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 |
|---|---|---|---|---|
| Blood typing rbc ag non abo/rh ea CPT 86905 | $130.20 | $217.00 | $1.32 – $8.73 | 25 |
| Blood typing rh (d) CPT 86901 | $75.60 | $126.00 | $1.48 – $6.82 | 25 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $2.65 – $17.67 | 25 |
| Blood volume CPT 78122 | not published | not published | $14.16 – $327.11 | 42 |
| Bone biopsy open superficial CPT 20240 | $4,834.20 | $8,057.00 | $30.59 – $4,631.00 | 41 |
| Bone Density Scan (DEXA) CPT 77080 | $290.40 | $484.00 | $7.29 – $250.00 | 43 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $26.60 – $388.63 | 42 |
| Bone/joint imaging ltd area CPT 78300 | $1,392.00 | $2,320.00 | $19.62 – $306.73 | 42 |
| Bone marrow;aspiration only 38220 CPT 38220 | $634.20 | $1,057.00 | $11.69 – $954.45 | 40 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $792.00 | $1,320.00 | $14.40 – $1,285.51 | 40 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $37.81 – $779.23 | 39 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $37.69 – $2,350.28 | 39 |
| Bone marrow imaging body CPT 78104 | $1,479.00 | $2,465.00 | $27.26 – $418.82 | 42 |
| Bone marrow imaging ltd CPT 78102 | $859.20 | $1,432.00 | $17.97 – $291.65 | 42 |
| Bone marrow imaging mult CPT 78103 | $1,333.20 | $2,222.00 | $24.86 – $384.34 | 42 |
| Bone marrow interpretation CPT 85097 | $309.00 | $515.00 | $3.68 – $155.40 | 25 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $525.08 – $4,073.30 | 39 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $475.07 – $3,645.50 | 39 |
| Bone survey-lead poisoning CPT 77074 | $501.00 | $835.00 | $8.56 – $98.17 | 23 |
| Bone tendon board add on HCPCS C9356 | $4,077.60 | $6,796.00 | $26.94 – $26.94 | 6 |
| Boot j walker l HCPCS L4386 | $322.80 | $538.00 | $10.38 – $330.69 | 21 |
| Boot softgait shrt m HCPCS L4387 | $100.80 | $168.00 | $11.23 – $127.78 | 20 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $140.40 | $234.00 | $18.94 – $201.63 | 20 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $190.20 | $317.00 | $21.61 – $220.49 | 20 |
| Borrelia antibody CPT 86619 | not published | not published | $3.97 – $30.51 | 25 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $216.00 | $360.00 | $5.29 – $38.83 | 25 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $14.04 – $136.85 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $107.97 | $179.95 | $1.05 – $139.46 | 43 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.32 – $7.82 | 25 |
| Bowel imaging CPT 78290 | $1,472.40 | $2,454.00 | $24.13 – $614.92 | 42 |
| Brace afo lg left 6607 HCPCS L1930 | $57.00 | $95.00 | $16.10 – $16.10 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $118.88 – $1,132.89 | 39 |
| Brach/thor cath 1st CPT 36215 | $2,125.80 | $3,543.00 | $58.67 – $2,267.52 | 22 |
| Brach/thor cath 2nd CPT 36216 | $2,364.00 | $3,940.00 | $68.13 – $2,521.60 | 22 |
| Brach/thor cath 3rd CPT 36217 | $2,599.80 | $4,333.00 | $81.07 – $2,773.12 | 22 |
| Brach/thor cath addl CPT 36218 | $2,364.00 | $3,940.00 | $13.15 – $2,521.60 | 22 |
| Brachy source yttrium-90 HCPCS C2616 | $32,391.00 | $53,985.00 | $16,717.59 – $48,481.01 | 26 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $850.80 | $1,418.00 | $294.59 – $854.31 | 23 |
| Brachytx isodose complex CPT 77318 | $2,052.60 | $3,421.00 | $50.04 – $422.41 | 40 |
| Brachytx isodose intermed CPT 77317 | $1,808.40 | $3,014.00 | $34.49 – $311.29 | 40 |
| Brachytx isodose plan simple CPT 77316 | $1,000.20 | $1,667.00 | $26.36 – $238.47 | 40 |
| Braf gene CPT 81210 | $303.60 | $506.00 | $70.16 – $399.91 | 16 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $273.98 – $1,734.80 | 20 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $235.61 – $1,279.40 | 20 |
| Brain flow imaging only CPT 78610 | not published | not published | $10.62 – $327.11 | 42 |
| Brain image < 4 views CPT 78600 | not published | not published | $15.47 – $330.45 | 42 |
| Brain image 4+ views CPT 78605 | not published | not published | $19.10 – $350.58 | 42 |
| Brain image w/flow < 4 views CPT 78601 | $907.20 | $1,512.00 | $18.10 – $462.93 | 42 |
| Brain image w/flow 4 + views CPT 78606 | $2,673.00 | $4,455.00 | $22.13 – $611.35 | 42 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $582.60 | $971.00 | $64.53 – $1,048.58 | 43 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $582.60 | $971.00 | $42.97 – $700.00 | 43 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $582.60 | $971.00 | $42.97 – $700.00 | 43 |
| Brain MRI (with and without contrast) CPT 70553 | $582.60 | $971.00 | $59.48 – $700.00 | 43 |
| Brain MRI (with contrast) CPT 70552 | $582.60 | $971.00 | $50.29 – $700.00 | 43 |
| Brain MRI (without contrast) CPT 70551 | $582.00 | $970.00 | $36.33 – $700.00 | 43 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $187.20 – $1,067.04 | 23 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $233.69 – $1,332.04 | 23 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $55.94 – $855.57 | 23 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $120.54 – $687.08 | 23 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $113.15 – $644.97 | 23 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $74.05 – $422.07 | 23 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $55.94 – $855.57 | 23 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $113.15 – $644.97 | 23 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $106.02 – $1,003.20 | 23 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $901.17 – $4,160.73 | 23 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $100.17 – $2,942.05 | 39 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,255.20 | $7,092.00 | $25.52 – $4,538.88 | 41 |
| Breast punct aspir cyst, bil CPT 19000 | $1,009.80 | $1,683.00 | $6.97 – $1,416.85 | 41 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $235.05 – $5,294.05 | 39 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $280.99 – $2,266.77 | 20 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $247.08 – $2,030.73 | 20 |
| Breast reduction CPT 19318 | not published | not published | $172.71 – $2,482.82 | 39 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $4.18 – $13.90 | 20 |
| Breathing response hypoxia CPT 94450 | not published | not published | $9.97 – $18.80 | 20 |
| Breath recording infant CPT 94772 | not published | not published | $75.00 – $204.00 | 20 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $37.76 – $91.66 | 23 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $4.42 – $10.70 | 23 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $361.98 | $603.30 | $100.69 – $539.69 | 43 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $34.25 – $218.44 | 39 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $19.32 – $133.78 | 20 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $66.69 – $1,533.79 | 39 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $73.62 – $1,533.79 | 39 |
| Bronchial allergy tests CPT 95070 | $734.40 | $1,224.00 | $6.60 – $83.90 | 20 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $27.22 – $207.37 | 39 |
| Bronchial challenge CPT 94070 | $1,569.00 | $2,615.00 | $9.96 – $50.74 | 20 |
| Bronchial valve init insert CPT 31647 | not published | not published | $65.10 – $2,837.74 | 39 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $21.46 – $741.27 | 39 |
| Bronchial valve remov init CPT 31648 | not published | not published | $67.49 – $1,533.79 | 39 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $55.65 – $3,012.53 | 39 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $39.43 – $741.27 | 39 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $50.72 – $1,533.79 | 39 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $56.76 – $2,252.84 | 39 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $13.28 – $88.98 | 20 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $46.94 – $1,533.79 | 39 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $16.43 – $109.81 | 20 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $50.09 – $1,533.79 | 39 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $62.12 – $2,252.84 | 39 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $63.76 – $1,533.79 | 39 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $42.08 – $741.27 | 39 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $46.87 – $741.27 | 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.