Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.)
13500 N Meridian St, Carmel, IN · Ascension · · NPI 1639124134
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 |
|---|---|---|---|---|
| Urinalysis microscopic only CPT 81015 | $54.00 | $90.00 | $1.32 – $6.95 | 24 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.07 – $4.95 | 24 |
| Urinalysis (with microscopy) CPT 81001 | $135.00 | $225.00 | $2.35 – $7.23 | 24 |
| Urinalysis (without microscopy) CPT 81003 | $101.40 | $169.00 | $1.32 – $5.13 | 24 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $5.51 – $139.11 | 22 |
| Urinary reflex study CPT 51792 | not published | not published | $39.64 – $115.54 | 20 |
| Urine Culture Test CPT 87086 | $223.80 | $373.00 | $2.65 – $18.40 | 24 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $4.48 – $26.54 | 20 |
| Urine pregnancy test CPT 81025 | $159.60 | $266.00 | $1.32 – $19.63 | 24 |
| Urine screen for bacteria CPT 81007 | not published | not published | $1.32 – $68.35 | 24 |
| Urine shunt to intestine CPT 50815 | not published | not published | $271.71 – $1,751.20 | 19 |
| Urography, antegrade CPT 74425 | $351.00 | $585.00 | $8.78 – $136.74 | 22 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $14.06 – $177.91 | 41 |
| Urokinase 250,000 iu inj HCPCS J3365 | $905.51 | $1,509.18 | $0.02 – $549.27 | 20 |
| Urokinase 5000 iu injection HCPCS J3364 | $199.82 | $333.03 | $0.02 – $10.98 | 20 |
| Use 1st target lesion CPT 76982 | not published | not published | $20.31 – $438.79 | 39 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,183.44 | $5,305.74 | $12.33 – $37.47 | 37 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $42,196.74 | $70,327.90 | $151.31 – $744.49 | 41 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $134.40 – $363.71 | 17 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $134.40 – $330.89 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $120.75 – $350.78 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $80.85 – $197.51 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $60.37 – $147.49 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $49.35 | $82.25 | $20.00 – $64.80 | 21 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $180.74 | $301.23 | $70.26 – $229.59 | 22 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $131.65 | $219.41 | $47.21 – $137.43 | 21 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $149.52 – $339.41 | 14 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $107.55 – $281.33 | 22 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $52.77 | $87.95 | $24.96 – $68.81 | 21 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $48.82 | $81.37 | $17.37 – $30.00 | 21 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $178.07 | $296.78 | $63.51 – $158.58 | 21 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $201.80 | $336.33 | $15.38 – $294.15 | 22 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $120.25 | $200.41 | $29.93 – $85.52 | 21 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $24.28 – $36.00 | 19 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $59.42 – $169.09 | 21 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $175.91 | $293.18 | $52.71 – $167.16 | 21 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $446.88 | $744.80 | $59.42 – $378.68 | 21 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $45.91 | $76.51 | $28.76 – $69.23 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $441.38 | $735.64 | $196.44 – $692.12 | 22 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $418.42 | $697.37 | $0.02 – $485.43 | 21 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $179.55 | $299.25 | $37.53 – $187.85 | 21 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $48.00 – $187.85 | 15 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $13.91 – $49.19 | 21 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.88 | $79.80 | $15.19 – $50.29 | 21 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $15.30 – $46.01 | 21 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $66.43 – $152.96 | 15 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $47.65 | $79.42 | $21.64 – $50.71 | 21 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $49.02 | $81.70 | $16.36 – $46.99 | 21 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $8.08 – $22.99 | 21 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $26.88 – $64.51 | 15 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $53.06 | $88.44 | $65.26 – $261.11 | 22 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $19.27 – $82.91 | 20 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.34 – $24.59 | 20 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $322.90 | $538.17 | $210.57 – $503.44 | 22 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $175.77 – $428.09 | 22 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $155.36 – $678.86 | 21 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $329.24 | $548.73 | $99.42 – $354.04 | 22 |
| Vaccine mmr live subcutaneous CPT 90707 | $417.25 | $695.41 | $65.98 – $208.10 | 21 |
| Vaccine mmrv live subcutaneous CPT 90710 | $424.32 | $707.20 | $267.62 – $625.86 | 22 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $166.40 | $277.33 | $73.72 – $310.94 | 22 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $429.30 | $715.50 | $161.77 – $580.48 | 22 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $226.10 – $570.51 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $633.56 | $1,055.93 | $260.66 – $670.59 | 18 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $119.17 | $198.62 | $7.76 – $95.94 | 21 |
| Vaccine rabies im CPT 90675 | $659.39 | $1,098.99 | $259.48 – $1,026.16 | 41 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $659.71 | $1,099.51 | $300.90 – $663.75 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,105.21 | $1,842.01 | $495.00 – $1,169.44 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,105.21 | $1,842.01 | $495.00 – $1,169.44 | 12 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $285.60 – $661.50 | 12 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $111.01 – $312.17 | 21 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $191.74 | $319.57 | $95.00 – $255.11 | 22 |
| Vaccine tdap >=7 years im CPT 90715 | $131.34 | $218.90 | $35.96 – $86.67 | 21 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $120.13 | $200.21 | $17.04 – $98.24 | 21 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $94.59 – $314.08 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | $313.70 | $522.84 | $114.27 – $411.75 | 22 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $109.15 – $462.31 | 21 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 12 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $228.08 – $1,266.80 | 19 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $289.03 – $1,624.12 | 19 |
| Vag hyst including t/o CPT 58262 | not published | not published | $211.65 – $2,090.81 | 38 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $305.27 – $1,718.60 | 19 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $280.78 – $1,577.13 | 19 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $203.22 – $1,128.27 | 19 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $972.90 – $1,786.14 | 17 |
| Vaginal bx CPT 58999 | not published | not published | $0.01 – $0.01 | 11 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $155.12 – $1,072.59 | 19 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $307.69 – $2,263.19 | 13 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $189.28 – $2,090.81 | 38 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $366.10 – $2,028.44 | 19 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $372.50 – $2,094.03 | 19 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $206.70 – $1,140.02 | 19 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $26.37 – $152.00 | 19 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $264.67 – $1,213.30 | 19 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $260.67 – $1,192.70 | 19 |
| Valproic acid total therapeutic drug level CPT 80164 | $291.00 | $485.00 | $4.54 – $30.87 | 24 |
| Valrubicin injection HCPCS J9357 | $2,929.63 | $4,882.72 | $1,115.81 – $4,281.24 | 41 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $393.22 – $9,845.53 | 20 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $565.18 – $1,817.96 | 13 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $669.74 – $2,154.28 | 13 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $407.36 – $15,990.66 | 20 |
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.