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 |
|---|---|---|---|---|
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $534.60 | $891.00 | $8.30 – $776.94 | 41 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $7.56 – $38.27 | 39 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $8.59 – $44.21 | 39 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $216.00 | $360.00 | $3.66 – $27.76 | 20 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $155.40 | $259.00 | $17.07 – $27.76 | 14 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $306.60 | $511.00 | $9.23 – $64.09 | 20 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $157.20 | $262.00 | $4.12 – $17.08 | 20 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $40.94 | $68.24 | $0.02 – $6.35 | 21 |
| Injection treatment of eye CPT 66020 | not published | not published | $24.66 – $1,158.89 | 39 |
| Injection treatment of eye CPT 66030 | not published | not published | $20.72 – $1,158.89 | 39 |
| Injection treatment of nerve CPT 64605 | not published | not published | $69.58 – $878.95 | 39 |
| Injection treatment of nerve CPT 64610 | not published | not published | $98.55 – $878.95 | 39 |
| Injection treatment of nerve CPT 64681 | not published | not published | $46.40 – $462.90 | 39 |
| Injection treatment of nose CPT 30200 | not published | not published | $13.97 – $79.54 | 39 |
| Inject sacroiliac joint CPT 27096 | $4,227.00 | $7,045.00 | $16.91 – $2,366.72 | 22 |
| Inject/treat eye socket CPT 67500 | not published | not published | $13.76 – $55.63 | 39 |
| Inject/treat eye socket CPT 67505 | not published | not published | $15.38 – $97.14 | 39 |
| Inject/treat eye socket CPT 67515 | not published | not published | $16.84 – $70.53 | 39 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $181.35 | $302.25 | $50.41 – $118.85 | 35 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $25.70 – $351.21 | 33 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $22.13 – $462.90 | 33 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $12.54 | $20.90 | $8.36 – $20.50 | 32 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $266.49 | $444.15 | $7.55 – $16.54 | 12 |
| Inj for ext venography CPT 36005 | $1,202.40 | $2,004.00 | $12.05 – $1,416.85 | 22 |
| Inj for mammo ductogram CPT 19030 | $606.60 | $1,011.00 | $12.51 – $954.45 | 22 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $3,358.80 | $5,598.00 | $9.83 – $104.71 | 20 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $3,209.40 | $5,349.00 | $12.27 – $76.76 | 20 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $4,933.80 | $8,223.00 | $12.73 – $78.01 | 20 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $2,796.00 | $4,660.00 | $9.58 – $59.05 | 20 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $2,898.60 | $4,831.00 | $9.60 – $230.31 | 20 |
| Inj human fibrinogen con nos HCPCS J7178 | $3.16 | $5.26 | $1.19 – $3.26 | 41 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,593.19 | $2,655.32 | $5.87 – $11.23 | 28 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $1,293.56 | $2,155.94 | $14.89 – $32.74 | 35 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $28.48 – $462.90 | 39 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $520.80 | $868.00 | $4.96 – $776.94 | 22 |
| Inj intralesional > 7 lsns CPT 11901 | $520.80 | $868.00 | $7.65 – $776.94 | 22 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,298.71 | $12,164.52 | $45.61 – $216.19 | 42 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $12,160.05 | $20,266.75 | $42.94 – $82.80 | 37 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $53.36 | $88.93 | $9.78 – $62.37 | 22 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $2,513.20 | $4,188.67 | $148.02 – $1,286.11 | 43 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $41.81 | $69.68 | $3.29 – $7.85 | 16 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $426.85 | $711.41 | $1.73 – $16.50 | 42 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $262.28 | $437.14 | $9.43 – $33.55 | 23 |
| Inj. mycophenolate mofetil HCPCS J7519 | $643.72 | $1,072.86 | $0.61 – $1.17 | 31 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,632.80 | $4,388.00 | $14.37 – $1,416.85 | 21 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $990.60 | $1,651.00 | $37.27 – $1,553.30 | 40 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,518.00 | $2,530.00 | $29.28 – $2,273.62 | 40 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $146.78 | $244.63 | $99.98 – $234.43 | 41 |
| Inj peritoneal venous shunt CPT 49427 | $681.00 | $1,135.00 | $11.42 – $1,044.85 | 21 |
| Inj proc ankle arthr CPT 27648 | $482.40 | $804.00 | $10.49 – $776.94 | 22 |
| Inj proc elbow arthro CPT 24220 | $534.60 | $891.00 | $13.85 – $776.94 | 22 |
| Inj proc for lymphang CPT 38790 | $7,618.80 | $12,698.00 | $15.69 – $4,631.00 | 22 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $36.33 – $232.29 | 20 |
| Inj proc myelogram lumbar CPT 62284 | $1,544.40 | $2,574.00 | $19.20 – $1,416.85 | 21 |
| Inj proc sialogram CPT 42550 | $1,032.60 | $1,721.00 | $15.82 – $1,416.85 | 21 |
| Inj progesterone per 50 mg HCPCS J2675 | $120.00 | $200.00 | $0.91 – $2.88 | 22 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $307.40 | $512.33 | $0.78 – $3.36 | 42 |
| Inj retro urethrocysto CPT 51610 | $640.80 | $1,068.00 | $13.83 – $954.45 | 21 |
| Inj scleros sol mult veins CPT 36471 | $460.80 | $768.00 | $24.68 – $481.98 | 40 |
| Inj scleros sol sgl vein CPT 36470 | $987.60 | $1,646.00 | $17.95 – $1,416.85 | 40 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | $804.04 | $1,340.06 | $530.00 – $1,225.20 | 41 |
| Inj secretin synthetic human HCPCS J2850 | $1,234.65 | $2,057.75 | $26.41 – $88.61 | 41 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $50.00 – $50.00 | 11 |
| Inj testostero enanthate 1mg HCPCS J3121 | $197.08 | $328.46 | $0.05 – $0.12 | 22 |
| Inj testosterone cypionate HCPCS J1071 | $122.55 | $204.25 | $0.03 – $0.07 | 22 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $24,563.40 | $40,939.00 | $140.66 – $423.72 | 42 |
| Inj w/fluor eval cv device CPT 36598 | $872.40 | $1,454.00 | $9.28 – $1,416.85 | 40 |
| Ins cath ren art 1st bi CPT 36252 | $17,988.00 | $29,980.00 | $92.26 – $4,631.00 | 22 |
| Ins cath ren art 1st uni CPT 36251 | $9,758.40 | $16,264.00 | $69.59 – $4,631.00 | 22 |
| Ins cath ren art 2nd+ bi CPT 36254 | $18,786.60 | $31,311.00 | $107.22 – $4,631.00 | 22 |
| Ins cath ren art 2nd+ uni CPT 36253 | $10,158.60 | $16,931.00 | $94.84 – $4,631.00 | 22 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $8.09 – $69.74 | 39 |
| Insemination of oocytes CPT 89268 | not published | not published | $110.00 – $322.95 | 12 |
| Insert abdomen-venous drain CPT 49425 | $8,817.00 | $14,695.00 | $171.60 – $4,631.00 | 22 |
| Insert and remove bone pin CPT 20650 | not published | not published | $30.82 – $1,487.08 | 39 |
| Insert ant drainage device CPT 66183 | not published | not published | $193.00 – $2,858.98 | 39 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $94.01 – $2,949.63 | 39 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $35.88 – $2,842.25 | 39 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $30.73 – $2,842.25 | 39 |
| Insert cath pleura with image CPT 32557 | $3,266.40 | $5,444.00 | $47.38 – $3,484.16 | 41 |
| Insert cath pleura without image CPT 32556 | $1,911.00 | $3,185.00 | $35.71 – $2,038.40 | 41 |
| Insert drug delivery implant CPT 11981 | not published | not published | $12.97 – $94.16 | 20 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $196.74 – $1,598.29 | 20 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $189.30 – $1,545.97 | 20 |
| Insert eye socket implant CPT 67550 | not published | not published | $180.22 – $1,456.12 | 39 |
| Insert hepatic shunt (tips) CPT 37182 | $9,354.60 | $15,591.00 | $210.76 – $4,631.00 | 22 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $89.34 – $2,090.81 | 39 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $65.78 – $315.68 | 14 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $10.71 – $51.23 | 20 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $29.65 – $1,515.56 | 39 |
| Insertion catheter bladder non indwelling CPT 51701 | $343.80 | $573.00 | $5.97 – $481.98 | 21 |
| Insertion catheter bladder temporary simple CPT 51702 | $315.00 | $525.00 | $6.48 – $283.42 | 21 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $726.00 | $1,210.00 | $55.53 – $2,075.81 | 41 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,859.20 | $6,432.00 | $63.59 – $4,116.48 | 22 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $4,191.60 | $6,986.00 | $87.09 – $4,471.04 | 22 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $11,380.80 | $18,968.00 | $59.75 – $4,631.00 | 22 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,024.60 | $5,041.00 | $30.16 – $4,631.00 | 41 |
| Insertion of cannula CPT 36810 | not published | not published | $53.51 – $1,917.16 | 39 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $327.93 – $1,135.09 | 20 |
| Insertion of catheter vein CPT 36481 | $1,907.40 | $3,179.00 | $87.90 – $1,416.85 | 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.