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 |
|---|---|---|---|---|
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $308.40 | $514.00 | $13.66 – $100.00 | 14 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $28.72 – $224.63 | 14 |
| Assess cyst contrast inject CPT 49424 | $709.20 | $1,182.00 | $9.95 – $954.45 | 21 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $111.60 | $186.00 | $2.02 – $9.74 | 25 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $10.68 – $49.28 | 20 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $42.52 – $298.80 | 20 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $4.90 – $26.40 | 14 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $880.00 – $1,352.40 | 12 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $322.95 – $900.00 | 12 |
| Ast/sgot CPT 84450 | $105.00 | $175.00 | $2.44 – $11.81 | 25 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $16,692.06 | $27,820.10 | $85.01 – $228.72 | 42 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $22,794.00 | $37,990.00 | $153.82 – $11,442.51 | 41 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $22,794.00 | $37,990.00 | $179.46 – $10,856.66 | 41 |
| Atomic absorption CPT 82190 | $295.20 | $492.00 | $5.29 – $36.25 | 25 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $43.85 | $73.08 | $0.02 – $0.25 | 23 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $166.85 – $1,108.70 | 20 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $140.59 – $914.60 | 20 |
| Attach ocular implant CPT 65140 | not published | not published | $150.64 – $1,456.12 | 39 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $10.15 – $126.00 | 20 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $9.86 – $84.63 | 20 |
| Audiometry air + bone CPT 92553 | $245.40 | $409.00 | $5.58 – $25.70 | 20 |
| Auditory function 60 min CPT 92620 | not published | not published | $11.65 – $66.16 | 20 |
| Augmentation cheek bone CPT 21270 | not published | not published | $142.76 – $4,426.59 | 39 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $155.27 – $3,404.27 | 39 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $176.89 – $2,917.67 | 39 |
| Augmentation of facial bones CPT 21208 | not published | not published | $165.78 – $1,314.35 | 39 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $22,959.00 | $38,265.00 | $44.76 – $4,631.00 | 22 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $22,378.20 | $37,297.00 | $106.29 – $4,631.00 | 41 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $203.91 – $3,321.81 | 39 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $323.91 – $5,748.68 | 39 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $73.44 – $1,916.68 | 16 |
| Autologous blood op salvage CPT 86891 | not published | not published | $17.19 – $2,558.99 | 24 |
| Autologous blood process CPT 86890 | not published | not published | $33.88 – $214.87 | 25 |
| Automated diff wbc count CPT 85004 | $42.00 | $70.00 | $3.18 – $14.75 | 25 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $16.40 – $35.27 | 21 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $14.00 – $28.99 | 21 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $22.84 – $79.00 | 21 |
| Av fistula revision CPT 36833 | not published | not published | $172.25 – $2,842.25 | 39 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $182.12 – $2,842.25 | 39 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $172.27 – $2,842.25 | 39 |
| Av fusion direct any site CPT 36821 | not published | not published | $138.52 – $1,515.56 | 39 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $181.57 – $2,842.25 | 39 |
| Avul nail plate addl CPT 11732 | $264.00 | $440.00 | $3.27 – $283.42 | 22 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $609.60 | $1,016.00 | $8.22 – $954.45 | 22 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $129.80 – $2,648.76 | 39 |
| Azacitidine injection HCPCS J9025 | $1,401.83 | $2,336.39 | $0.35 – $5.68 | 24 |
| Azathioprine 50 mg tablet HCPCS J7500 | $2.18 | $3.64 | $1.18 – $2.35 | 4 |
| Azathioprine parenteral HCPCS J7501 | $441.40 | $735.67 | $217.30 – $600.00 | 41 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $65.10 | $108.50 | $2.60 – $8.15 | 22 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $177.56 | $295.94 | $2.30 – $4.43 | 31 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,302.55 | $3,837.58 | $177.80 – $426.48 | 35 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $191.55 | $319.25 | $34.62 – $186.84 | 23 |
| Baclofen eval charges CPT 97750 | $79.20 | $132.00 | $4.46 – $25.00 | 21 |
| Bacterial meningitis antigen CPT 86403 | $234.00 | $390.00 | $2.65 – $26.31 | 25 |
| Bacterial vaginosis pcr CPT 87801 | $506.40 | $844.00 | $33.20 – $160.06 | 25 |
| Bactericidal level serum CPT 87197 | not published | not published | $6.61 – $34.25 | 25 |
| #bac vag cand-c. albicans naa CPT 87481 | $226.20 | $377.00 | $17.13 – $80.01 | 25 |
| Balloon dilate urtrl strix CPT 50706 | $1,873.20 | $3,122.00 | $40.89 – $1,416.85 | 21 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $8.40 | $14.00 | $0.35 – $4.19 | 20 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $35.89 – $1,553.00 | 39 |
| Bartonella dna pcr-sendout CPT 87471 | $282.60 | $471.00 | $17.13 – $80.01 | 25 |
| Basic vestibular evaluation CPT 92540 | $1,042.80 | $1,738.00 | $14.58 – $21.03 | 20 |
| Basiliximab HCPCS J0480 | $6,369.42 | $10,615.70 | $4,257.83 – $10,324.73 | 41 |
| Bausch health Ultrasound surg HCPCS V2788 | $597.00 | $995.00 | $74.78 – $74.78 | 11 |
| B cells total count CPT 86355 | $181.20 | $302.00 | $18.63 – $86.02 | 25 |
| Bckdhb gene CPT 81205 | not published | not published | $38.00 – $216.58 | 16 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $5.82 | $9.70 | $3.87 – $9.10 | 41 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $66.40 | $110.66 | $6.34 – $58.99 | 42 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $58.21 | $97.02 | $14.76 – $75.31 | 42 |
| Benign lesion paring 2-4 CPT 11056 | $276.00 | $460.00 | $3.67 – $294.40 | 22 |
| Benign lesion paring 4+ CPT 11057 | $460.80 | $768.00 | $4.80 – $491.52 | 41 |
| #_benzodiazconfur CPT 80346 | not published | not published | $6.48 – $51.87 | 16 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $121.88 | $203.14 | $16.44 – $41.18 | 22 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $291.00 | $485.00 | $5.54 – $58.03 | 25 |
| Beta-2 microglobulin CPT 82232 | $300.60 | $501.00 | $6.87 – $36.89 | 25 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $127.27 | $212.11 | $6.46 – $17.30 | 16 |
| Bevacizumab injection HCPCS C9257 | $19.56 | $32.60 | $2.09 – $6.06 | 36 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $260.40 | $434.00 | $7.61 – $41.95 | 14 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $200.40 | $334.00 | $4.23 – $23.43 | 14 |
| B-hexosaminidase ea assay CPT 83080 | $55.80 | $93.00 | $1.70 – $38.46 | 25 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $80.91 – $276.20 | 14 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,592.00 | $4,320.00 | $18.02 – $1,416.85 | 40 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $15.23 – $68.95 | 39 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $13.16 – $85.48 | 39 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $2.93 – $60.60 | 25 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $38.81 – $222.30 | 20 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $80.16 – $3,644.37 | 39 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $80.17 – $3,644.37 | 39 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $119.98 – $4,445.47 | 39 |
| Biliary endoscopy thru skin CPT 47555 | $3,017.40 | $5,029.00 | $95.93 – $4,631.00 | 41 |
| Biliary endoscopy thru skin CPT 47556 | $4,027.80 | $6,713.00 | $108.41 – $5,964.64 | 41 |
| Bilicheck CPT 88720 | $58.20 | $97.00 | $2.82 – $11.45 | 23 |
| Bilirubin direct CPT 82248 | $117.60 | $196.00 | $1.91 – $11.45 | 25 |
| Bilirubin total CPT 82247 | $126.60 | $211.00 | $1.91 – $11.45 | 25 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $385.55 – $1,826.80 | 20 |
| Biofeedback, pt CPT 90901 | not published | not published | $3.39 – $21.06 | 14 |
| Biopsy abdominal mass CPT 49180 | $1,405.20 | $2,342.00 | $21.85 – $1,416.85 | 40 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $80.85 – $1,132.89 | 39 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $102.19 – $1,132.89 | 39 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,552.80 | $2,588.00 | $14.59 – $1,656.32 | 41 |
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.