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 |
|---|---|---|---|---|
| Ghs optokenetic CPT 92544 | $211.20 | $352.00 | $2.73 – $9.25 | 20 |
| Ghs oscillating trac CPT 92545 | $233.40 | $389.00 | $2.33 – $8.60 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $4.03 – $67.90 | 21 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $6.15 – $99.49 | 21 |
| Ghs ot dds rom CPT 95851 | not published | not published | $1.33 – $12.26 | 20 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $10.11 – $10.11 | 11 |
| Ghs ot prosthetic training/15 min CPT 97761 | $75.60 | $126.00 | $4.46 – $24.36 | 21 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $79.80 | $133.00 | $3.96 – $21.36 | 20 |
| Ghs ot work hardening-additional hours CPT 97546 | $181.80 | $303.00 | $16.00 – $66.62 | 14 |
| Ghs pacing - transcutaneous CPT 92953 | $1,282.80 | $2,138.00 | $2.37 – $18.30 | 20 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $3,252.60 | $5,421.00 | $13.84 – $4,631.00 | 22 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,124.60 | $3,541.00 | $10.36 – $1,416.85 | 21 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $100.20 | $167.00 | $3.24 – $49.80 | 24 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $30.87 – $134.03 | 39 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $2.60 – $12.54 | 25 |
| Ghs picc line insert < 5 CPT 36568 | $4,980.60 | $8,301.00 | $24.39 – $4,631.00 | 41 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $58.76 – $274.26 | 39 |
| Ghs plt ct-manual CPT 85032 | $85.80 | $143.00 | $2.05 – $9.83 | 25 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,539.20 | $9,232.00 | $93.39 – $2,337.78 | 21 |
| Ghs pos nystagmus CPT 92542 | $289.20 | $482.00 | $3.16 – $151.87 | 21 |
| Ghs ppd (tb intradermal) CPT 86580 | $57.00 | $95.00 | $0.99 – $23.37 | 25 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $118.20 | $197.00 | $3.97 – $22.02 | 25 |
| Ghs protein, misc fluid CPT 84160 | $39.00 | $65.00 | $2.56 – $12.79 | 25 |
| Ghs protoporphyrins fract CPT 84202 | $129.60 | $216.00 | $7.08 – $32.72 | 25 |
| Ghs pr without cont pulse ox CPT 94625 | $289.20 | $482.00 | $4.84 – $4.84 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $90.60 | $151.00 | $5.29 – $27.93 | 25 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $315.60 | $526.00 | $32.00 – $167.15 | 14 |
| Ghs quinidine CPT 80194 | not published | not published | $6.61 – $33.29 | 25 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $11.79 – $1,160.52 | 21 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $27.14 – $159.53 | 20 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $29.76 – $134.53 | 20 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $107.75 – $931.64 | 39 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $95.20 – $1,487.08 | 39 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $3.97 – $36.23 | 25 |
| Ghs reticulocyte count CPT 85044 | $105.60 | $176.00 | $2.03 – $9.83 | 25 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.67 – $31.71 | 25 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.32 – $9.74 | 25 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $4.30 – $28.07 | 18 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $22.44 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $148.20 | $247.00 | $2.65 – $17.05 | 25 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $15.05 – $202.51 | 39 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $20.34 – $293.19 | 39 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $18.45 – $230.81 | 39 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $24.29 – $449.30 | 39 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $11.85 – $191.28 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $11.55 – $146.46 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $14.89 – $240.17 | 39 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $23.21 – $316.49 | 39 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $27.55 – $549.20 | 39 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $29.48 – $556.10 | 20 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,046.40 | $1,744.00 | $19.81 – $68.32 | 21 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,959.60 | $3,266.00 | $32.67 – $257.98 | 20 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $108.00 | $180.00 | $5.59 – $93.30 | 20 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $17.50 – $88.20 | 39 |
| Ghs spont nystagmus CPT 92541 | $300.60 | $501.00 | $3.57 – $11.21 | 20 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $270.00 | $450.00 | $15.03 – $77.94 | 20 |
| Ghs st - eval for alt comm CPT 92567 | $138.00 | $230.00 | $1.87 – $19.24 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $160.80 | $268.00 | $3.75 – $212.57 | 22 |
| Ghs st - re-eval for alt comm CPT 92597 | $329.40 | $549.00 | $9.38 – $51.25 | 20 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $2.49 – $18.74 | 20 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $354.00 | $590.00 | $30.66 – $175.78 | 20 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $340.80 | $568.00 | $30.33 – $481.98 | 41 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $22.06 – $202.51 | 39 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $54.32 – $652.86 | 39 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $2.65 – $16.64 | 25 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $52.83 – $276.28 | 39 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $46.24 – $308.51 | 39 |
| Ghs urine, hydroxproline total CPT 83505 | $162.60 | $271.00 | $10.26 – $55.40 | 25 |
| Ghs urine, porphyrins quant CPT 84120 | $195.00 | $325.00 | $6.61 – $33.54 | 25 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $130.63 – $987.53 | 20 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,191.00 | $1,985.00 | $777.76 – $1,101.04 | 14 |
| Ghs windowing of cast CPT 29730 | not published | not published | $8.91 – $62.51 | 39 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $5.29 – $33.56 | 25 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $19.87 – $118.78 | 23 |
| Gi inhouse confirmation CPT 87045 | $227.40 | $379.00 | $4.46 – $21.52 | 25 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $58.98 – $347.13 | 33 |
| Gi protein loss CPT 78282 | not published | not published | $10.52 – $377.61 | 42 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $3,570.60 | $5,951.00 | $137.63 – $719.40 | 20 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $117.70 – $763.85 | 11 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $52.95 – $657.57 | 14 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $134.39 – $1,470.20 | 14 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $40.45 – $230.55 | 23 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $24.61 – $140.27 | 23 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.00 – $79.80 | 23 |
| Glaucoma surgery CPT 66150 | not published | not published | $163.87 – $2,002.17 | 39 |
| Glaucoma surgery CPT 66155 | not published | not published | $163.73 – $2,757.77 | 39 |
| Glaucoma surgery CPT 66160 | not published | not published | $184.89 – $1,158.89 | 39 |
| Glaucoma surgery CPT 66170 | not published | not published | $181.35 – $1,227.61 | 39 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $351.53 | $585.88 | $174.77 – $522.52 | 42 |
| Glucagon plasma - sendout CPT 82943 | $162.00 | $270.00 | $4.87 – $32.58 | 25 |
| Glucose 1 hr post dose CPT 82950 | $130.20 | $217.00 | $2.25 – $10.83 | 25 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.65 – $13.79 | 25 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $68.40 | $114.00 | $1.32 – $7.48 | 25 |
| Glucose blood quantitative CPT 82947 | $78.00 | $130.00 | $1.94 – $8.96 | 25 |
| Glucose body fluid CPT 82945 | $102.00 | $170.00 | $1.94 – $9.07 | 25 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $8.94 – $218.24 | 21 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $259.80 | $433.00 | $4.63 – $29.34 | 25 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $28.80 | $48.00 | $1.80 – $8.94 | 25 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $120.40 | $200.66 | $0.62 – $1.15 | 12 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $61.21 | $102.01 | $12.34 – $43.49 | 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.