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 |
|---|---|---|---|---|
| Paricalcitol HCPCS J2501 | $47.38 | $78.97 | $0.66 – $3.08 | 22 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $219.60 | $366.00 | $2.60 – $283.42 | 22 |
| Parotid duct diversion CPT 42507 | not published | not published | $117.58 – $2,702.95 | 39 |
| Parotid duct diversion CPT 42509 | not published | not published | $199.16 – $2,702.95 | 39 |
| Parotid duct diversion CPT 42510 | not published | not published | $146.26 – $1,291.25 | 39 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $165.15 – $918.80 | 20 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $36.68 – $1,553.00 | 39 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $272.23 – $1,613.40 | 20 |
| Partial exc bone humerus CPT 24140 | not published | not published | $136.55 – $1,487.08 | 39 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $87.60 – $1,487.08 | 39 |
| Partial excision of lip CPT 40500 | not published | not published | $81.56 – $1,291.25 | 39 |
| Partial hip replacement CPT 27125 | not published | not published | $221.89 – $1,461.90 | 20 |
| Partial hysterectomy CPT 58180 | not published | not published | $189.96 – $1,193.37 | 20 |
| Partial proctectomy CPT 45113 | not published | not published | $438.08 – $2,009.20 | 20 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $247.32 – $1,200.20 | 20 |
| Partial removal donor liver CPT 47140 | not published | not published | $778.52 – $3,866.40 | 20 |
| Partial removal donor liver CPT 47141 | not published | not published | $926.18 – $4,670.80 | 20 |
| Partial removal donor liver CPT 47142 | not published | not published | $1,019.27 – $5,141.60 | 20 |
| Partial removal finger bone CPT 26235 | not published | not published | $96.01 – $801.87 | 39 |
| Partial removal finger bone CPT 26236 | not published | not published | $85.78 – $801.87 | 39 |
| Partial removal foot fascia CPT 28060 | not published | not published | $70.98 – $1,487.08 | 39 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $165.91 – $1,487.08 | 39 |
| Partial removal of bladder CPT 51550 | not published | not published | $206.55 – $1,248.00 | 20 |
| Partial removal of esophagus CPT 43116 | not published | not published | $1,083.07 – $3,734.59 | 20 |
| Partial removal of esophagus CPT 43118 | not published | not published | $801.81 – $2,778.40 | 20 |
| Partial removal of esophagus CPT 43121 | not published | not published | $641.99 – $2,504.50 | 20 |
| Partial removal of esophagus CPT 43123 | not published | not published | $969.53 – $3,290.95 | 20 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $583.67 – $2,631.60 | 20 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $592.21 – $2,437.90 | 20 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $88.52 – $1,158.89 | 39 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $101.72 – $1,158.89 | 39 |
| Partial removal of fibula CPT 27641 | not published | not published | $131.40 – $1,487.08 | 39 |
| Partial removal of foot bone CPT 28288 | not published | not published | $85.26 – $1,487.08 | 39 |
| Partial removal of hand bone CPT 26230 | not published | not published | $97.06 – $1,487.08 | 39 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $325.17 – $1,903.70 | 20 |
| Partial removal of larynx CPT 31367 | not published | not published | $488.73 – $2,039.20 | 20 |
| Partial removal of larynx CPT 31368 | not published | not published | $550.59 – $2,641.40 | 20 |
| Partial removal of larynx CPT 31370 | not published | not published | $461.06 – $2,015.30 | 20 |
| Partial removal of larynx CPT 31375 | not published | not published | $433.56 – $1,833.80 | 20 |
| Partial removal of larynx CPT 31380 | not published | not published | $428.99 – $1,899.90 | 20 |
| Partial removal of larynx CPT 31382 | not published | not published | $469.21 – $1,942.60 | 20 |
| Partial removal of lip CPT 40530 | not published | not published | $93.61 – $1,291.25 | 39 |
| Partial removal of liver CPT 47125 | not published | not published | $698.67 – $2,538.53 | 20 |
| Partial removal of liver CPT 47130 | not published | not published | $751.26 – $2,729.20 | 20 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $362.02 – $1,728.70 | 20 |
| Partial removal of nose CPT 30150 | not published | not published | $183.07 – $2,702.95 | 39 |
| Partial removal of pancreas CPT 48145 | not published | not published | $360.93 – $1,770.00 | 20 |
| Partial removal of pancreas CPT 48150 | not published | not published | $698.74 – $3,305.50 | 20 |
| Partial removal of penis CPT 54120 | not published | not published | $139.76 – $1,592.02 | 39 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $312.54 – $2,702.95 | 39 |
| Partial removal of radius CPT 25151 | not published | not published | $113.45 – $1,487.08 | 39 |
| Partial removal of radius CPT 25230 | not published | not published | $84.07 – $1,487.08 | 39 |
| Partial removal of rectum CPT 45111 | not published | not published | $243.08 – $1,353.50 | 20 |
| Partial removal of rectum CPT 45114 | not published | not published | $401.13 – $1,846.00 | 20 |
| Partial removal of rectum CPT 45116 | not published | not published | $362.62 – $1,582.90 | 20 |
| Partial removal of rib CPT 21600 | not published | not published | $108.97 – $3,321.81 | 39 |
| Partial removal of sternum CPT 21620 | not published | not published | $98.59 – $734.50 | 20 |
| Partial removal of thyroid CPT 60220 | not published | not published | $133.43 – $2,648.76 | 39 |
| Partial removal of thyroid CPT 60225 | not published | not published | $175.55 – $2,648.76 | 39 |
| Partial removal of tibia CPT 27640 | not published | not published | $163.58 – $1,487.08 | 39 |
| Partial removal of toe CPT 28160 | not published | not published | $53.69 – $1,487.08 | 39 |
| Partial removal of tongue CPT 41120 | not published | not published | $238.26 – $2,702.95 | 39 |
| Partial removal of tongue CPT 41130 | not published | not published | $292.35 – $1,238.24 | 20 |
| Partial removal of ulna CPT 25119 | not published | not published | $96.16 – $1,487.08 | 39 |
| Partial removal of ulna CPT 25150 | not published | not published | $110.12 – $1,487.08 | 39 |
| Partial removal of ulna CPT 25240 | not published | not published | $83.20 – $1,487.08 | 39 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $97.07 – $551.65 | 20 |
| Partial removal tear gland CPT 68505 | not published | not published | $181.69 – $1,456.12 | 39 |
| Partial thyroid excision CPT 60210 | not published | not published | $133.17 – $2,648.76 | 39 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $189.60 – $2,648.76 | 39 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $5,901.00 | $9,835.00 | $2.55 – $108.92 | 21 |
| Part removal hip bone deep CPT 27071 | not published | not published | $178.76 – $1,185.20 | 20 |
| Part removal of metatarsal CPT 28110 | not published | not published | $57.57 – $1,487.08 | 39 |
| Part removal of metatarsal CPT 28113 | not published | not published | $84.51 – $1,487.08 | 39 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $62.24 – $1,487.08 | 39 |
| Part remove hip bone super CPT 27070 | not published | not published | $165.32 – $1,108.70 | 20 |
| Passy muir valve metal trach HCPCS L8501 | $217.20 | $362.00 | $8.79 – $236.67 | 21 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $90.67 – $594.05 | 20 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $48.10 – $594.05 | 20 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $108.15 | 14 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $22.49 – $197.93 | 20 |
| Patient recorded spirometry CPT 94014 | not published | not published | $9.37 – $50.00 | 20 |
| Patient recorded spirometry CPT 94015 | not published | not published | $4.67 – $19.20 | 20 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $102.02 – $581.51 | 16 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $575.50 – $737.75 | 9 |
| Pdgfra gene CPT 81314 | not published | not published | $131.80 – $751.28 | 16 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $31.13 – $177.94 | 14 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $120.50 – $926.15 | 39 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $93.64 – $542.35 | 20 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $56.31 – $323.34 | 20 |
| Ped crit care transport CPT 99466 | not published | not published | $37.56 – $235.52 | 20 |
| Ped crit care transport addl CPT 99467 | not published | not published | $19.07 – $117.60 | 20 |
| Ped critical care initial CPT 99471 | not published | not published | $137.66 – $859.80 | 20 |
| Ped critical care subsq CPT 99472 | not published | not published | $66.53 – $437.80 | 20 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $66.83 – $145.03 | 14 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $145.03 – $400.08 | 14 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $105.59 – $926.15 | 39 |
| Pegaspargase injection HCPCS J9266 | $39,780.27 | $66,300.45 | $13,716.31 – $60,908.69 | 39 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,121.58 | $15,202.63 | $36.33 – $561.57 | 37 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,688.56 | $9,480.93 | $62.38 – $599.31 | 40 |
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.