Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)
1206 E National Ave, Brazil, IN · Ascension · · NPI 1770533994
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $26.99 – $814.39 | 38 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $24.67 – $460.37 | 38 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $22.62 – $129.07 | 38 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $36.58 – $814.39 | 38 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $58.15 – $2,588.86 | 38 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $33.84 – $814.39 | 38 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $76.27 – $844.52 | 38 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $50.28 – $1,761.38 | 38 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $35.18 – $814.39 | 38 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $155.93 – $2,702.95 | 38 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $39.96 – $814.39 | 38 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $62.34 – $814.39 | 38 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $55.07 – $814.39 | 38 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $50.19 – $814.39 | 38 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $42.04 – $814.39 | 38 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $45.91 – $814.39 | 38 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $52.77 – $814.39 | 38 |
| Esophagus motility study CPT 91010 | not published | not published | $29.11 – $101.65 | 19 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $35.61 – $387.35 | 19 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $40.80 – $814.39 | 38 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $33.25 – $814.39 | 38 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $233.43 – $1,049.31 | 19 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $342.48 – $1,528.82 | 19 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $3.82 – $12.49 | 19 |
| Esoph imped function test CPT 91037 | not published | not published | $26.42 – $102.63 | 19 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $27.47 – $369.04 | 19 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $40.18 – $814.39 | 32 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $52.45 – $814.39 | 38 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $30.55 – $814.39 | 38 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $1,006.64 – $3,304.30 | 13 |
| Essure 58565 CPT 58565 | not published | not published | $85.23 – $2,633.29 | 38 |
| Establish access to aorta CPT 36160 | not published | not published | $31.09 – $350.90 | 19 |
| Establish access to artery CPT 36100 | not published | not published | $38.37 – $346.78 | 19 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $206.68 – $1,277.60 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $181.20 | $302.00 | $1.50 – $19.98 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $214.20 | $357.00 | $4.08 – $43.00 | 19 |
| Established Patient Office Visit (level 3) CPT 99213 | $268.20 | $447.00 | $7.82 – $71.77 | 19 |
| Established Patient Office Visit (level 4) CPT 99214 | $313.20 | $522.00 | $12.21 – $105.54 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $491.40 | $819.00 | $17.49 – $141.38 | 19 |
| Estradiol total CPT 82670 | $265.80 | $443.00 | $11.90 – $63.70 | 24 |
| Estrogens total-sendout CPT 82672 | $292.80 | $488.00 | $10.26 – $49.48 | 24 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $196.47 – $1,291.25 | 38 |
| Ethylene glycol -sendout CPT 82693 | $177.60 | $296.00 | $5.29 – $33.97 | 24 |
| Euglobulin lysis CPT 85360 | not published | not published | $2.65 – $19.17 | 24 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $82.92 – $1,553.00 | 38 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $13.05 – $63.32 | 19 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $21.34 – $93.30 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $36.26 – $223.69 | 22 |
| Evaluation heart device CPT 93640 | not published | not published | $130.95 – $343.30 | 19 |
| Evaluation of speech fluency 92521 CPT 92521 | $169.80 | $283.00 | $18.75 – $102.51 | 19 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $101.42 – $203.36 | 19 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $132.12 – $711.36 | 19 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $56.11 – $302.84 | 19 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $303.39 – $1,123.11 | 13 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $302.00 – $1,128.98 | 13 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $451.79 – $1,689.20 | 13 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $564.13 – $2,106.27 | 13 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $108.86 – $402.58 | 13 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $339.00 – $1,263.68 | 13 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $565.01 – $2,106.99 | 13 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $281.66 – $1,052.50 | 13 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $453.77 – $1,695.07 | 13 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $227.71 – $227.71 | 11 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $180.99 – $180.99 | 11 |
| Event monitor CPT 93270 | $960.60 | $1,601.00 | $1.82 – $8.69 | 19 |
| Evoked auditory tst complete CPT 92588 | $165.00 | $275.00 | $2.56 – $57.50 | 19 |
| Evoked oa emissions ltd CPT 92587 | $176.40 | $294.00 | $1.84 – $50.70 | 19 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $202.20 | $337.00 | $4.99 – $26.63 | 13 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $20.00 – $110.06 | 20 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $13.12 – $24.10 | 19 |
| Evok oa screening qual CPT 92558 | not published | not published | $11.39 – $58.90 | 13 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $18.12 – $86.39 | 38 |
| Exam pelvic add-on CPT 99459 | not published | not published | $20.53 – $20.53 | 11 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $21.27 – $1,553.00 | 38 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $105.83 – $1,132.89 | 38 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $135.12 – $1,132.89 | 38 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $85.52 – $1,132.89 | 38 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $101.33 – $1,132.89 | 38 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $129.74 – $1,132.89 | 38 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $269.16 – $1,795.61 | 19 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $393.59 – $2,619.08 | 19 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $79.15 – $1,132.89 | 38 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $64.25 – $668.59 | 38 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $158.32 – $2,702.95 | 38 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $238.35 – $2,702.95 | 38 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $71.18 – $668.59 | 38 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $143.89 – $1,132.89 | 38 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $59.23 – $1,553.00 | 38 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $35.57 – $668.59 | 38 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $51.08 – $1,132.89 | 38 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $28.11 – $668.59 | 38 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $2,670.60 | $4,451.00 | $12.42 – $2,848.64 | 40 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $16.07 – $103.32 | 38 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $22.70 – $137.69 | 38 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $27.90 – $168.87 | 38 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $17.22 – $106.80 | 38 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $24.58 – $148.16 | 38 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $43.01 – $1,132.89 | 38 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $16.18 – $106.58 | 38 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $22.98 – $139.90 | 38 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.