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 |
|---|---|---|---|---|
| Pressure velocity wire add ves CPT 93572 | $1,463.40 | $2,439.00 | $29.36 – $210.10 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $10.58 – $75.58 | 25 |
| Pretreat rbc absorption reference CPT 86978 | $319.20 | $532.00 | $11.36 – $78.00 | 25 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $3.97 – $117.00 | 25 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $247.80 | $413.00 | $7.93 – $131.98 | 24 |
| Pretreat rbc w enzyme reference CPT 86971 | $183.60 | $306.00 | $3.97 – $1,135.91 | 24 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $516.60 | $861.00 | $109.40 – $210.50 | 20 |
| Preventive counseling group CPT 99411 | not published | not published | $7.96 – $17.92 | 14 |
| Preventive counseling group CPT 99412 | not published | not published | $13.10 – $24.56 | 14 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $19.40 – $31.56 | 20 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $51.08 – $66.62 | 14 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $76.43 – $107.09 | 14 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $102.15 – $147.05 | 14 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $12.80 – $87.67 | 39 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $25.30 – $668.59 | 39 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $22.09 – $154.78 | 39 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $290.48 – $952.10 | 20 |
| Prgrmg dev eval impltbl sys CPT 93260 | $2,997.60 | $4,996.00 | $13.86 – $29.52 | 20 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $8.33 – $26.45 | 20 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $7.06 – $24.97 | 20 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $10.55 – $32.36 | 20 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $13.73 – $36.80 | 20 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $15.15 – $41.73 | 20 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,402.40 | $9,004.00 | $20.00 – $134.17 | 20 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $32.08 – $205.76 | 20 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $21.81 – $139.44 | 20 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $15.87 – $97.63 | 20 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $16.88 – $105.51 | 20 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $11.71 – $73.21 | 20 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $6.38 – $41.16 | 20 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,385.20 | $10,642.00 | $113.99 – $9,898.92 | 41 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,385.20 | $10,642.00 | $41.54 – $4,631.00 | 22 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $13.15 – $13.15 | 11 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,518.60 | $2,531.00 | $28.11 – $1,619.84 | 41 |
| Pr incision & drainage abscess simple/single CPT 10060 | $843.60 | $1,406.00 | $15.18 – $1,285.51 | 41 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $21.24 – $107.30 | 39 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $2,817.60 | $4,696.00 | $15.52 – $3,005.44 | 41 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $25.96 – $185.79 | 14 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $17.94 – $136.95 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $293.40 | $489.00 | $11.97 – $20.34 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $114.21 – $878.95 | 39 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $28.29 – $193.13 | 39 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $31.06 – $958.01 | 39 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $41.53 – $958.01 | 39 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $37.70 – $1,230.06 | 39 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $728.44 | $1,214.06 | $89.43 – $637.15 | 34 |
| Procalcitonin CPT 84145 | $304.20 | $507.00 | $11.19 – $62.06 | 23 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $44.48 | $74.14 | $3.43 – $12.17 | 22 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $2.17 | $3.61 | $0.20 – $0.79 | 22 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $427.84 – $2,029.40 | 20 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $414.34 – $1,919.60 | 20 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $24.26 – $1,320.79 | 39 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $25.80 – $599.32 | 39 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $18.48 – $640.68 | 39 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $10.89 – $95.17 | 39 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $18.22 – $1,320.79 | 39 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $22.13 – $599.32 | 39 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $24.39 – $599.32 | 39 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $23.36 – $1,320.79 | 39 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $17.20 – $599.32 | 39 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $21.72 – $1,320.79 | 39 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $26.68 – $3,913.07 | 39 |
| Progesterone CPT 84144 | $444.60 | $741.00 | $5.29 – $47.56 | 25 |
| Prolactin CPT 84146 | $407.40 | $679.00 | $9.17 – $44.19 | 25 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $1.36 – $10.75 | 14 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $0.76 – $5.29 | 14 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $37.66 – $37.66 | 11 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $30.58 – $46.54 | 14 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $15.08 – $119.33 | 20 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $14.65 – $111.49 | 20 |
| Prolong service without contact CPT 99358 | $217.20 | $362.00 | $17.45 – $104.83 | 14 |
| Prolong serv without contact add CPT 99359 | $105.60 | $176.00 | $8.40 – $50.69 | 14 |
| Promethazine 25 mg tablet HCPCS Q0169 | $1.91 | $3.18 | $0.04 – $0.26 | 22 |
| Promethazine hcl injection HCPCS J2550 | $100.17 | $166.95 | $2.44 – $7.45 | 22 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $91.39 – $467.77 | 39 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $93.33 – $478.01 | 39 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $169.14 – $8,526.80 | 39 |
| Prophylactic tx radius CPT 25490 | not published | not published | $140.02 – $3,321.81 | 39 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $176.36 – $1,487.08 | 39 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $144.12 – $6,364.19 | 39 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $45.25 | $75.42 | $0.08 – $0.29 | 22 |
| _propoxygc/msur CPT 80367 | not published | not published | $5.04 – $51.87 | 16 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $40.00 | $66.66 | $3.03 – $21.92 | 22 |
| Prostate biopsy, any mthd HCPCS G0416 | $774.00 | $1,290.00 | $72.84 – $624.75 | 21 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $181.74 – $2,419.37 | 39 |
| Prostate laser enucleation CPT 52649 | not published | not published | $176.73 – $2,419.37 | 39 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $125.92 – $1,176.62 | 39 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $133.54 – $1,125.12 | 39 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $119.18 | $198.63 | $0.91 – $2.47 | 22 |
| Protein analysis w/probe CPT 88372 | not published | not published | $3.68 – $119.03 | 25 |
| Protein c activity CPT 85303 | $570.00 | $950.00 | $5.29 – $31.56 | 25 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $81.60 | $136.00 | $1.26 – $24.49 | 25 |
| Protein s total CPT 85305 | $496.80 | $828.00 | $5.29 – $26.47 | 25 |
| Protein total 24 hour urine CPT 84156 | $121.20 | $202.00 | $1.73 – $8.37 | 25 |
| Protein total body fluid CPT 84157 | $128.40 | $214.00 | $1.81 – $9.12 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $73.80 | $123.00 | $1.73 – $8.37 | 25 |
| Protein western blot tissue CPT 88371 | not published | not published | $3.68 – $120.35 | 25 |
| Prothrombin complex kcentra HCPCS J7168 | $3.84 | $6.40 | $2.61 – $5.23 | 33 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $105.00 | $175.00 | $1.32 – $8.98 | 25 |
| Proton treatment complex CPT 77525 | not published | not published | $858.52 – $1,902.34 | 42 |
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.