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 |
|---|---|---|---|---|
| Fusion of finger joint CPT 26860 | not published | not published | $107.54 – $1,487.08 | 39 |
| Fusion of finger tendons CPT 26471 | not published | not published | $117.19 – $1,487.08 | 39 |
| Fusion of finger tendons CPT 26474 | not published | not published | $114.63 – $801.87 | 39 |
| Fusion of foot bones CPT 28730 | not published | not published | $144.47 – $9,387.58 | 39 |
| Fusion of foot bones CPT 28735 | not published | not published | $154.68 – $9,290.64 | 39 |
| Fusion of foot bones CPT 28740 | not published | not published | $123.23 – $4,785.61 | 39 |
| Fusion of hand joint CPT 26843 | not published | not published | $141.29 – $3,321.81 | 39 |
| Fusion of knuckle CPT 26850 | not published | not published | $132.19 – $3,321.81 | 39 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $133.86 – $1,908.65 | 39 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $157.82 – $1,487.08 | 39 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $158.35 – $3,321.81 | 39 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $152.22 – $3,321.81 | 39 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $166.12 – $974.57 | 39 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $240.39 – $1,592.02 | 39 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $132.83 – $1,487.08 | 39 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $125.26 – $1,487.08 | 39 |
| Fusion of thumb CPT 26841 | not published | not published | $138.68 – $3,321.81 | 39 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $133.88 – $8,020.24 | 39 |
| Fusion of toes CPT 28280 | not published | not published | $69.64 – $1,487.08 | 39 |
| G6pc gene CPT 81250 | not published | not published | $23.40 – $133.36 | 16 |
| G6pd full gene sequence CPT 81249 | not published | not published | $240.00 – $1,368.00 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $69.92 – $398.57 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $150.10 – $855.57 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $99.00 | $165.00 | $0.02 – $145.21 | 14 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $103.80 | $173.00 | $66.74 – $155.54 | 16 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.59 | $7.65 | $0.34 – $0.86 | 16 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $3.20 | $5.34 | $1.52 – $3.72 | 16 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1.53 | $2.55 | $0.13 – $0.41 | 16 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $25.56 | $42.60 | $14.74 – $35.38 | 16 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $9.26 – $48.04 | 25 |
| Galactokinase - sendout CPT 82759 | $556.80 | $928.00 | $7.93 – $48.97 | 25 |
| Galactose transferase test CPT 82776 | $61.80 | $103.00 | $2.65 – $26.77 | 25 |
| Galectin-3 CPT 82777 | not published | not published | $7.12 – $100.89 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $163.63 – $2,648.76 | 39 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,692.00 | $2,820.00 | $984.00 – $2,214.00 | 36 |
| Gamma globulin 1 cc inj HCPCS J1460 | $657.42 | $1,095.70 | $45.77 – $112.16 | 35 |
| Gammaglobulin iga CPT 82784 | $198.60 | $331.00 | $2.65 – $21.20 | 25 |
| Gammaglobulin ige CPT 82785 | $247.80 | $413.00 | $6.61 – $37.53 | 25 |
| Gamma glutamyltransferase CPT 82977 | $140.40 | $234.00 | $2.65 – $16.42 | 25 |
| Gamunex-c/gammaked HCPCS J1561 | $6,963.60 | $11,606.00 | $49.31 – $177.04 | 42 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $308.35 | $513.91 | $10.29 – $111.60 | 23 |
| Gardner vag dna quant CPT 87512 | $135.00 | $225.00 | $17.13 – $95.21 | 25 |
| Gastric analy w/ph ea spec CPT 82930 | $49.80 | $83.00 | $2.69 – $15.30 | 23 |
| Gastric emptying imag study CPT 78265 | $2,020.20 | $3,367.00 | $34.51 – $733.70 | 40 |
| Gastric emptying imag study CPT 78266 | $2,020.20 | $3,367.00 | $38.24 – $878.09 | 40 |
| Gastric motility studies CPT 91020 | not published | not published | $29.60 – $54.50 | 20 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $24.87 – $446.11 | 42 |
| Gastrin test CPT 82938 | not published | not published | $8.74 – $40.33 | 25 |
| Gastroesophageal reflux study CPT 78262 | $1,525.80 | $2,543.00 | $23.41 – $432.45 | 42 |
| Gastroesophageal reflux test CPT 91034 | $1,686.00 | $2,810.00 | $31.17 – $177.07 | 20 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $285.66 – $954.90 | 20 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $126.87 – $608.30 | 20 |
| Gated heart multiple CPT 78473 | not published | not published | $42.07 – $448.98 | 42 |
| Gba gene CPT 81251 | not published | not published | $28.35 – $107.73 | 23 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $200.24 | $333.73 | $3.65 – $40.86 | 24 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $6,032.97 | $10,054.95 | $226.28 – $516.76 | 35 |
| General health panel CPT 80050 | $423.60 | $706.00 | $14.55 – $195.16 | 25 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $979.42 – $5,582.72 | 16 |
| Genioplasty augmentation CPT 21120 | not published | not published | $102.29 – $2,702.95 | 39 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $184.08 – $1,291.25 | 39 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $133.16 – $1,965.95 | 39 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $130.23 – $3,404.27 | 39 |
| Genome sequence analysis CPT 81425 | not published | not published | $846.27 – $11,471.14 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $63.02 | $105.04 | $0.85 – $6.17 | 22 |
| Gentamicin peak therapeutic drug level CPT 80170 | $359.40 | $599.00 | $8.09 – $37.35 | 25 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,013.00 | $3,355.00 | $59.62 – $367.71 | 39 |
| Ghs abscess perianal iandd CPT 46050 | $2,505.60 | $4,176.00 | $20.33 – $1,416.85 | 40 |
| Ghs abscess postoperative iandd complex CPT 10180 | $6,183.60 | $10,306.00 | $27.77 – $4,631.00 | 41 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $29.40 | $49.00 | $3.92 – $22.37 | 25 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $220.20 | $367.00 | $7.93 – $39.01 | 25 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $612.00 | $1,020.00 | $40.90 – $233.15 | 23 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $4.07 – $196.17 | 21 |
| Ghs antibodies (torch) igm CPT 86694 | $155.40 | $259.00 | $5.29 – $32.81 | 25 |
| Ghs aspiration bladder - needle CPT 51100 | $1,641.60 | $2,736.00 | $8.47 – $1,416.85 | 40 |
| Ghs bladder cath - complex-foley CPT 51703 | $382.20 | $637.00 | $17.51 – $481.98 | 40 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.13 – $10.99 | 25 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,623.60 | $2,706.00 | $19.52 – $1,416.85 | 40 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,841.00 | $4,735.00 | $29.81 – $4,631.00 | 41 |
| Ghs change cysto/gastrost CPT 43762 | $1,005.60 | $1,676.00 | $10.71 – $1,416.85 | 40 |
| Ghs chemo >8 hrs CPT 96416 | $1,543.20 | $2,572.00 | $19.93 – $256.15 | 21 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $22.01 – $315.50 | 21 |
| Ghs chemo IV push, ea addtl CPT 96411 | $433.80 | $723.00 | $8.28 – $107.28 | 21 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $63.00 | $105.00 | $17.13 – $80.01 | 25 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $49.44 – $247.33 | 39 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $71.83 – $401.90 | 39 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $82.44 – $801.87 | 39 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $79.27 – $403.30 | 39 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $96.45 – $801.87 | 39 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $6,739.20 | $11,232.00 | $126.33 – $4,631.00 | 41 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $59.03 – $288.06 | 39 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $84.32 – $801.87 | 39 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $96.24 – $801.87 | 39 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $91.12 – $531.26 | 39 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $58.76 – $290.32 | 39 |
| Ghs community re-entry 15 minutes CPT 97537 | $87.60 | $146.00 | $4.09 – $22.11 | 20 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $10.08 – $48.65 | 20 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $8.35 – $40.05 | 20 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $7.95 – $108.87 | 20 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $9.88 – $50.50 | 20 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $44.70 – $316.60 | 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.