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 |
|---|---|---|---|---|
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $130.89 – $4,183.68 | 39 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $191.82 – $4,394.98 | 39 |
| Optx sho dislc fx CPT 23670 | not published | not published | $171.02 – $4,189.24 | 39 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $181.35 – $8,392.04 | 39 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $121.00 – $3,321.81 | 39 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $107.44 – $3,321.81 | 39 |
| Optx thigh fx CPT 27269 | not published | not published | $243.17 – $1,683.54 | 20 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $180.78 – $1,291.25 | 39 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $142.74 – $3,321.81 | 39 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $121.20 – $4,169.22 | 39 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $121.41 – $4,183.68 | 39 |
| Oral aprepitant HCPCS J8501 | $474.29 | $790.48 | $4.23 – $10.32 | 17 |
| Oral busulfan HCPCS J8510 | $18.96 | $31.60 | $23.85 – $24.83 | 19 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $568.85 – $3,016.10 | 20 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $604.84 – $3,348.70 | 20 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $637.24 – $3,458.90 | 20 |
| Orchiectomy partial CPT 54522 | not published | not published | $131.43 – $1,592.02 | 39 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $152.98 – $1,587.82 | 39 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $102.91 – $1,587.82 | 39 |
| Organic acids total quant ea spec CPT 83918 | $129.00 | $215.00 | $7.79 – $53.81 | 25 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $25.79 – $112.18 | 39 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $40.92 | $68.20 | $6.30 – $19.78 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $183.60 | $306.00 | $29.51 – $295.10 | 12 |
| Orthopantogram CPT 70355 | $162.60 | $271.00 | $3.37 – $250.00 | 24 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $4.99 – $12.93 | 20 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.62 – $23.62 | 11 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $31.80 | $53.00 | $22.11 – $22.11 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $148.80 | $248.00 | $5.32 – $30.95 | 20 |
| Osmolality blood CPT 83930 | $131.40 | $219.00 | $3.13 – $15.07 | 25 |
| Osmolality urine CPT 83935 | $131.40 | $219.00 | $3.22 – $15.55 | 25 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $64.94 – $1,487.08 | 39 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $110.66 – $1,487.08 | 39 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $141.09 – $678.37 | 14 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $268.25 – $9,378.00 | 39 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $191.31 – $3,321.81 | 39 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $237.02 – $5,006.35 | 39 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $8.10 – $102.22 | 21 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $10.21 – $159.00 | 21 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $11.69 – $119.11 | 21 |
| Osteoplasty humerus CPT 24420 | not published | not published | $191.99 – $3,321.81 | 39 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $310.95 – $1,920.10 | 20 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $71.03 – $520.60 | 20 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $309.07 – $1,844.60 | 20 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $305.11 – $1,710.00 | 20 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $159.33 – $3,321.81 | 39 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $215.52 – $930.79 | 20 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $132.34 – $4,571.52 | 39 |
| Ostomy irrigation set HCPCS A4400 | $96.00 | $160.00 | $2.91 – $39.75 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $263.40 | $439.00 | $10.58 – $56.92 | 14 |
| Ot evaluation low complexity patient/family CPT 97165 | $159.00 | $265.00 | $10.58 – $56.92 | 14 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $159.00 | $265.00 | $10.58 – $56.92 | 14 |
| Other bone graft microvasc CPT 20962 | not published | not published | $424.90 – $3,328.00 | 20 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $2.62 – $41.84 | 25 |
| Oth resp proc, group HCPCS G0239 | $100.80 | $168.00 | $2.11 – $7.28 | 16 |
| Oth resp proc, indiv HCPCS G0238 | $100.80 | $168.00 | $1.71 – $12.10 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $69.60 | $116.00 | $6.52 – $45.80 | 14 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $79.20 | $132.00 | $5.11 – $27.99 | 21 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $96.00 | $160.00 | $4.05 – $23.50 | 21 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $1.63 – $20.71 | 20 |
| Otoplasty 69300 CPT 69300 | not published | not published | $72.89 – $1,291.25 | 39 |
| Ot re-evaluation patient/family CPT 97168 | $139.20 | $232.00 | $6.98 – $37.58 | 14 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $73.80 | $123.00 | $4.71 – $25.71 | 21 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $79.80 | $133.00 | $3.18 – $21.47 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.80 | $153.00 | $3.28 – $22.48 | 14 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $73.80 | $123.00 | $4.37 – $23.55 | 21 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $73.80 | $123.00 | $4.56 – $25.16 | 21 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $76.80 | $128.00 | $4.74 – $26.15 | 21 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $386.25 – $2,711.30 | 20 |
| Out of office emerg med serv CPT 99060 | not published | not published | $21.30 – $37.68 | 14 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $146.87 – $903.11 | 20 |
| Ovulation tests CPT 84830 | not published | not published | $3.97 – $28.96 | 25 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $50.50 | $84.17 | $1.05 – $2.93 | 22 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.82 | $6.36 | $0.06 – $2.80 | 24 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $67.25 | $112.09 | $0.53 – $3.15 | 22 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $54.80 – $312.36 | 16 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $201.09 | $335.15 | $0.11 – $1.40 | 23 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $29.18 | $48.64 | $9.34 – $41.96 | 43 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $113.15 – $1,542.42 | 23 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $120.54 – $687.08 | 23 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $4,898.66 | $8,164.43 | $12.83 – $34.80 | 42 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $6,126.81 | $10,211.35 | $1,307.36 – $4,096.49 | 16 |
| Palonosetron hcl HCPCS J2469 | $1,094.62 | $1,824.37 | $0.63 – $19.25 | 24 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $129.80 | $216.33 | $8.87 – $78.88 | 23 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $697.41 – $2,190.00 | 14 |
| Pancreatectomy CPT 48146 | not published | not published | $412.57 – $1,950.60 | 20 |
| Pancreatectomy CPT 48152 | not published | not published | $645.37 – $3,078.00 | 20 |
| Pancreatectomy CPT 48154 | not published | not published | $648.93 – $3,084.10 | 20 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $698.10 – $3,303.20 | 20 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $347.82 – $1,647.60 | 20 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $294.07 – $1,246.60 | 20 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $65.80 | $109.67 | $9.10 – $10.24 | 9 |
| Papaverin hcl injection HCPCS J2440 | $121.02 | $201.70 | $1.28 – $99.38 | 22 |
| Parathormone (pth) intact CPT 83970 | $305.40 | $509.00 | $18.52 – $94.12 | 25 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $261.17 – $1,738.60 | 20 |
| Parathyrd planar w/spect&ct CPT 78072 | $5,443.80 | $9,073.00 | $50.28 – $733.47 | 40 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $46.00 – $330.60 | 20 |
| Parathyroid planar imaging CPT 78070 | $1,189.20 | $1,982.00 | $23.04 – $529.45 | 42 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,531.80 | $2,553.00 | $41.85 – $596.24 | 40 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $161.35 – $1,040.16 | 20 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $139.96 – $2,482.82 | 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.