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 |
|---|---|---|---|---|
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $267.39 – $2,949.63 | 39 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $292.16 – $2,949.63 | 39 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $193.37 – $4,483.70 | 33 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $39.87 – $146.66 | 14 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $258.48 – $1,434.20 | 20 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $237.24 – $1,316.00 | 20 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $132.22 – $2,252.84 | 33 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $59.33 – $1,515.60 | 33 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $71.32 – $2,252.84 | 33 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $49.62 – $2,867.41 | 33 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $297.49 – $1,122.27 | 20 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $48.56 – $1,501.25 | 33 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $140.13 – $2,252.84 | 33 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $124.73 – $2,252.84 | 33 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $153.64 – $1,533.79 | 39 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $143.67 – $4,063.50 | 31 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $143.67 – $3,671.39 | 31 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $124.91 – $415.15 | 14 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $296.70 – $296.70 | 11 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $82.92 – $472.67 | 16 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $82.92 – $472.67 | 16 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $82.92 – $472.67 | 16 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $207.31 – $1,181.68 | 16 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $5.84 – $34.38 | 14 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $8.79 – $51.80 | 14 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $11.73 – $69.53 | 14 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $5.99 – $35.52 | 14 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $2.95 – $25.00 | 14 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $5.99 – $35.52 | 14 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $3,197.40 | $5,329.00 | $313.57 – $1,979.44 | 40 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,966.40 | $4,944.00 | $356.25 – $1,979.44 | 40 |
| Nuclear exam of tear flow CPT 78660 | $799.80 | $1,333.00 | $18.24 – $325.44 | 42 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $36.98 – $368.77 | 19 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $8.71 – $49.66 | 23 |
| Nuclear rx intra-arterial CPT 79445 | $1,472.40 | $2,454.00 | $28.38 – $195.87 | 42 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $21.10 – $253.86 | 42 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $23.14 – $253.86 | 42 |
| Nuclear rx IV admin CPT 79101 | $1,410.60 | $2,351.00 | $20.77 – $174.00 | 42 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,742.60 | $9,571.00 | $56.47 – $859.35 | 42 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $34.18 – $387.27 | 42 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $116.54 – $664.30 | 16 |
| Nursing fac care supervision CPT 99379 | not published | not published | $55.32 – $68.37 | 14 |
| Nursing fac care supervision CPT 99380 | not published | not published | $82.67 – $106.90 | 14 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $13.61 – $98.04 | 20 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $10.42 – $72.87 | 20 |
| Nushield 1 square cm HCPCS Q4160 | $6,816.00 | $11,360.00 | $37.56 – $170.28 | 21 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $374.24 – $2,625.90 | 20 |
| Observation care discharge CPT 99217 | not published | not published | $11.77 – $74.23 | 20 |
| Observation direct referral from physician office for admission HCPCS G0379 | $359.40 | $599.00 | $136.97 – $136.97 | 11 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $35.32 – $226.90 | 20 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $21.67 – $136.97 | 20 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $27.41 – $182.00 | 20 |
| Observation per hour HCPCS G0378 | $1,015.80 | $1,693.00 | $78.30 – $78.30 | 11 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $159.53 – $1,089.77 | 14 |
| Obstetric panel inc HIV tstg CPT 80081 | $547.80 | $913.00 | $36.97 – $170.68 | 23 |
| Obstetrics panel CPT 80055 | $384.00 | $640.00 | $13.22 – $109.01 | 25 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $324.60 | $541.00 | $22.90 – $124.76 | 23 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $15.43 – $60.12 | 23 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $47.86 – $1,553.00 | 39 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $30,620.87 | $51,034.78 | $59.75 – $164.92 | 42 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $121.18 | $201.96 | $1.15 – $2.48 | 24 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $9,617.10 | $16,028.50 | $134.54 – $537.37 | 43 |
| Ocular function screen CPT 99172 | not published | not published | $9.68 – $56.80 | 21 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $4.97 – $22.81 | 20 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $4.53 – $22.70 | 14 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $40.38 – $205.58 | 39 |
| Ocular reconst transplant CPT 65780 | not published | not published | $134.15 – $1,456.12 | 39 |
| Ocular reconst transplant CPT 65781 | not published | not published | $250.32 – $3,750.00 | 39 |
| Ocular reconst transplant CPT 65782 | not published | not published | $215.82 – $1,456.12 | 39 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,567.91 | $2,613.18 | $45.57 – $173.19 | 43 |
| Office consultation CPT 99241 | not published | not published | $37.94 – $43.00 | 14 |
| Office emergency care CPT 99058 | not published | not published | $26.65 – $32.78 | 14 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $106.19 – $122.56 | 14 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $112.90 – $192.58 | 20 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $137.94 – $241.76 | 20 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $73.29 – $87.79 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $120.17 | $200.29 | $0.95 – $2.07 | 31 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $4.34 – $24.69 | 14 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $6.92 – $39.40 | 14 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $2.13 – $12.40 | 14 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $344.77 – $1,372.53 | 20 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $83.50 – $484.00 | 20 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $1,549.20 – $8,830.44 | 22 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,239.61 – $5,723.28 | 16 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $1,549.20 – $8,830.44 | 16 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $1,549.20 – $8,830.44 | 16 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $9,682.50 | 14 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $2,877.20 – $16,400.04 | 16 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,246.40 – $7,104.48 | 16 |
| Oncology colorectal scr CPT 81528 | not published | not published | $203.55 – $1,160.22 | 23 |
| Oncology gynecologic CPT 81535 | not published | not published | $231.78 – $1,321.17 | 16 |
| Oncology gynecologic CPT 81536 | not published | not published | $71.02 – $404.84 | 16 |
| Oncology lung CPT 81538 | not published | not published | $66.48 – $6,545.88 | 16 |
| Oncology prostate prob score CPT 81539 | not published | not published | $2.00 – $1,732.80 | 16 |
| Oncology thyroid CPT 81545 | not published | not published | $1,440.00 – $8,208.00 | 13 |
| Oncology tissue of origin CPT 81504 | not published | not published | $13.28 – $1,185.60 | 23 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $1,500.00 – $8,550.00 | 16 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $49.15 – $2,045.16 | 16 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $13.28 – $593.94 | 16 |
| Oncoprotein dcp CPT 83951 | $367.80 | $613.00 | $31.81 – $146.85 | 23 |
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.