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 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 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $21.68 – $116.92 | 23 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $3.97 – $32.28 | 25 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $6.69 – $30.87 | 23 |
| Mayo vasoactive intestinal peptide CPT 84586 | $370.80 | $618.00 | $6.61 – $80.55 | 25 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $240.60 | $401.00 | $9.26 – $46.15 | 25 |
| Mayo vitamin b3 (niacin) CPT 84591 | $190.20 | $317.00 | $5.85 – $38.90 | 23 |
| Mayo vitamin k CPT 84597 | $300.60 | $501.00 | $6.61 – $31.28 | 25 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $346.80 | $578.00 | $6.54 – $30.21 | 23 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $206.30 – $1,340.53 | 20 |
| Mcoln1 gene CPT 81290 | not published | not published | $15.72 – $89.63 | 16 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $89.96 – $1,487.08 | 39 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $103.83 – $1,487.08 | 39 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $109.94 – $801.87 | 39 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $25.47 – $40.80 | 14 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $145.14 – $1,822.02 | 33 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $5.77 – $37.66 | 20 |
| Measure kidney pressure CPT 50396 | not published | not published | $25.60 – $306.66 | 39 |
| Measurement post void urine by ultrasound CPT 51798 | $347.40 | $579.00 | $3.87 – $481.98 | 21 |
| Measure ureter pressure CPT 50686 | not published | not published | $18.96 – $144.07 | 39 |
| Mechlorethamine hcl inj HCPCS J9230 | $487.85 | $813.09 | $0.02 – $798.20 | 23 |
| #mec-opiates CPT 80356 | not published | not published | $6.34 – $51.87 | 16 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $60.00 – $342.00 | 23 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $211.15 – $1,203.54 | 23 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $8.91 – $273.60 | 23 |
| Medial canthopexy CPT 21280 | not published | not published | $111.57 – $1,291.25 | 39 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $76.43 – $786.50 | 20 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $58.51 – $602.82 | 20 |
| Medical services after hrs CPT 99050 | not published | not published | $22.15 – $30.00 | 14 |
| Medical testimony CPT 99075 | not published | not published | $190.00 – $190.00 | 11 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $115.62 – $755.23 | 33 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $1,069.43 | $1,782.38 | $0.02 – $1.37 | 16 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $21.30 – $28.51 | 14 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $21.30 – $28.51 | 14 |
| Meg evoked each addl CPT 95967 | not published | not published | $36.90 – $3,570.94 | 21 |
| Meg evoked single CPT 95966 | not published | not published | $36.90 – $3,450.36 | 21 |
| Meg spontaneous CPT 95965 | not published | not published | $36.90 – $12,457.27 | 21 |
| Melphalan oral 2 mg HCPCS J8600 | $22.22 | $37.03 | $9.62 – $27.90 | 23 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $4,077.00 | $6,795.00 | $37.56 – $1,934.07 | 21 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $17,127.60 | $28,546.00 | $37.56 – $228.41 | 21 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $12,650.40 | $21,084.00 | $37.56 – $505.60 | 18 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $234.60 – $519.19 | 17 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $315.53 – $3,321.81 | 39 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $46.03 | $76.71 | $1.40 – $14.67 | 22 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $5,636.55 | $9,394.25 | $30.51 – $89.96 | 42 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $165.28 | $275.47 | $0.45 – $1.82 | 22 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $50.94 – $367.12 | 20 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $182.32 | $303.87 | $1.37 – $6.70 | 24 |
| Metabolic Blood Panel (Basic) CPT 80048 | $217.80 | $363.00 | $3.47 – $19.29 | 25 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $339.00 | $565.00 | $5.00 – $24.08 | 25 |
| Metabolic panel ionized ca CPT 80047 | $217.80 | $363.00 | $5.42 – $31.30 | 23 |
| Metatarsal joint implant HCPCS L8641 | $4,894.80 | $8,158.00 | $200.46 – $269.34 | 16 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $188.70 | $314.50 | $0.41 – $3.49 | 22 |
| Methadone injection HCPCS J1230 | $1,129.23 | $1,882.05 | $19.11 – $46.91 | 22 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $123.89 | $206.48 | $5.66 – $58.14 | 22 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $18.64 | $31.07 | $0.23 – $7.16 | 23 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $190.42 | $317.37 | $2.36 – $13.72 | 24 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $15.43 – $87.94 | 22 |
| Methyldopate hcl injection HCPCS J0210 | $126.56 | $210.93 | $0.02 – $96.00 | 22 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,689.24 | $2,815.40 | $0.24 – $33.60 | 34 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $45.56 | $75.93 | $4.79 – $50.49 | 22 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $308.40 | $514.00 | $0.41 – $3.02 | 42 |
| Methylphenidate CPT 80360 | not published | not published | $4.32 – $51.87 | 16 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $18.42 | $30.70 | $0.23 – $1.16 | 22 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $77.09 | $128.49 | $0.27 – $0.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $259.96 | $433.27 | $0.60 – $0.68 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $39.32 | $65.54 | $0.81 – $2.59 | 23 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $62.66 | $104.43 | $0.02 – $0.07 | 31 |
| Metyrapone panel CPT 80436 | not published | not published | $21.16 – $207.84 | 25 |
| Mgmt promoter methylation analysis CPT 81287 | $211.80 | $353.00 | $45.24 – $284.18 | 16 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $439.70 | $732.83 | $0.50 – $5.68 | 23 |
| Microalbumin urine screen CPT 82044 | not published | not published | $1.32 – $14.20 | 25 |
| Microbe susceptible mlc CPT 87187 | $119.40 | $199.00 | $2.65 – $91.59 | 25 |
| Microdissection laser CPT 88380 | $105.00 | $175.00 | $20.02 – $122.60 | 22 |
| Microdissection manual CPT 88381 | $397.80 | $663.00 | $16.56 – $54.06 | 22 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $51.25 | 23 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | $11,671.80 | $19,453.00 | $298.44 – $10,646.57 | 21 |
| Microsatellite instability CPT 81301 | $575.40 | $959.00 | $142.99 – $794.72 | 23 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $32.66 – $279.10 | 20 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $26.51 – $296.10 | 20 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $75.79 | $126.32 | $0.12 – $0.29 | 22 |
| Middle cerebral artery echo CPT 76821 | $265.20 | $442.00 | $17.49 – $118.29 | 23 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $104.42 | $174.04 | $1.56 – $4.20 | 22 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $97.31 | $162.18 | $65.31 – $150.21 | 36 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,329.60 – $7,578.72 | 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.