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 |
|---|---|---|---|---|
| Proton trmt intermediate CPT 77523 | not published | not published | $99.17 – $1,902.34 | 42 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $634.29 – $1,256.93 | 42 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $88.34 – $1,256.93 | 42 |
| Protoporphyrin rbc screen CPT 84203 | $33.00 | $55.00 | $3.97 – $22.21 | 25 |
| Provide inr test mater/equip HCPCS G0249 | $301.20 | $502.00 | $8.73 – $117.59 | 14 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $124.14 – $407.20 | 14 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $140.90 – $1,587.82 | 39 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $132.60 | $221.00 | $12.79 – $73.76 | 14 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $327.21 – $11,488.97 | 31 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $424.46 – $11,247.50 | 31 |
| Prq card angio/athrect addl CPT 92925 | $12,297.00 | $20,495.00 | $168.18 – $23,875.18 | 17 |
| Prq cardiac angio addl art CPT 92921 | $10,483.20 | $17,472.00 | $168.18 – $11,908.11 | 17 |
| Prq card revasc chronic addl CPT 92944 | $34,522.80 | $57,538.00 | $168.18 – $17,182.13 | 17 |
| Prq card revasc mi 1 vsl CPT 92941 | $47,221.80 | $78,703.00 | $141.23 – $856.53 | 20 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $47,221.80 | $78,703.00 | $20,827.85 – $22,370.66 | 7 |
| Prq card stent/ath/angio CPT 92934 | $34,522.80 | $57,538.00 | $168.18 – $17,182.13 | 17 |
| Prq card stent w/angio addl CPT 92929 | $11,742.60 | $19,571.00 | $168.18 – $17,182.13 | 17 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $47,221.80 | $78,703.00 | $125.94 – $15,990.66 | 21 |
| Prq revasc byp graft addl CPT 92938 | $34,522.80 | $57,538.00 | $168.18 – $17,182.13 | 17 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $102.22 – $3,321.81 | 39 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $139.54 – $801.87 | 39 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $144.71 – $3,321.81 | 39 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $87.29 – $3,321.81 | 39 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $61.94 – $3,321.81 | 39 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,439.40 | $27,399.00 | $126.02 – $15,990.66 | 40 |
| Prq trlml c athrc st angiop1 CPT 92933 | $47,221.80 | $78,703.00 | $140.96 – $20,169.50 | 21 |
| Prq trluml c angiop 1art&/br CPT 92920 | $13,979.40 | $23,299.00 | $113.54 – $9,845.53 | 40 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $16,400.40 | $27,334.00 | $134.84 – $15,990.66 | 21 |
| Prq trluml revsc ch occ ant CPT 92943 | $47,221.80 | $78,703.00 | $141.19 – $15,990.66 | 21 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $15.77 – $107.02 | 20 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $249.60 | $416.00 | $7.23 – $283.42 | 21 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $13.41 – $66.74 | 39 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $30.62 – $204.32 | 39 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $8.73 – $139.23 | 20 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $9.19 – $158.78 | 20 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $7.03 – $112.23 | 20 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $367.80 | $613.00 | $9.24 – $481.98 | 22 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $111.85 – $926.15 | 39 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $5.93 – $56.30 | 20 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $120.88 – $1,487.08 | 39 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $115.25 – $3,321.81 | 39 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $26.54 – $103.83 | 14 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $129.77 – $3,321.81 | 39 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $126.97 – $3,321.81 | 39 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $43.86 – $242.77 | 20 |
| PSA (Prostate) Test CPT 84153 | $352.80 | $588.00 | $6.61 – $41.93 | 25 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $0.33 – $66.96 | 21 |
| Psychoanalysis CPT 90845 | not published | not published | $15.64 – $77.39 | 20 |
| Psychophysiological therapy CPT 90875 | not published | not published | $61.13 – $85.76 | 14 |
| Psychophysiological therapy CPT 90876 | not published | not published | $96.26 – $134.35 | 14 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $4.35 – $29.00 | 20 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $84.60 | $141.00 | $49.13 – $85.78 | 20 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $84.60 | $141.00 | $65.16 – $128.83 | 20 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $84.60 | $141.00 | $97.58 – $194.22 | 20 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $18.94 – $530.21 | 21 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $14.44 – $82.52 | 14 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $6.21 – $66.96 | 21 |
| Psy evaluation of records CPT 90885 | not published | not published | $49.39 – $68.38 | 14 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $4.25 – $66.96 | 21 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $3.36 – $20.83 | 14 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $6.21 – $37.08 | 14 |
| Psytx complex interactive CPT 90785 | $97.20 | $162.00 | $4.77 – $17.09 | 20 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $24.73 – $79.84 | 20 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $27.89 – $116.98 | 20 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $41.37 – $187.76 | 20 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $79.20 | $132.00 | $2.04 – $14.87 | 21 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $17.40 | $29.00 | $4.15 – $6.30 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $85.80 | $143.00 | $2.91 – $24.52 | 21 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $70.20 | $117.00 | $1.46 – $11.10 | 21 |
| Pt application of modality traction mechanical CPT 97012 | $100.80 | $168.00 | $1.85 – $15.77 | 21 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $8.78 – $50.23 | 14 |
| Pten gene dup/delet variant CPT 81323 | $923.40 | $1,539.00 | $52.56 – $684.00 | 23 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.42 – $1,368.00 | 23 |
| Pten gene known fam variant CPT 81322 | $161.40 | $269.00 | $21.14 – $106.25 | 23 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $171.94 – $2,702.95 | 39 |
| Pt evaluation high complexity patient/family CPT 97163 | $279.00 | $465.00 | $10.90 – $65.00 | 15 |
| Pt evaluation low complexity patient/family CPT 97161 | $111.00 | $185.00 | $10.90 – $65.00 | 15 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $159.00 | $265.00 | $10.90 – $65.00 | 15 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $4.29 – $6.78 | 14 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $4.37 – $33.10 | 20 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,205.00 | $3,675.00 | $656.91 – $2,667.88 | 18 |
| Pt re-evaluation patient/family CPT 97164 | $152.40 | $254.00 | $7.38 – $39.73 | 14 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $79.80 | $133.00 | $6.41 – $77.80 | 20 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $73.80 | $123.00 | $3.86 – $22.22 | 21 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $86.40 | $144.00 | $3.56 – $20.49 | 21 |
| Pt wheelchair management each 15 minutes CPT 97542 | $79.80 | $133.00 | $4.18 – $22.35 | 20 |
| Pul art balloon repr percut CPT 92997 | $14,353.80 | $23,923.00 | $136.19 – $1,035.70 | 20 |
| Pul art balloon repr percut CPT 92998 | $10,766.40 | $17,944.00 | $67.24 – $447.90 | 20 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,200.00 – $12,540.00 | 16 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $406.54 – $2,963.94 | 20 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $235.82 – $1,351.20 | 20 |
| Pulmonary vent imaging CPT 78579 | $1,588.80 | $2,648.00 | $17.09 – $332.83 | 40 |
| Pulse ox continuous overnight monitoring CPT 94762 | $547.20 | $912.00 | $3.96 – $32.60 | 20 |
| Pulse ox multiple CPT 94761 | $339.00 | $565.00 | $0.79 – $7.46 | 20 |
| Pulse ox single CPT 94760 | $213.60 | $356.00 | $0.50 – $4.09 | 20 |
| Punc of shunt for asp or inj CPT 61070 | $611.40 | $1,019.00 | $16.27 – $954.45 | 40 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $100.20 | $167.00 | $3.91 – $141.72 | 21 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $663.60 | $1,106.00 | $15.03 – $954.45 | 41 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $11.62 – $1,291.25 | 39 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,087.80 | $1,813.00 | $16.41 – $1,416.85 | 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.