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 |
|---|---|---|---|---|
| Hpa-1 genotyping CPT 81105 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $60.36 – $278.66 | 16 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $60.36 – $278.66 | 16 |
| Hpv low-risk types CPT 87623 | not published | not published | $17.33 – $80.01 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $175.20 | $292.00 | $17.33 – $92.45 | 23 |
| H pylori ag ia CPT 87339 | not published | not published | $5.67 – $36.48 | 23 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $33.26 – $153.58 | 23 |
| H pylori (c-13) breath CPT 83013 | $526.20 | $877.00 | $31.86 – $153.58 | 25 |
| H pylori drug admin CPT 83014 | $81.60 | $136.00 | $3.72 – $17.92 | 25 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $288.84 – $1,333.57 | 23 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $288.84 – $1,333.57 | 16 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $974.12 – $974.12 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $54.80 – $312.36 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $3.02 – $47.45 | 23 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3.39 | $5.65 | $2.33 – $2.33 | 19 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $203.80 | $339.67 | $0.49 – $1.25 | 19 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $180.48 | $300.80 | $0.36 – $1.13 | 23 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.01 | $76.69 | $2.46 – $9.09 | 22 |
| Hydration IV infusion each additional hour CPT 96361 | $102.60 | $171.00 | $2.50 – $19.25 | 20 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $413.40 | $689.00 | $9.31 – $66.15 | 20 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $252.95 | $421.58 | $2.04 – $43.65 | 22 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $669.31 | $1,115.51 | $0.20 – $0.20 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $119.06 | $198.44 | $3.06 – $27.92 | 22 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.87 | $3.12 | $0.04 – $0.23 | 22 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $246.60 | $411.00 | $6.61 – $40.81 | 25 |
| Hymenotomy CPT 56442 | not published | not published | $9.43 – $1,553.00 | 39 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $198.56 – $3,561.95 | 39 |
| Hyoscyamine sulfate inj HCPCS J1980 | $123.83 | $206.38 | $27.91 – $121.50 | 19 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $3.97 – $23.21 | 25 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $68.21 – $433.91 | 35 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $42.19 – $301.69 | 35 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $43.38 – $356.25 | 35 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $60.84 – $356.25 | 35 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $86.01 – $356.25 | 35 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $194.04 – $1,245.26 | 20 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $206.95 – $1,336.79 | 20 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $178.82 – $1,143.94 | 20 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $48.71 – $391.10 | 20 |
| Hysterosalpingography s&i CPT 74740 | $325.80 | $543.00 | $9.62 – $178.54 | 23 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $67.45 – $2,090.81 | 39 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $52.64 – $1,553.00 | 39 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $37.41 – $1,553.00 | 39 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $67.47 – $2,090.81 | 39 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $57.22 – $1,553.00 | 39 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $107.97 – $2,090.81 | 39 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $76.19 – $2,090.81 | 39 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $145.25 – $2,090.81 | 39 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $331.10 | $551.84 | $180.15 – $445.28 | 23 |
| I-123 iobenguane diag HCPCS A9582 | $9,466.20 | $15,777.00 | $3,384.62 – $14,170.03 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $63.00 | $105.00 | $54.76 – $54.76 | 11 |
| I131 iodide cap, rx HCPCS A9517 | $42.60 | $71.00 | $41.80 – $57.94 | 14 |
| I131 iodide sol, rx HCPCS A9530 | $33.60 | $56.00 | $0.70 – $8.21 | 14 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $33.60 | $56.00 | $0.70 – $0.70 | 11 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $5.67 – $30.60 | 25 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $64.20 | $107.00 | $17.13 – $80.01 | 25 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $6.12 – $41.04 | 26 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $18.11 – $95.76 | 26 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,098.28 | $1,830.47 | $25.60 – $427.31 | 23 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $979.42 – $979.42 | 11 |
| Ibuprofen injection HCPCS J1741 | $1,240.42 | $2,067.36 | $1.31 – $6.66 | 16 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $342.78 | $571.30 | $205.06 – $466.80 | 39 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $29.52 – $228.12 | 21 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $1.59 – $9.05 | 20 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.21 – $5.23 | 20 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $0.80 – $5.70 | 20 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $179.30 – $891.02 | 20 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $92.27 – $1,291.25 | 39 |
| Idarubicin hcl injection HCPCS J9211 | $25.30 | $42.17 | $31.50 – $41.67 | 7 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $33.87 – $204.58 | 39 |
| Identify sperm tissue CPT 89264 | not published | not published | $108.00 – $111.75 | 12 |
| Idet 1 or more levels CPT 22527 | not published | not published | $31.77 – $1,332.36 | 20 |
| Idet single level CPT 22526 | not published | not published | $69.67 – $434.14 | 14 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $101.25 – $1,487.08 | 39 |
| Idh1 common variants CPT 81120 | $532.20 | $887.00 | $77.30 – $440.61 | 16 |
| Idh2 common variants CPT 81121 | $814.20 | $1,357.00 | $118.32 – $674.40 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $87.74 – $1,320.79 | 39 |
| I&d lacrimal gland CPT 68400 | not published | not published | $24.76 – $228.15 | 39 |
| I&d lacrimal sac CPT 68420 | not published | not published | $31.66 – $243.91 | 39 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $42.02 – $1,132.89 | 39 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $61.18 – $1,132.89 | 39 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $33.47 – $1,132.89 | 39 |
| Ifnl3 gene CPT 81283 | not published | not published | $30.18 – $167.28 | 16 |
| Igh@/bcl2 translocation alys CPT 81278 | $448.80 | $748.00 | $82.92 – $472.67 | 22 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $27.42 – $156.29 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $334.80 | $558.00 | $97.77 – $451.42 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,039.80 | $1,733.00 | $117.14 – $671.51 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $1,531.20 | $2,552.00 | $73.74 – $393.82 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $155.40 | $259.00 | $8.95 – $63.09 | 22 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $410.40 | $684.00 | $15.52 – $624.75 | 23 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $305.40 | $509.00 | $7.77 – $151.76 | 25 |
| Ikbkap gene CPT 81260 | not published | not published | $15.72 – $89.63 | 16 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $234.09 – $1,012.60 | 20 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,062.80 | $3,438.00 | $1.80 – $25.86 | 14 |
| Iliac revasc add-on 37222 CPT 37222 | $24,017.40 | $40,029.00 | $46.49 – $4,631.00 | 22 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $167.90 – $1,174.80 | 20 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $1.55 – $124.02 | 21 |
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.