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 |
|---|---|---|---|---|
| Mayo efpo chloride stool CPT 82438 | $106.20 | $177.00 | $2.41 – $11.40 | 25 |
| Mayo estriol CPT 82677 | $190.20 | $317.00 | $10.58 – $55.13 | 25 |
| Mayo estrone CPT 82679 | $186.60 | $311.00 | $9.64 – $56.89 | 25 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $136.80 | $228.00 | $8.07 – $37.26 | 25 |
| Mayo everolimus therapeutic drug level CPT 80169 | $234.00 | $390.00 | $6.78 – $31.30 | 23 |
| Mayo factor ii CPT 85210 | $255.00 | $425.00 | $5.29 – $29.59 | 25 |
| Mayo factor v CPT 85220 | $446.40 | $744.00 | $5.95 – $40.24 | 25 |
| Mayo factor vii CPT 85230 | $664.20 | $1,107.00 | $5.95 – $40.81 | 25 |
| Mayo factor viii vw factor antigen CPT 85246 | $433.80 | $723.00 | $11.33 – $52.30 | 25 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $217.20 | $362.00 | $11.33 – $52.30 | 25 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $320.40 | $534.00 | $11.33 – $52.30 | 25 |
| Mayo factor x CPT 85260 | $458.40 | $764.00 | $5.95 – $40.81 | 25 |
| Mayo factor xi CPT 85270 | $266.40 | $444.00 | $5.95 – $40.81 | 25 |
| Mayo fat/lipids feces quantitative CPT 82710 | $314.40 | $524.00 | $7.64 – $38.30 | 25 |
| Mayo fbl culture fungi blood CPT 87103 | $255.00 | $425.00 | $4.62 – $46.65 | 25 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $124.80 | $208.00 | $2.65 – $183.45 | 25 |
| Mayo ffspg allergen clam igg CPT 86001 | $147.00 | $245.00 | $2.47 – $17.83 | 25 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.97 – $32.97 | 25 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $346.80 | $578.00 | $7.24 – $49.41 | 23 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $532.80 | $888.00 | $0.01 – $444.00 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | $227.40 | $379.00 | $2.15 – $10.83 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $415.80 | $693.00 | $16.60 – $80.01 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $121.20 | $202.00 | $17.13 – $80.01 | 25 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $226.20 | $377.00 | $3.97 – $31.44 | 25 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $483.00 | $805.00 | $12.74 – $58.85 | 25 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $246.60 | $411.00 | $2.65 – $20.27 | 25 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $64.80 | $108.00 | $5.29 – $30.83 | 25 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $195.00 | $325.00 | $12.85 – $61.95 | 25 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $349.80 | $583.00 | $3.97 – $39.38 | 25 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $129.60 | $216.00 | $6.61 – $34.18 | 25 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $382.20 | $637.00 | $10.26 – $47.45 | 25 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $364.80 | $608.00 | $6.61 – $47.45 | 25 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $118.20 | $197.00 | $5.67 – $36.64 | 25 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $288.60 | $481.00 | $5.92 – $27.31 | 23 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $263.40 | $439.00 | $17.33 – $80.01 | 23 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $14.04 – $80.01 | 23 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $504.60 | $841.00 | $17.13 – $80.01 | 25 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $650.40 | $1,084.00 | $17.13 – $97.68 | 25 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $28.88 – $164.59 | 16 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $15.43 – $87.94 | 23 |
| Mayo inhab inhibin a CPT 86336 | $259.80 | $433.00 | $7.70 – $35.55 | 25 |
| Mayo insft insulin free CPT 83527 | $102.60 | $171.00 | $6.39 – $29.53 | 25 |
| Mayo insulin antibodies CPT 86337 | $219.60 | $366.00 | $10.57 – $48.81 | 25 |
| Mayo iodine CPT 83789 | $255.00 | $425.00 | $8.31 – $54.97 | 25 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $10.84 – $61.81 | 22 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $10.84 – $61.81 | 23 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $346.80 | $578.00 | $6.54 – $30.21 | 23 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $97.20 | $162.00 | $3.97 – $29.16 | 25 |
| Mayo legionella antibody CPT 86713 | $211.80 | $353.00 | $5.29 – $34.88 | 25 |
| Mayo leptospira antibody igm CPT 86720 | $155.40 | $259.00 | $5.29 – $36.94 | 25 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $5.55 – $25.67 | 23 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $265.20 | $442.00 | $6.61 – $35.32 | 25 |
| Mayo manganese CPT 83785 | $172.80 | $288.00 | $10.58 – $60.76 | 25 |
| Mayo metanephrines plasma CPT 83835 | $397.20 | $662.00 | $7.93 – $38.62 | 25 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $5.18 – $51.87 | 16 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $39.60 | $66.00 | $12.05 – $46.00 | 19 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $214.20 | $357.00 | $6.61 – $33.17 | 25 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $346.80 | $578.00 | $5.44 – $42.50 | 25 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $531.00 | $885.00 | $50.00 – $312.36 | 16 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $333.60 | $556.00 | $74.08 – $422.26 | 16 |
| Mayo muramidase CPT 85549 | $331.20 | $552.00 | $8.87 – $42.75 | 25 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $255.00 | $425.00 | $8.91 – $41.15 | 23 |
| Mayo myoglobin CPT 83874 | $367.80 | $613.00 | $5.29 – $29.46 | 25 |
| Mayo nickel CPT 83885 | not published | not published | $9.26 – $55.88 | 25 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $6.77 – $51.87 | 16 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $5.47 – $51.87 | 16 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $5.62 – $51.87 | 16 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $633.60 | $1,056.00 | $7.79 – $48.36 | 25 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $7.59 – $37.51 | 25 |
| Mayo oxalate 24 hour urine CPT 83945 | $97.20 | $162.00 | $6.09 – $32.95 | 25 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $300.60 | $501.00 | $5.70 – $26.29 | 25 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $194.40 | $324.00 | $5.29 – $34.27 | 25 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $330.60 | $551.00 | $0.61 – $27.47 | 25 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $560.40 | $934.00 | $16.60 – $80.01 | 25 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $267.00 | $445.00 | $5.00 – $40.99 | 23 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $321.00 | $535.00 | $6.61 – $31.37 | 25 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $172.80 | $288.00 | $3.97 – $19.24 | 25 |
| Mayo pregnenolone CPT 84140 | $234.00 | $390.00 | $5.29 – $47.13 | 25 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $217.80 | $363.00 | $6.61 – $37.83 | 25 |
| Mayo proinsulin CPT 84206 | $219.60 | $366.00 | $6.61 – $60.85 | 25 |
| Mayo psaft prostate specific antigen free CPT 84154 | $140.40 | $234.00 | $8.70 – $41.93 | 25 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $491.40 | $819.00 | $5.29 – $41.95 | 25 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $252.00 | $420.00 | $5.05 – $30.46 | 25 |
| Mayo receptor assay transferrin soluble CPT 84238 | $575.40 | $959.00 | $18.06 – $83.38 | 25 |
| Mayo renin CPT 84244 | $468.00 | $780.00 | $8.21 – $50.14 | 25 |
| Mayo repu protein electrophoresis urine CPT 84166 | $131.40 | $219.00 | $2.04 – $40.65 | 25 |
| Mayo selenium CPT 84255 | $129.00 | $215.00 | $10.58 – $58.21 | 25 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $7.58 – $35.34 | 16 |
| Mayo serotonin CPT 84260 | $902.40 | $1,504.00 | $10.58 – $70.63 | 25 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $208.80 | $348.00 | $9.54 – $44.12 | 25 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $407.40 | $679.00 | $6.78 – $31.30 | 23 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $114.60 | $191.00 | $1.32 – $9.74 | 25 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,165.80 | $1,943.00 | $103.17 – $476.34 | 16 |
| Mayo tgrp testosterone free CPT 84402 | $403.80 | $673.00 | $12.04 – $58.07 | 25 |
| Mayo tgrp testosterone total CPT 84403 | $410.40 | $684.00 | $9.64 – $58.85 | 25 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $8.87 | 11 |
| Mayo thyroglobulin CPT 84432 | $118.20 | $197.00 | $5.29 – $36.62 | 25 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $135.60 | $226.00 | $4.81 – $23.21 | 23 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $130.80 | $218.00 | $3.97 – $28.25 | 25 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $4.90 – $51.87 | 16 |
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.