Quick answers
- Does Ascension St Vincent Carmel have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Ascension St Vincent Carmel. In a medical emergency, call 911.
- Where is Ascension St Vincent Carmel?
- 13500 N Meridian St, Carmel, IN 46032, in Hamilton County, Indiana.
- What is the phone number of Ascension St Vincent Carmel?
- (317) 582-7000, as listed by Medicare (CMS).
- What is the Medicare star rating of Ascension St Vincent Carmel?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Ascension St Vincent Carmel for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Ascension St Vincent Carmel under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1839; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][6][7][8][9]
- Cancer care
- Bariatric surgery
- Pediatric specialty services
- Perinatal care
- Maternity (Birthing Center)
- Emergency medicine
- Breast care and breast imaging
- Weight management
- Obstetrics and gynecology (OB-GYN)
- Maternal-fetal medicine
- Neonatal intensive care (NICU)
- Midwifery
- Rehabilitation services
- Imaging
- Laboratory services
- Plastic and reconstructive surgery
Conditions treated[6][7][9]
- Heart attack
- Stroke
- Concussion
- Broken bones
- Ductal carcinoma in situ (DCIS)
- Invasive ductal carcinoma
- Inflammatory breast cancer
- Invasive lobular carcinoma
- Male breast cancer
- Metastatic breast cancer
- High-risk pregnancy
- Gestational diabetes
- Preeclampsia
- Multiple pregnancy (carrying multiples)
- Congenital abnormalities (care coordination)
Treatments[4][6][7][8][9]
- Breast imaging and testing
- Hormone therapy (breast care)
- Lymph node transplantation
- Breast reconstruction and reshaping
- Behavior modification for weight loss
- Dietary counseling
- Bariatric support groups
- Labor, delivery and postpartum care
- Prenatal care
- Breastfeeding support
- Midwifery services
- Neonatal intensive care
- Pediatric emergency care
- Digital imaging (X-ray, CT, ultrasound) in the ER
Procedures[4][7][8][9]
- Minimally invasive procedures
- Sleeve gastrectomy
- Roux-en-Y gastric bypass
- Biliopancreatic diversion with duodenal switch
- Breast-conserving surgery
- Mastectomy
- Lumpectomy
- Hidden Scar breast surgery
- Minimally invasive breast biopsy
- 3D mammography (tomosynthesis)
- Mammography
- Breast ultrasound
- Transabdominal cerclage (TAC)
Programs and centers[4][6][7][8][9][10]
- Birthing Center
- Bariatric Center with weight-loss seminars
- Breast Center
- Maternal-fetal medicine (high-risk pregnancy) program
- Childbirth classes
- Health Access (care coordination and health advocates)
- Chaplain and spiritual care (24/7)
- Primary Stroke Center program
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Visiting | No hours listed. Children under 16 need an adult. Sick visitors should stay home. NICU, PICU, ER, labor and delivery and surgery have extra rules[11] |
|---|---|
| Parking | No-fee parking on campus, plus free valet at entrances 3 and 5. Entrance 1 is the ER and entrance 2 is the main entrance[10] |
| Interpreters and languages | Services for deaf or hard-of-hearing patients and limited English proficiency; tell registration or your nurse[10] |
| Patient portal | Ascension One |
Recognition[4][6][8][9]
- Primary Stroke Center
- Center of Excellence in Robotic Surgery (SRC)
- MBSAQIP-accredited bariatric center
- 2026 High Performing Hospital for Maternity Care (U.S. News & World Report)
- Certified National Safe Sleep Hospital (Cribs for Kids)
Doctors and clinicians (495)
495 doctors and other clinicians list Ascension St Vincent Carmel as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Internal Medicine68
- Family Practice64
- Nurse Practitioner58
- Anesthesiology37
- Diagnostic Radiology33
- Physician Assistant24
- Obstetrics/Gynecology23
- Cardiovascular Disease (Cardiology)19
- Orthopedic Surgery18
- General Surgery15
- Gastroenterology15
- Pulmonary Disease12
Doctors with a page on this site (495)
- Aaron G. Shoemaker, MDInternal Medicine
- Abed Albadri, NPNurse Practitioner
- Abhijit Seetharam, MDOrthopedic Surgery
- Abigail M. LangkabelPhysician Assistant
- Abner E. Mercado Arocho, MDDiagnostic Radiology
- Adam M. Huff, MDOrthopedic Surgery
- Adrienne M. Hoagland, NPNurse Practitioner
- Adrienne Rasbach, MDObstetrics/Gynecology
- Ahmad AlkashashPathology
- Aiden R. Thompson, MDAnesthesiology
- Albert SyPathology
- Alex Gutierrez, MDEmergency Medicine
- Alex M. Meyers, MDHand Surgery
- Alexa R. Winter, PAPhysician Assistant
- Alexander J. Tatem, MDUrology
- Alexander Slaten, DOCardiovascular Disease (Cardiology)
- Ali H. Jawad, MDOrthopedic Surgery
- Alicia Topoll, MDCardiovascular Disease (Cardiology)
- Allie Waltz, PAPhysician Assistant
- Alta M. Skelton, NPNurse Practitioner
- Amanda F. Swingley, DOGastroenterology
- Amanda J. Lyon, MDCardiovascular Disease (Cardiology)
- Amanda L. Born, MDObstetrics/Gynecology
- Amanda M. HouchensFamily Practice
And 471 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- St Vincent Heart Center3.6 mi · Carmel, IN · Acute Care Hospital
- Ascension St Vincent Hospital5.7 mi · Indianapolis, IN · Acute Care Hospital
- Riverview Health7.7 mi · Noblesville, IN · Acute Care Hospital
- Community Hospital North8.0 mi · Indianapolis, IN · Acute Care Hospital
- Ascension St Vincent Fishers11 mi · Fishers, IN · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Carmel
- Indianapolis Rehabilitation Hospital, LLC1.4 mi · Carmel, IN · Inpatient Rehabilitation Hospital
- Ascension St Vincent Seton Specialty Hospital6.5 mi · Indianapolis, IN · Long-Term Acute Care Hospital
- Kindred Hospital Indianapolis North7.2 mi · Indianapolis, IN · Long-Term Acute Care Hospital
All hospitals in Carmel · Hospitals in Hamilton County · Hospitals near me
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Majestic Care of Carmel0.8 mi · Carmel, IN · 4 of 5 stars
- Restoracy of Carmel1.4 mi · Carmel, IN · 4 of 5 stars
- Wellbrooke of Carmel1.4 mi · Carmel, IN · 3 of 5 stars
All nursing homes in the state →
Hospice providers
- Anchor of Hope Hospice2.1 mi · Carmel, IN
- Corsocare Hospice of Indiana, LLC2.1 mi · Carmel, IN
- Legacy Hospice LLC2.1 mi · Carmel, IN
All hospice providers in the state →
Home health agencies
- Adoration Home Health2.1 mi · Carmel, IN · 4.5 of 5 stars
- Elite Home Rehab and Healthcare Corp2.1 mi · Carmel, IN · 3.5 of 5 stars
- Independent Home Health Care LLC2.1 mi · Carmel, IN · 3.5 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DaVita Carmel Dialysis2.1 mi · Carmel, IN · 3 of 5 stars
- Dialyze Direct Carmel, IN2.1 mi · Carmel, IN
- FMC - Carmel2.1 mi · Carmel, IN · 2 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Carmel Specialty Surgery Center LLC2.1 mi · Carmel, IN
- Endoscopy Center LLC2.1 mi · Carmel, IN
- Franciscan Orthopedic Surgery Center, LLC2.1 mi · Carmel, IN
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Aspire Indiana Health - Carmel Admin0.2 mi · Carmel, IN · Community health center
- Shalom Health Care Center 92nd Street Site4.4 mi · Indianapolis, IN · Community health center
- Indiana Math and Science Academy North6.6 mi · Indianapolis, IN · Community health center
Clinics and urgent care
- Access Urgent Care LLC2.1 mi · Carmel, IN · Urgent care center
- Carmel Urgent Care Walk in Clinic PC2.1 mi · Carmel, IN · Urgent care center
- Franciscan Physician Network2.1 mi · Carmel, IN · Urgent care center
Pharmacies
- Apotheco Pharmacy Carmel LLC2.1 mi · Carmel, IN · Community/retail pharmacy
- Bonk Ventures LLC2.1 mi · Carmel, IN · Pharmacy
- Giant Eagle Inc2.1 mi · Carmel, IN · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Brookdale Carmel2.1 mi · Carmel, IN
- Chapters Living of Carmel2.1 mi · Carmel, IN
- Independence Village of Carmel2.1 mi · Carmel, IN
- Rose Senior Living Carmel2.1 mi · Carmel, IN
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Ascension St Vincent Carmel reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 4 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 2 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 2 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 73%National average: 72% |
| Would definitely recommend the hospital | 73%National average: 71% |
| Nurses “always” communicated well | 76%National average: 80% |
| Doctors “always” communicated well | 82%National average: 80% |
| “Always” got help as soon as they wanted | 58%National average: 64% |
| Staff “always” explained medicines before giving them | 57%National average: 62% |
| Were given information about recovery at home | 83%National average: 86% |
| Room and bathroom “always” clean | 67%National average: 73% |
| Completed surveys | 373Response rate: 16% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 1.604No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 1.503No different from the national benchmark |
| Surgical site infections after colon surgery | 0No different from the national benchmark |
| MRSA bloodstream infections | 0.822No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.739No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart failure patients | 11.8% |
|---|---|
| Deaths within 30 days: pneumonia patients | 16.4% |
| Deaths within 30 days: stroke patients | 11.1% |
| Serious complications (patient safety indicator PSI-90) | 0.81No different from the national rate |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
| Too few cases to report | Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 15.4% |
|---|---|
| Readmitted within 30 days: heart failure | 20.3% |
| Readmitted within 30 days: pneumonia | 18.8% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 180 minutesNational average: 162 minutes |
|---|---|
| Sepsis patients who got all the recommended early care (SEP-1) | 60%National average: 66% |
| Not reported to Medicare | Patients who left the emergency room before being seen (OP-22) |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Ascension St Vincent Carmel, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.1839Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart failure | 0.9592Fewer readmissions than expected |
|---|---|
| Pneumonia | 1.0072More readmissions than expected |
| COPD (chronic lung disease) | 0.9890Fewer readmissions than expected |
| No result published | Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 0.97Below the national median hospital (1.00): Medicare spent less |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Ascension St Vincent Carmel lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 85 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN | Not listed in the file | Not listed in the file | $12.11 – $106.19 |
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN | Not listed in the file | Not listed in the file | $12.11 – $106.19 |
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier AS In the file: OFFICE O/P NEW LOW 30 MIN | Not listed in the file | Not listed in the file | $12.11 – $106.19 |
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN | Not listed in the file | Not listed in the file | $20.23 – $162.17 |
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN | Not listed in the file | Not listed in the file | $20.23 – $162.17 |
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier AS In the file: OFFICE O/P NEW MOD 45 MIN | Not listed in the file | Not listed in the file | $20.23 – $162.17 |
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN | Not listed in the file | Not listed in the file | $26.31 – $201.30 |
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN | Not listed in the file | Not listed in the file | $26.31 – $201.30 |
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier AS In the file: OFFICE O/P NEW HI 60 MIN | Not listed in the file | Not listed in the file | $26.31 – $201.30 |
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 ESTABLISHED | $556 | $333.60 | $7.82 – $71.77 |
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 W/PROC | $556 | $333.60 | $7.82 – $71.77 |
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: WOC/ASSESS/15 MIN TRT | $556 | $333.60 | $7.82 – $71.77 |
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 ESTABLISHED | $667 | $400.20 | $12.21 – $105.54 |
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 W/PROC | $667 | $400.20 | $12.21 – $105.54 |
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OSTOMY LEVEL II EVAL/EDUCATION | $667 | $400.20 | $12.21 – $105.54 |
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | Not listed in the file | Not listed in the file | $106.19 – $122.56 |
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | Not listed in the file | Not listed in the file | $106.19 – $122.56 |
Office consultation with a specialist (moderate): rates for 2 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | Not listed in the file | Not listed in the file | $112.90 – $192.58 |
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | Not listed in the file | Not listed in the file | $112.90 – $192.58 |
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39 | Not listed in the file | Not listed in the file | $91.85 – $131.20 |
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39 | Not listed in the file | Not listed in the file | $91.85 – $131.20 |
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64 | Not listed in the file | Not listed in the file | $106.22 – $161.10 |
Preventive checkup, new patient, age 40–64: 10 of 13 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64 | Not listed in the file | Not listed in the file | $106.22 – $161.10 |
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 3 W/ PROCEDURE | $1,745 | $1,047 | $11.03 – $102.81 |
Emergency room visit (moderate): 10 of 13 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 3 | $1,745 | $1,047 | $11.03 – $102.81 |
Emergency room visit (moderate): 10 of 13 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED VISIT LEVEL 3 W/ PROCEDURE | $1,745 | $1,047 | $11.03 – $102.81 |
Emergency room visit (moderate): 10 of 11 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 4 | $4,280 | $2,568 | $20.44 – $174.23 |
Emergency room visit (moderately high): 10 of 13 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 4 W/ PROCEDURE | $4,280 | $2,568 | $20.44 – $174.23 |
Emergency room visit (moderately high): 10 of 13 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED VISIT LEVEL 4 W/ PROCEDURE | $4,280 | $2,568 | $20.44 – $174.23 |
Emergency room visit (moderately high): 10 of 11 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 5 | $5,244 | $3,146.40 | $30.50 – $252.81 |
Emergency room visit (high): 10 of 13 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED VISIT LEVEL 5 W/ PROCEDURE | $5,244 | $3,146.40 | $30.50 – $252.81 |
Emergency room visit (high): 10 of 13 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED VISIT LEVEL 5 W/ PROCEDURE | $5,244 | $3,146.40 | $30.50 – $252.81 |
Emergency room visit (high): 10 of 11 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL | $363 | $217.80 | $3.47 – $19.29 |
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL | $363 | $217.80 | $3.47 – $19.29 |
Basic metabolic panel (blood test): rates for 3 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA | Not listed in the file | Not listed in the file | $3.47 – $19.29 |
Basic metabolic panel (blood test): 10 of 26 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL | $565 | $339 | $5 – $24.08 |
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: #COMPREHENSIVE METABOLIC PANEL | $66 | $39.60 | $5 – $24.08 |
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL | $565 | $339 | $5 – $24.08 |
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL | $640 | $384 | $13.22 – $109.01 |
Obstetric blood test panel: 10 of 26 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL | $640 | $384 | $13.22 – $109.01 |
Obstetric blood test panel: rates for 3 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · modifier TC In the file: OBSTETRIC PANEL | $640 | $384 | $13.22 – $109.01 |
Obstetric blood test panel: rates for 2 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL | $509 | $305.40 | $6.02 – $30.53 |
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL | $509 | $305.40 | $6.02 – $30.53 |
Cholesterol panel (lipid panel): rates for 3 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier TC In the file: LIPID PANEL | $509 | $305.40 | $6.02 – $30.53 |
Cholesterol panel (lipid panel): rates for 2 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL | $528 | $316.80 | $4.11 – $19.79 |
Kidney function panel: 10 of 26 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL | $528 | $316.80 | $4.11 – $19.79 |
Kidney function panel: rates for 3 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier TC In the file: RENAL FUNCTION PANEL | $528 | $316.80 | $4.11 – $19.79 |
Kidney function panel: rates for 2 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL | $402 | $241.20 | $2.99 – $18.63 |
Liver function panel: 10 of 26 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL | $402 | $241.20 | $2.99 – $18.63 |
Liver function panel: rates for 3 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier TC In the file: HEPATIC FUNCTION PANEL | $402 | $241.20 | $2.99 – $18.63 |
Liver function panel: rates for 2 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALS DIPSTICK AUTO W/MICR | $225 | $135 | $2.35 – $7.23 |
Urine test (automated, with microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALS DIPSTICK AUTO W/MICR | $225 | $135 | $2.35 – $7.23 |
Urine test (automated, with microscope): rates for 3 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE | Not listed in the file | Not listed in the file | $2.35 – $7.23 |
Urine test (automated, with microscope): 10 of 26 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALS DIPSTICK NON-AUTOWO/MI | $99 | $59.40 | $1.32 – $7.93 |
Urine test (manual, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: #URINALYSIS DIP STICK;NON-AUTO | $18 | $10.80 | $1.32 – $7.93 |
Urine test (manual, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: #URINALYSIS DIP STICK;NON-AUTO | $18 | $10.80 | $1.32 – $7.93 |
Urine test (manual, without microscope): rates for 3 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALS DIPSTICK AUTO WO/MICR | $169 | $101.40 | $1.32 – $5.13 |
Urine test (automated, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: #URINALYSIS DIP STICK;AUTO | $109 | $65.40 | $1.32 – $5.13 |
Urine test (automated, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALS DIPSTICK AUTO WO/MICR | $169 | $101.40 | $1.32 – $5.13 |
Urine test (automated, without microscope): rates for 3 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC AG(PSA);TTL | $588 | $352.80 | $6.61 – $41.93 |
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: #PROSTATE SPECIFIC AG(PSA);TTL | $116 | $69.60 | $6.61 – $41.93 |
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATE SPECIFIC AG(PSA);TTL | $588 | $352.80 | $6.61 – $41.93 |
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULAT HORMONE(TSH) | $502 | $301.20 | $5.29 – $38.30 |
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: #THYROID STIMULAT HORMONE(TSH) | $136 | $81.60 | $5.29 – $38.30 |
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: #THYROID STIMULAT HORMONE(TSH) | $136 | $81.60 | $5.29 – $38.30 |
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC+DIFF WBC; CMPLT AUTO | $284 | $170.40 | $3.68 – $17.72 |
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: #CBC+DIFF WBC;CMPLT AUTO | $50 | $30 | $3.68 – $17.72 |
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC+DIFF WBC; CMPLT AUTO | $284 | $170.40 | $3.68 – $17.72 |
Complete blood count (CBC) with differential: rates for 3 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $214 | $128.40 | $3.06 – $14.75 |
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $39 | $23.40 | $3.06 – $14.75 |
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $39 | $23.40 | $3.06 – $14.75 |
Complete blood count (CBC), automated: rates for 3 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME | $186 | $111.60 | $1.32 – $9.78 |
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: #PROTHROMBIN TIME | $119 | $71.40 | $1.32 – $9.78 |
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME | $186 | $111.60 | $1.32 – $9.78 |
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PTT;PLASMA | $245 | $147 | $2.65 – $13.70 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: #THROMBOPLAST PTT;PLSM/WHL BLD | $158 | $94.80 | $2.65 – $13.70 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PTT;PLASMA | $245 | $147 | $2.65 – $13.70 |
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN WO/C | $904 | $542.40 | $28.11 – $650 |
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN WO/C | $904 | $542.40 | $28.11 – $650 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN WO/C | $904 | $542.40 | $28.11 – $650 |
CT scan of the head or brain, without contrast: rates for 1 insurance plan
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WO/WC | $971 | $582.60 | $81.95 – $842.23 |
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI PITUITRY OR IAC WO/WC(-XU) | $971 | $582.60 | $81.95 – $842.23 |
MRI of the brain, before and after contrast: 10 of 37 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI PITUITRY OR IAC WO/WC(-XU) | $971 | $582.60 | $81.95 – $842.23 |
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST 2 VIEWS | $309 | $185.40 | $4.17 – $250 |
Chest X-ray, 2 views: 10 of 43 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEWS | $309 | $185.40 | $4.17 – $250 |
Chest X-ray, 2 views: rates for 3 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS | $309 | $185.40 | $4.17 – $250 |
Chest X-ray, 2 views: rates for 1 insurance plan
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR SPINE LUMBOSACRAL 4+ VIEWS | $578 | $346.80 | $6.74 – $250 |
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR SPINE LUMBOSACRAL 4+ VIEWS | $578 | $346.80 | $6.74 – $250 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS | Not listed in the file | Not listed in the file | $6.74 – $250 |
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE WO/C | $971 | $582.60 | $53.39 – $700 |
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE WO/C | $971 | $582.60 | $53.39 – $700 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE WO/C | $971 | $582.60 | $53.39 – $700 |
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/C | $904 | $542.40 | $41.27 – $650 |
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/C | $904 | $542.40 | $41.27 – $650 |
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/C | $904 | $542.40 | $41.27 – $650 |
CT scan of the pelvis, with contrast: rates for 1 insurance plan
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOW EXTR ANY JNT W/O BI | $1,942 | $1,165.20 | $49.04 – $700 |
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOW EXTR ANY JNT W/O UNI | $971 | $582.60 | $49.04 – $700 |
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW EXTR ANY JNT W/O UNI | $971 | $582.60 | $49.04 – $700 |
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN AND PELVIS W/C | $904 | $542.40 | $65.14 – $650 |
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN AND PELVIS W/C | $904 | $542.40 | $65.14 – $650 |
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN AND PELVIS W/C | $904 | $542.40 | $65.14 – $650 |
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD B-SCAN+/OR REAL T COMP | $867 | $520.20 | $25.92 – $400 |
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD B-SCAN+/OR REAL T COMP | $867 | $520.20 | $25.92 – $400 |
Ultrasound of the abdomen, complete: rates for 9 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABD B-SCAN+/OR REAL T COMP | $867 | $520.20 | $25.92 – $400 |
Ultrasound of the abdomen, complete: rates for 1 insurance plan
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG UTER>=14WK SNG/1STGEST | $885 | $531 | $28.13 – $400 |
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREG UTER>=14WK SNG/1STGEST | $885 | $531 | $28.13 – $400 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG UTER>=14WK SNG/1STGEST | $885 | $531 | $28.13 – $400 |
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ULS TRANSVAGINAL NON-OBSTETRIC | $551 | $330.60 | $22.28 – $400 |
Transvaginal ultrasound: 10 of 38 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ULS TRANSVAGINAL NON-OBSTETRIC | $551 | $330.60 | $22.28 – $400 |
Transvaginal ultrasound: 10 of 11 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: ULS TRANSVAGINAL NON-OBSTETRIC | $551 | $330.60 | $22.28 – $400 |
Transvaginal ultrasound: rates for 1 insurance plan
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMO FFD W/WO CAD DX UNI | $461 | $276.60 | $21.32 – $255.68 |
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMO ADDL FFD W/WO CAD DX UNI | $461 | $276.60 | $21.32 – $255.68 |
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO ADDL FFD W/WO CAD DX UNI | $461 | $276.60 | $21.32 – $255.68 |
Diagnostic mammogram, one breast: rates for 2 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO FFD W/WO CAD DX BI | $630 | $378 | $27.03 – $327.17 |
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO ADDL FFD W/WO CAD DX BI | $630 | $378 | $27.03 – $327.17 |
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO FFD W/WO CAD DX BI | $630 | $378 | $27.03 – $327.17 |
Diagnostic mammogram, both breasts: rates for 2 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO FFD W/WO CAD SCREENING | $416 | $249.60 | $21.77 – $270.19 |
Screening mammogram, both breasts: 10 of 23 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO FFD W/WO CAD SCREENING | $416 | $249.60 | $21.77 – $270.19 |
Screening mammogram, both breasts: rates for 1 insurance plan
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD | Not listed in the file | Not listed in the file | $21.77 – $270.19 |
Screening mammogram, both breasts: 10 of 23 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE | Not listed in the file | Not listed in the file | $4.54 – $32.45 |
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE | Not listed in the file | Not listed in the file | $4.54 – $32.45 |
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · modifier AS In the file: ELECTROCARDIOGRAM COMPLETE | Not listed in the file | Not listed in the file | $4.54 – $32.45 |
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $179.38 – $15,269 |
Left heart catheterization (diagnostic): 10 of 42 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $179.38 – $15,269 |
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $179.38 – $15,269 |
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION | Not listed in the file | Not listed in the file | $187.10 – $1,416.44 |
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION | Not listed in the file | Not listed in the file | $187.10 – $1,416.44 |
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · modifier 26 In the file: COMPREHENSIVE EP EVALUATION | Not listed in the file | Not listed in the file | $187.10 – $1,416.44 |
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB | Not listed in the file | Not listed in the file | $328.78 – $2,348.42 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB | Not listed in the file | Not listed in the file | $328.78 – $2,348.42 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · modifier AS In the file: COMPRE EP EVAL ABLTJ ATR FIB | Not listed in the file | Not listed in the file | $328.78 – $2,348.42 |
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM | Not listed in the file | Not listed in the file | $87.42 – $3,559.88 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM | Not listed in the file | Not listed in the file | $87.42 – $3,559.88 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM | Not listed in the file | Not listed in the file | $87.42 – $3,559.88 |
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT TX EXERCISES EA 15MIN | $80 | $48 | $5.66 – $40.43 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT ALT-THER EXERCISE EA15MIN | $80 | $48 | $5.66 – $40.43 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THERAPEUTIC EXERCISES 1-15 | $80 | $48 | $5.66 – $40.43 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT LOW COMPLEX EVAL | $185 | $111 | $18.05 – $128.90 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT LOW COMPLEX EVAL | $185 | $111 | $18.05 – $128.90 |
Physical therapy evaluation (low complexity): rates for 2 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN | Not listed in the file | Not listed in the file | $18.05 – $128.90 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT MOD COMPLEX EVAL | $265 | $159 | $18.05 – $128.90 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT BALANCE EVALUATION MOD | $265 | $159 | $18.05 – $128.90 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT PELVIC FLOOR MOD COMP EVAL | $265 | $159 | $18.05 – $128.90 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT HIGH COMPLEX EVAL | $465 | $279 | $18.05 – $128.90 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT BALANCE EVALUATION HIGH | $465 | $279 | $18.05 – $128.90 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT PELVIC FLOOR HIGH COMP EVAL | $465 | $279 | $18.05 – $128.90 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 30 MINUTES | $141 | $84.60 | $49.13 – $85.78 |
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX PT&/FAMILY 30 MINUTES | $141 | $84.60 | $49.13 – $85.78 |
Psychotherapy, 30 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES | Not listed in the file | Not listed in the file | $49.13 – $85.78 |
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 45 MINUTES | $141 | $84.60 | $65.16 – $128.83 |
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX PT&/FAMILY 45 MINUTES | $141 | $84.60 | $65.16 – $128.83 |
Psychotherapy, 45 minutes: rates for 8 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES | Not listed in the file | Not listed in the file | $65.16 – $128.83 |
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 60 MINUTES | $141 | $84.60 | $97.58 – $124.27 |
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX PT&/FAMILY 60 MINUTES | $141 | $84.60 | $97.58 – $124.27 |
Psychotherapy, 60 minutes: rates for 7 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES | Not listed in the file | Not listed in the file | $97.58 – $194.22 |
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PATIENT | $142 | $85.20 | $16.75 – $128.14 |
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PATIENT | $142 | $85.20 | $16.75 – $128.14 |
Family psychotherapy, without the patient: rates for 2 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN | Not listed in the file | Not listed in the file | $16.75 – $128.14 |
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/ PATIENT | $163 | $97.80 | $21.56 – $154.03 |
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/ PATIENT | $163 | $97.80 | $21.56 – $154.03 |
Family psychotherapy, with the patient: rates for 1 insurance plan
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN | Not listed in the file | Not listed in the file | $21.56 – $154.03 |
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $4.67 – $43.12 |
Group psychotherapy: 10 of 13 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $4.67 – $43.12 |
Group psychotherapy: 10 of 11 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient · modifier U5|U7 In the file: GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $4.67 – $43.12 |
Group psychotherapy: rates for 9 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION | Not listed in the file | Not listed in the file | $65.72 – $1,438.67 |
Removal of breast growth (open surgery): 10 of 33 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION | Not listed in the file | Not listed in the file | $65.72 – $1,438.67 |
Removal of breast growth (open surgery): 10 of 14 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier AS In the file: REMOVAL OF BREAST LESION | Not listed in the file | Not listed in the file | $65.72 – $1,438.67 |
Removal of breast growth (open surgery): rates for 2 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | $369.98 – $9,045.08 |
Total hip replacement: 10 of 32 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | $369.98 – $9,045.08 |
Total hip replacement: 10 of 14 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · modifier AS In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | Not listed in the file | $369.98 – $9,045.08 |
Total hip replacement: rates for 2 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | $397.12 – $8,859.71 |
Total knee replacement: 10 of 32 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | $397.12 – $8,859.71 |
Total knee replacement: 10 of 14 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · modifier AS In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | Not listed in the file | $397.12 – $8,859.71 |
Total knee replacement: rates for 2 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION | Not listed in the file | Not listed in the file | $123.44 – $1,224.04 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION | Not listed in the file | Not listed in the file | $123.44 – $1,224.04 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier AS In the file: SHO ARTHRS SRG DECOMPRESSION | Not listed in the file | Not listed in the file | $123.44 – $1,224.04 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY | Not listed in the file | Not listed in the file | $161.62 – $1,487.08 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY | Not listed in the file | Not listed in the file | $161.62 – $1,487.08 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier AS In the file: KNEE ARTHROSCOPY/SURGERY | Not listed in the file | Not listed in the file | $161.62 – $1,487.08 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | Not listed in the file | $67.95 – $2,702.95 |
Removal of tonsils and adenoids (under age 12): 10 of 33 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | Not listed in the file | $67.95 – $2,702.95 |
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · modifier AS In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | Not listed in the file | $67.95 – $2,702.95 |
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH | Not listed in the file | Not listed in the file | $33.84 – $460.37 |
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH | Not listed in the file | Not listed in the file | $33.84 – $460.37 |
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier AS In the file: EGD DIAGNOSTIC BRUSH WASH | Not listed in the file | Not listed in the file | $33.84 – $460.37 |
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $40.24 – $460.37 |
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $40.24 – $460.37 |
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier AS In the file: EGD BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $40.24 – $460.37 |
Upper GI endoscopy with biopsy: rates for 2 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY | Not listed in the file | Not listed in the file | $50.85 – $464.17 |
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY | Not listed in the file | Not listed in the file | $50.85 – $464.17 |
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier AS In the file: DIAGNOSTIC COLONOSCOPY | Not listed in the file | Not listed in the file | $50.85 – $464.17 |
Colonoscopy (diagnostic): rates for 2 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY | Not listed in the file | Not listed in the file | $61.03 – $599.32 |
Colonoscopy with biopsy: 10 of 33 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY | Not listed in the file | Not listed in the file | $61.03 – $599.32 |
Colonoscopy with biopsy: 10 of 19 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier AS In the file: COLONOSCOPY AND BIOPSY | Not listed in the file | Not listed in the file | $61.03 – $599.32 |
Colonoscopy with biopsy: rates for 2 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL | Not listed in the file | Not listed in the file | $72.43 – $599.32 |
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL | Not listed in the file | Not listed in the file | $72.43 – $599.32 |
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · modifier AS In the file: COLONOSCOPY W/LESION REMOVAL | Not listed in the file | Not listed in the file | $72.43 – $599.32 |
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US | Not listed in the file | Not listed in the file | $70.28 – $599.32 |
Ultrasound of the lower bowel by endoscope: 10 of 33 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLONOSCOPY W/ENDOSCOPE US | Not listed in the file | Not listed in the file | $70.28 – $599.32 |
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · modifier AS In the file: COLONOSCOPY W/ENDOSCOPE US | Not listed in the file | Not listed in the file | $70.28 – $599.32 |
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $163.63 – $2,648.76 |
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $163.63 – $2,648.76 |
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier AS In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $163.63 – $2,648.76 |
Gallbladder removal by laparoscope: rates for 2 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | $114.19 – $1,587.82 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | $114.19 – $1,587.82 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier AS In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | Not listed in the file | $114.19 – $1,587.82 |
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | $29.79 – $910.38 |
Prostate biopsy: 10 of 33 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | $29.79 – $910.38 |
Prostate biopsy: 10 of 19 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient · modifier AS In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | $29.79 – $910.38 |
Prostate biopsy: rates for 2 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $390.88 – $2,791.97 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $390.88 – $2,791.97 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · modifier AS In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $390.88 – $2,791.97 |
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | $62.52 – $1,553 |
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | $62.52 – $1,553 |
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · modifier AS In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | $62.52 – $1,553 |
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC | Not listed in the file | Not listed in the file | $25.32 – $1,470.85 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC | Not listed in the file | Not listed in the file | $25.32 – $1,470.85 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier AS In the file: NJX INTERLAMINAR LMBR/SAC | Not listed in the file | Not listed in the file | $25.32 – $1,470.85 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ TRANSFORAMINAL EPI L/S+IM BI | $7,660 | $4,596 | $22.67 – $6,693.20 |
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ TRANSF EPI L/S+IM | $3,830 | $2,298 | $22.67 – $3,635 |
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: INJ TRANSF EPI L/S+IM | $3,830 | $2,298 | $22.67 – $3,635 |
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | $84.95 – $878.95 |
Carpal tunnel release: 10 of 33 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | $84.95 – $878.95 |
Carpal tunnel release: 10 of 19 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier AS In the file: CARPAL TUNNEL SURGERY | Not listed in the file | Not listed in the file | $84.95 – $878.95 |
Carpal tunnel release: rates for 2 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $69.01 – $492.93 |
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $69.01 – $492.93 |
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier AS In the file: AFTER CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $69.01 – $492.93 |
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | Not listed in the file | $176.01 – $1,257.21 |
Cataract removal with lens implant: 10 of 33 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | Not listed in the file | $176.01 – $1,257.21 |
Cataract removal with lens implant: 10 of 19 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier AS In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | Not listed in the file | $176.01 – $1,257.21 |
Cataract removal with lens implant: rates for 2 insurance plans
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE | Not listed in the file | Not listed in the file | $307.69 – $2,263.19 |
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: OBSTETRICAL CARE | Not listed in the file | Not listed in the file | $307.69 – $2,263.19 |
Vaginal delivery, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · modifier AS In the file: OBSTETRICAL CARE | Not listed in the file | Not listed in the file | $307.69 – $2,263.19 |
Vaginal delivery, with care before and after: rates for 2 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY | Not listed in the file | Not listed in the file | $348.34 – $2,488.17 |
Cesarean delivery (C-section), with care before and after: 10 of 14 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY | Not listed in the file | Not listed in the file | $348.34 – $2,488.17 |
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · modifier AS In the file: CESAREAN DELIVERY | Not listed in the file | Not listed in the file | $348.34 – $2,488.17 |
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY | Not listed in the file | Not listed in the file | $323.85 – $2,324.44 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 14 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC DELIVERY | Not listed in the file | Not listed in the file | $323.85 – $2,324.44 |
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · modifier AS In the file: VBAC DELIVERY | Not listed in the file | Not listed in the file | $323.85 – $2,324.44 |
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $7,939.93 – $24,983 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 49 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $7,939.93 – $24,983 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 49 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $7,939.93 – $24,983 |
Neck (cervical) spinal fusion, without complications: 10 of 49 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $7,939.93 – $24,983 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 49 insurance plan rates
| |||
Source: Ascension St Vincent Carmel’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 13500 N Meridian St, Carmel, IN 46032 |
| County | Hamilton County |
| State | Indiana |
| Phone | (317) 582‑7000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 150157 |
| Name in Medicare records | ASCENSION ST VINCENT CARMEL |
| Profile level | Medicare data + hospital website |
| Official website | healthcare.ascension.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Ascension St. Vincent Carmel — healthcare.ascension.org
- Ascension St. Vincent Carmel - Emergency | Ascension — healthcare.ascension.org
- Ascension St. Vincent Carmel - Breast Center Mammography | Ascension — healthcare.ascension.org
- Ascension St. Vincent Carmel - Bariatrics | Ascension — healthcare.ascension.org
- Ascension St. Vincent Carmel - Birthing Center | Ascension — healthcare.ascension.org
- Campus amenities | Ascension — healthcare.ascension.org
- Visitor information | Ascension — healthcare.ascension.org