Visits & medical services prices at Ascension St. Vincent Carmel

Carmel, IN · every code in this section with a posted price and a Medicare benchmark.

226 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 2 matching MRF lines
$99.60–$108 $166–$180 varies
Acoustic Reflex Testing (92568)
range across 3 matching MRF lines
$106.80–$160.20 $178–$267 varies
Admn Sarscov2 Vacc 1 Dose (90480)
range across 31 matching MRF lines
$80.40–$85.80 $134–$143 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $636.60 $1,061 2.8×
Aep neurodiagnostic i&r (92653) $979.20 $1,632 4.3×
Aep threshold estimation mlt frequencies i&r (92652) $979.20 $1,632 4.3×
Airway Inhalation Treatment (94640) $112.80 $188 0.5×
Allg test perq & ic drug/biol immed react w/ i&r (95018)
range across 2 matching MRF lines
$53.40–$73.80 $89–$123 varies
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 2 matching MRF lines
$628.20–$1,256.40 $1,047–$2,094 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $70.20 $117 4.9×
Assessment of aphasia per hr (96105) $308.40 $514 3.2×
Audiometry Air & Bone (92553)
range across 3 matching MRF lines
$93.60–$245.40 $156–$409 varies
Basic vestibular evaluation (92540) $1,042.80 $1,738 4.6×
Behavral qualit analys voice (92524) $132 $220 1.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $260.40 $434 3.2×
Bfb training ea addl 15 min (90913) $200.40 $334 6.1×
Biofeedback training any modality (90901) $100.80 $168 2.5×
Brief Emotional/Behav Assmt (96127) $90.60 $151 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $937.20 $1,562 2.4×
C motor evoked uppr limbs (95928) $749.40 $1,249 0.8×
C motor evoked upr&lwr limbs (95939) $1,150.20 $1,917 1.3×
Canalith repositioning proc (95992) $79.80 $133 2.0×
Car seat/bed test 60 min (94780) $305.40 $509 7.7×
Cardiac Stress Tst,Tracing Only (93017) $999 $1,665 4.4×
Cardiopulmonary resuscitation (92950) $1,483.80 $2,473 6.5×
Cardioversion (92960)
range across 2 matching MRF lines
$2,382–$2,553.60 $3,970–$4,256 varies
Cbt 1st hour (94644) $219 $365 1.6×
Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) $204 $340 1.4×
Chemo Anti-Neopl Sq/Im (96401) $497.40 $829 6.5×
Chemo Hormon Antineopl Sq/Im (96402) $497.40 $829 6.5×
Chemo IV infusion addl hr (96415) $304.20 $507 4.0×
Chemo IV push addl drug (96411) $433.80 $723 5.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $607.80 $1,013 8.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,210.20 $2,017 3.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $543 $905 1.6×
Chest Wall Manipulation (94668) $129 $215 0.9×
Color/duplex Doppler, complete (93975) $2,194.80 $3,658 8.7×
Color/duplex Doppler, limited (93976) $1,080 $1,800 9.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 5 matching MRF lines
$45–$87.60 $75–$146 varies
Comprehensive Hearing Test (92557)
range across 3 matching MRF lines
$153–$304.80 $255–$508 varies
Computerized dynamic posturography (92548) $147 $245 1.0×
Conditioning Play Audiometry (92582)
range across 3 matching MRF lines
$89.40–$213 $149–$355 varies
Continuous Pulse Ox (94762) $547.20 $912 4.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $685.20 $1,142 3.0×
Cpt initial (94667) $142.20 $237 1.0×
Critical care first hour (99291) $3,762 $6,270 4.3×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,360.20 $2,267 3.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$199.80–$356.40 $333–$594 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 3 matching MRF lines
$381.60–$763.20 $636–$1,272 varies
Dialysis One Evaluation (90945) $1,568.40 $2,614 3.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 3 matching MRF lines
$229.80–$244.80 $383–$408 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,644.60 $2,741 6.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $986.40 $1,644 8.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $810.60 $1,351 7.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,558.20 $2,597 6.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $934.20 $1,557 8.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,751.40 $2,919 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,120.20 $1,867 10.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,201.20 $2,002 4.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $600.60 $1,001 5.4×
Duplex Scan Hemodialysis Access (93990) $787.80 $1,313 7.1×
Duplex up extrem art bilat (93930) $1,493.40 $2,489 5.9×
Duplex up extrem art unilat/ltd (93931) $872.40 $1,454 7.9×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 3 matching MRF lines
$381.60–$763.20 $636–$1,272 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 2 matching MRF lines
$585.60–$1,171.20 $976–$1,952 varies
Ear Protector Evaluation (92596) $95.40 $159 2.4×
Echo Congenital Complete (93303) $1,335 $2,225 2.3×
Echo Heart Xthoracic,Limited (93308) $720.60 $1,201 2.9×
Echo transesophageal (93312) $2,854.80 $4,758 4.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,572.80 $4,288 4.5×
Eeg 41-60 Minutes (95812) $1,577.40 $2,629 6.9×
EEG awake and asleep (95819) $1,040.40 $1,734 4.6×
EEG awake drowsy (95816) $838.20 $1,397 3.7×
EEG cerebral death evaluation (95824) $825 $1,375 2.1×
EEG cont rec w/video by tech min 8 channels (95700) $616.80 $1,028 2.7×
EEG extended monitoring 61-119 minutes (95813) $1,577.40 $2,629 6.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $621 $1,035 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $3,508.80 $5,848 8.9×
Electrical Stimulation Ea 15 Min (97032) $79.20 $132 5.4×
Electrocardiogram Tracing (93005) $301.20 $502 4.8×
Electroconvulsive Therapy (90870) $1,636.20 $2,727 1.8×
Emergency Dept Visit Level 2 (99282) $525 $875 3.2×
Emergency Dept Visit Level 3 (99283) $1,047 $1,745 3.6×
Emergency Dept Visit Level 4 (99284) $2,568 $4,280 5.8×
Emg 3 Extremities (95863) $1,680 $2,800 12.3×
Emg 4 Extremities (95864) $722.40 $1,204 5.3×
Er level 1 (99281) $345.60 $576 3.9×
Er level v (99285) $3,146.40 $5,244 5.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $285.60 $476 2.1×
Evaluate Speech Production (92522) $128.40 $214 1.1×
Evaluate Swallowing Function (92610) $240 $400 2.8×
Evaluation of speech fluency (92521) $157.20 $262 1.2×
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines
$139.20–$219.60 $232–$366 varies
External ECG rec>48hr<7d recording (93242) $384 $640 9.7×
External ECG rec>7d<15d recording (93246) $766.20 $1,277 19.4×
Extracranial Bilat Study (93880) $1,586.40 $2,644 6.3×
Extracranial Uni/Ltd Study (93882) $729 $1,215 6.6×
F-up/limited tthrc echo congenital car anomaly (93304) $643.20 $1,072 1.1×
Flexible endoscopic eval swallow c/v rec (92612) $332.40 $554 1.7×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,686 $2,810 4.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,013 $3,355 2.2×
Gi tract capsule endoscopy (91110) $3,570.60 $5,951 3.7×
Group Therapeutic Procedures (97150) $13.20 $22 0.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,697.40 $2,829 2.3×
Holter monitor recording (93225) $408 $680 2.9×
Immunization administration (90471)
range across 4 matching MRF lines
$85.80–$99 $143–$165 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $734.40 $1,224 1.9×
Insert/Place Heart Catheter (93503) $2,650.80 $4,418 1.6×
Iontophoresis 15 min (97033) $85.80 $143 4.5×
Irrig Drug Delivery Device (96523) $302.40 $504 4.8×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$91.80–$102.60 $153–$171 varies
IV infusion hydration initial 31 min-1 hour (96360) $413.40 $689 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $221.40 $369 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $129 $215 2.6×
IV push initial (96374) $306.60 $511 1.4×
Laryngeal Function Studies (92520) $342.60 $571 2.4×
Low frequency non-thermal us (97610) $233.40 $389 1.1×
Lung Function Test (Mbc/Mvv) (94200) $360 $600 5.8×
Mechanical chest wall oscillation per session (94669) $148.80 $248 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.60 $56 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33.60 $56 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $53.40 $89 3.1×
Methacholine challenge (94070) $1,569 $2,615 4.0×
Motility study esophagus (91010) $1,686 $2,810 4.3×
Motion Fluoroscopy/Swallow (92611) $336 $560 3.7×
Muscle Test 2 Limbs (95861) $1,344.60 $2,241 9.6×
Muscle Test One Limb (95860) $1,007.40 $1,679 7.2×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$126.60–$169.20 $211–$282 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $633.60 $1,056 2.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $484.20 $807 2.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $300.60 $501 1.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $693.60 $1,156 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$137.40–$175.80 $229–$293 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$157.80–$201.60 $263–$336 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$137.40–$146.40 $229–$244 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $157.80 $263 0.4×
Nerve Conduction Studies 1-2 Studies (95907) $678 $1,130 3.0×
Nerve Conduction Studies 11-12 Studies (95912) $5,195.40 $8,659 13.2×
Nerve conduction studies 13 or more studies (95913) $6,099.60 $10,166 15.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,582.20 $2,637 6.9×
Nerve conduction studies 5-6 studies (95909) $2,487 $4,145 10.9×
Nerve conduction studies 7-8 studies (95910) $3,388.80 $5,648 8.6×
Nerve Conduction Studies 9-10 Studies (95911) $4,293 $7,155 10.9×
Neuromuscular Reeducation (97112) $73.80 $123 2.3×
Newborn resuscitation (99465) $725.40 $1,209 1.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $586.20 $977 1.5×
Optokinetic Nystagmus Test (92544) $211.20 $352 1.6×
Oral Function Therapy (92526)
range across 17 matching MRF lines
$53.40–$211.20 $89–$352 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$246.60–$329.40 $411–$549 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $69.60 $116 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 7 matching MRF lines
$54–$79.20 $90–$132 varies
Oscillating Tracking Test (92545) $233.40 $389 1.0×
Ot Contrast Bath Ea 15 Min (97034) $18.60 $31 1.3×
Ot eval high complexity (97167) $263.40 $439 2.6×
Ot Eval Low Complex (97165) $159 $265 1.6×
Ot Eval Moderate Complexity (97166) $159 $265 1.6×
Ot manual therapy 15 min (97140)
range across 6 matching MRF lines
$54–$96 $90–$160 varies
Ot paraffin bath (97018) $66 $110 11.0×
Ot Prosthetic Training, Each 15 Min (97761) $75.60 $126 1.9×
Ot Re-Eval Est Plan Care (97168) $139.20 $232 2.0×
Phlebotomy therapeutic (99195) $384 $640 2.7×
Photochemotx Psoralens&Ultraviolet Puva (96912) $118.20 $197 1.9×
Physical Performance Test (97750)
range across 8 matching MRF lines
$48–$79.20 $80–$132 varies
Plethysmography (94726) $403.80 $673 1.0×
Positional nystagmus test (92542) $289.20 $482 2.1×
Psych diag eval w/med srvcs (90792) $297 $495 1.6×
Psychiatric diagnostic evaluation (90791) $560.40 $934 3.0×
Pt Eval High Complex (97163) $279 $465 2.9×
Pt eval low complex 20 min (97161) $111 $185 1.1×
Pt Eval Mod Complex (97162) $159 $265 1.6×
Pt gait training 15 min (97116) $73.80 $123 2.5×
Pt mechanical traction (97012) $100.80 $168 7.0×
Pt Re-Eval Est Plan Care (97164) $152.40 $254 2.3×
Pt ultraviolet (97028) $42.60 $71 5.1×
Pulmonary service/procedure (94799)
range across 5 matching MRF lines
$128.40–$508.20 $214–$847 varies
Pulmonary Stress Testing (94618) $482.40 $804 3.4×
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines
$67.80–$169.80 $113–$283 varies
Respiratory flow volume loop (94375) $357 $595 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$109.20–$191.40 $182–$319 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 4 matching MRF lines
$231–$308.40 $385–$514 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $108 $180 2.3×
Select picture audiometry (92583) $110.40 $184 1.8×
Self Care Mngment Training (97535)
range across 10 matching MRF lines
$67.80–$73.80 $113–$123 varies
Sensory Integration Ea 15 Min (97533) $79.80 $133 1.3×
Short-latency somatosens ep std upr limbs (95925) $1,360.20 $2,267 6.0×
Somatosensory Testing (95938) $1,959.60 $3,266 2.2×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$99.60–$201.60 $166–$336 varies
Speech audiometry threshold (92555)
range across 4 matching MRF lines
$36.60–$90.60 $61–$151 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$132–$264 $220–$440 varies
Spirometry (94010) $556.80 $928 2.4×
Spontaneous Nystagmus Test (92541) $300.60 $501 2.1×
Ssep lower limbs (95926) $1,046.40 $1,744 4.6×
Stenger Test Speech (92577) $306 $510 0.8×
Stenger Test, Pure Tone (92565)
range across 2 matching MRF lines
$37.80–$75.60 $63–$126 varies
Surfactant Admin Thru Tube (94610) $112.80 $188 0.5×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$1,112.40–$1,282.80 $1,854–$2,138 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $91.80 $153 4.1×
Ther Ivntj Ea Addl 15 Min (97130) $79.80 $133 3.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $86.40 $144 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $157.20 $262 2.1×
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$460.20–$517.20 $767–$862 varies
Therapeutic Activities (97530)
range across 6 matching MRF lines
$48–$73.80 $80–$123 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $121.20 $202 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $50 0.8×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$1,554.60–$2,352 $2,591–$3,920 varies
Tte W/O Doppler Complete (93307) $942 $1,570 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 14 matching MRF lines
$52.20–$253.80 $87–$423 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $216 $360 4.4×
Tympanometry (92567)
range across 3 matching MRF lines
$69–$138 $115–$230 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$253.80–$273.60 $423–$456 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,686 $2,810 12.4×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines
$49.80–$153.60 $83–$256 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$343.20–$686.40 $572–$1,144 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,071.60 $1,786 4.7×
Vasopneumatic device (97016) $78 $130 6.5×
Veeg 2-12 Hr Cont Mntr (95713) $1,191 $1,985 3.0×
Veeg 2-12 hr intmt mntr (95712) $616.80 $1,028 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,191 $1,985 3.0×
Veeg ea 12-26hr cont mntr (95716) $2,229.60 $3,716 2.5×
Vent Mgmt Inpat Init Day (94002) $1,434.60 $2,391 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,290 $2,150 2.0×
Visual Evoked Potential Test (95930) $1,640.40 $2,734 7.2×
Visual reinforcement audiometry (vra) (92579)
range across 3 matching MRF lines
$97.80–$193.80 $163–$323 varies
Vital capacity, total (94150) $134.40 $224 1.0×
Wheelchair Mgmt Ea 15 Min (97542)
range across 5 matching MRF lines
$73.80–$79.80 $123–$133 varies
Whirlpool Therapy (97022) $111.60 $186 7.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.