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 |
|---|---|---|---|---|
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $31.81 – $146.85 | 23 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $200.00 – $4,628.40 | 16 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $573.20 – $8,830.44 | 16 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $1,549.20 – $8,830.44 | 16 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,440.00 – $8,208.00 | 16 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $309.84 – $17,729.28 | 16 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $2.09 | $3.48 | $0.01 – $0.07 | 22 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $165.47 | $275.79 | $0.07 – $1.94 | 23 |
| Oocyte identification CPT 89254 | not published | not published | $46.57 – $322.95 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $230.89 – $1,433.71 | 20 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $333.00 – $1,213.64 | 20 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $326.17 – $1,434.20 | 20 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $439.74 – $2,332.80 | 20 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $471.04 – $2,521.80 | 20 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $472.81 – $2,521.80 | 20 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $82.14 – $1,438.67 | 33 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $219.05 – $890.13 | 20 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $56.56 – $362.10 | 20 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $151.38 – $2,702.95 | 39 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $141.02 – $2,702.95 | 39 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $107.18 – $1,438.67 | 39 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $412.92 – $2,330.90 | 20 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $56.44 – $343.68 | 39 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $119.49 – $2,842.25 | 39 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $276.38 – $1,545.40 | 20 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $111.10 – $2,702.95 | 39 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $143.21 – $1,291.25 | 39 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $119.87 – $592.72 | 20 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $143.70 – $710.65 | 20 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $187.85 – $967.23 | 20 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $105.68 – $863.40 | 20 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $233.08 – $946.98 | 20 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $233.08 – $946.98 | 20 |
| Ophthalmic biometry CPT 92136 | not published | not published | $9.92 – $56.35 | 20 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $17.14 – $165.88 | 20 |
| Ophthalmic mitomycin HCPCS J7315 | $1,120.80 | $1,868.00 | $366.18 – $967.50 | 16 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $1.36 – $13.07 | 20 |
| Ophth Ultrasound b & quant a CPT 76510 | $189.60 | $316.00 | $30.50 – $162.11 | 23 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $17.71 – $120.44 | 23 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $19.17 – $98.17 | 23 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $8.24 – $48.40 | 13 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $261.67 – $1,306.58 | 20 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $74.51 – $279.17 | 14 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $66.53 – $249.13 | 14 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $151.31 – $750.00 | 20 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $161.87 – $25,125.97 | 39 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $61.62 – $15,504.84 | 39 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $59.17 – $11,107.62 | 39 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $171.56 – $5,244.63 | 39 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $887.65 – $24,328.66 | 30 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $219.75 – $3,404.27 | 39 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $229.28 – $1,477.80 | 20 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $236.13 – $1,112.00 | 20 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $74.49 – $2,702.95 | 39 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $222.85 – $1,116.70 | 20 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $179.47 – $976.90 | 20 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $237.30 – $973.07 | 20 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $140.70 – $860.60 | 20 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $136.33 – $865.80 | 20 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $134.76 – $863.90 | 20 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $172.25 – $1,073.10 | 20 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $127.31 – $2,702.95 | 39 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $102.47 – $2,702.95 | 39 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $156.81 – $2,702.95 | 39 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $197.30 – $1,105.40 | 20 |
| Oprelvekin injection HCPCS J2355 | $848.31 | $1,413.85 | $0.02 – $1,057.85 | 23 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $2.11 – $13.95 | 14 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $3.26 – $21.82 | 14 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $6.79 – $110.06 | 16 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $5.00 – $31.73 | 14 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $127.70 – $4,542.89 | 39 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $110.06 – $4,329.92 | 39 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $113.28 – $3,321.81 | 39 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $140.50 – $3,321.81 | 39 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $140.49 – $4,367.18 | 39 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $238.54 – $1,418.70 | 20 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $341.67 – $2,111.40 | 20 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $129.42 – $793.10 | 20 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $404.85 – $1,896.11 | 20 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $250.38 – $1,496.60 | 20 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $110.32 – $1,487.08 | 39 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $152.46 – $4,158.94 | 39 |
| Optx lunate dislocation CPT 25695 | not published | not published | $123.31 – $3,321.81 | 39 |
| Optx medial ankle fx CPT 27766 | not published | not published | $119.13 – $3,321.81 | 39 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $189.26 – $2,702.95 | 39 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $185.34 – $3,426.44 | 39 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $116.87 – $3,420.55 | 39 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $123.56 – $3,416.70 | 39 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $132.77 – $811.40 | 20 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $160.95 – $948.30 | 20 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $211.60 – $8,931.09 | 39 |
| Optx post ankle fx CPT 27769 | not published | not published | $142.57 – $3,321.81 | 39 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $172.72 – $8,677.54 | 39 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $243.09 – $12,868.40 | 39 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $130.29 – $4,328.81 | 39 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $122.08 – $3,321.81 | 39 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $118.08 – $3,321.81 | 39 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $152.91 – $4,387.75 | 39 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $185.61 – $3,321.81 | 39 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $175.67 – $4,466.43 | 39 |
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.