 | $1,686.00 | $2,810.00 | $26.42 – $102.63 | 20 |
| Esoph imped funct test > 1hr CPT 91038 | $2,343.00 | $3,905.00 | $27.47 – $369.04 | 20 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $40.18 – $814.39 | 33 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $52.45 – $814.39 | 39 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $30.55 – $814.39 | 39 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,006.64 – $3,304.30 | 14 |
| Essure 58565 CPT 58565 | not published | not published | $85.23 – $2,633.29 | 39 |
| Establish access to aorta CPT 36160 | $1,969.80 | $3,283.00 | $31.09 – $2,101.12 | 22 |
| Establish access to artery CPT 36100 | $2,235.00 | $3,725.00 | $38.37 – $2,384.00 | 22 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $206.68 – $1,277.60 | 20 |
| Established Patient Office Visit (level 1) CPT 99211 | $216.00 | $360.00 | $1.50 – $19.98 | 20 |
| Established Patient Office Visit (level 2) CPT 99212 | $250.80 | $418.00 | $4.08 – $43.00 | 20 |
| Established Patient Office Visit (level 3) CPT 99213 | $333.60 | $556.00 | $7.82 – $71.77 | 20 |
| Established Patient Office Visit (level 4) CPT 99214 | $400.20 | $667.00 | $12.21 – $105.54 | 20 |
| Established Patient Office Visit (level 5) CPT 99215 | $613.80 | $1,023.00 | $17.49 – $141.38 | 20 |
| Estradiol total CPT 82670 | $490.80 | $818.00 | $11.90 – $63.70 | 25 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $192.96 | $321.60 | $9.24 – $27.62 | 16 |
| Estrogens total-sendout CPT 82672 | $252.00 | $420.00 | $10.26 – $49.48 | 25 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $196.47 – $1,291.25 | 39 |
| Ethylene glycol -sendout CPT 82693 | $266.40 | $444.00 | $5.29 – $33.97 | 25 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1.82 | $3.04 | $0.53 – $2.32 | 20 |
| Etoposide 50 mg cap HCPCS J8560 | $46.45 | $77.41 | $54.02 – $76.73 | 18 |
| Euglobulin lysis CPT 85360 | $198.60 | $331.00 | $2.65 – $19.17 | 25 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $82.92 – $1,553.00 | 39 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $285.60 | $476.00 | $13.05 – $63.32 | 20 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $308.40 | $514.00 | $21.34 – $93.30 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $219.60 | $366.00 | $36.26 – $223.69 | 23 |
| Evaluation heart device CPT 93640 | not published | not published | $130.95 – $343.30 | 20 |
| Evaluation of speech fluency 92521 CPT 92521 | $157.20 | $262.00 | $18.75 – $102.51 | 20 |
| Evaluation psychiatric diagnostic CPT 90791 | $560.40 | $934.00 | $101.42 – $203.36 | 20 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $24,500.40 | $40,834.00 | $132.12 – $4,631.00 | 22 |
| Evasc prlng admn rx agnt add CPT 61651 | $21,435.00 | $35,725.00 | $56.11 – $4,631.00 | 22 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $303.39 – $1,123.11 | 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.