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 |
|---|---|---|---|---|
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $16.75 – $89.09 | 19 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $18.18 – $95.91 | 19 |
| Fancc gene CPT 81242 | not published | not published | $14.65 – $83.49 | 15 |
| Fat/lipids feces qualitative CPT 82705 | $93.60 | $156.00 | $0.97 – $11.63 | 24 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $5.29 – $42.80 | 24 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.25 – $10.40 | 24 |
| #fecal-sodium CPT 84302 | $70.20 | $117.00 | $2.36 – $11.08 | 24 |
| Feeding tube reposition CPT 74355 | not published | not published | $17.77 – $189.89 | 20 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $17.30 – $146.23 | 19 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $7.46 – $42.50 | 21 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $58.88 – $331.10 | 19 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $133.45 – $6,877.31 | 32 |
| Feno poc CPT 95012 | not published | not published | $2.85 – $17.85 | 19 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $43.23 | $72.05 | $0.57 – $2.03 | 21 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,172.80 | $3,621.34 | $1.15 – $4.23 | 41 |
| Ferritin CPT 82728 | $172.80 | $288.00 | $5.29 – $31.08 | 24 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $22.95 – $400.00 | 42 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $240.00 – $1,730.63 | 21 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $12.35 – $42.38 | 38 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $36.72 – $283.90 | 38 |
| Fetal fibronectin CPT 82731 | not published | not published | $25.13 – $146.85 | 24 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $51.03 – $383.76 | 38 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $195.60 | $326.00 | $2.53 – $17.62 | 24 |
| Fetal hemoglobin rosette CPT 85461 | $68.40 | $114.00 | $2.65 – $21.34 | 24 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $2.36 – $44.05 | 22 |
| Fetal non stress test CPT 59025 | not published | not published | $8.25 – $26.40 | 38 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $18.87 – $158.10 | 19 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $82.12 – $601.09 | 38 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $6.05 – $51.87 | 15 |
| Fibrin degradation d dimer quantitative CPT 85379 | $194.40 | $324.00 | $3.97 – $23.21 | 24 |
| Fibrin degradation products CPT 85362 | $112.80 | $188.00 | $3.40 – $15.71 | 24 |
| Fibrin degrade semiquant CPT 85378 | $167.40 | $279.00 | $2.65 – $22.16 | 24 |
| Fibrinogen activity CPT 85384 | $153.60 | $256.00 | $3.97 – $22.16 | 24 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $0.28 – $35.29 | 24 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $1.99 – $17.58 | 24 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $6.61 – $39.19 | 24 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $2.65 – $14.89 | 24 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,223.60 | $2,039.33 | $0.99 – $3.19 | 41 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $110.25 – $926.15 | 38 |
| Filtered speech hearing test CPT 92571 | not published | not published | $3.25 – $17.95 | 19 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $161.45 – $1,058.76 | 13 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $15.02 – $2,259.43 | 39 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $9.80 – $59.40 | 13 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $6.90 – $41.59 | 13 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,909.80 | $3,183.00 | $7.98 – $2,273.62 | 20 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $11.04 – $60.95 | 38 |
| Finger tendon transfer CPT 26497 | not published | not published | $166.07 – $1,487.08 | 38 |
| Finger tendon transfer CPT 26498 | not published | not published | $219.96 – $1,487.08 | 38 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $129.87 – $791.50 | 19 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $15.82 – $16.45 | 13 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $13.73 – $22.23 | 13 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $15.64 – $152.37 | 13 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $24.36 – $78.30 | 13 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $9.63 – $66.08 | 38 |
| Fixation of ankle joint CPT 27860 | not published | not published | $34.32 – $1,487.08 | 38 |
| Fixation of knee joint CPT 27570 | not published | not published | $29.40 – $801.87 | 38 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $189.62 – $3,321.81 | 38 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $11.99 – $503.34 | 38 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $128.82 – $1,487.08 | 38 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $7.46 – $42.50 | 21 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $7.91 – $124.45 | 38 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $14.46 – $318.54 | 38 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $139.90 – $3,321.81 | 38 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $153.35 – $3,321.81 | 38 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $20.45 – $124.51 | 38 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $13.28 – $192.48 | 21 |
| Flow cytometry marker each additional CPT 88185 | $229.80 | $383.00 | $4.97 – $65.79 | 24 |
| Flow cytometry one marker technical component CPT 88184 | $334.80 | $558.00 | $8.72 – $148.95 | 24 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $10.32 – $143.75 | 21 |
| Flt3 gene CPT 81245 | not published | not published | $66.20 – $377.36 | 15 |
| Flt3 gene analysis CPT 81246 | not published | not published | $33.20 – $189.24 | 22 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $63.52 | $105.87 | $2.80 – $7.97 | 21 |
| Fluidotherapy charges pt CPT 97022 | $164.40 | $274.00 | $2.07 – $18.30 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $17.90 – $357.32 | 38 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $3.77 – $41.03 | 19 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $15.26 – $81.49 | 20 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $29.95 – $906.01 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $184.80 | $308.00 | $1.26 – $27.47 | 24 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $495.00 | $825.00 | $8.47 – $120.44 | 20 |
| Fluoroguide needle placement CPT 77002 | $463.20 | $772.00 | $9.27 – $149.90 | 20 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $4.62 – $43.11 | 22 |
| Fluoroscopy up to 1 hour CPT 76000 | $464.40 | $774.00 | $6.03 – $85.26 | 41 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $92.23 – $582.93 | 41 |
| Fmri brain by tech CPT 70554 | not published | not published | $70.76 – $700.90 | 41 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $18.25 – $2,259.43 | 39 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $13.34 – $80.86 | 13 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $68.94 – $2,259.43 | 39 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $41.65 – $80.86 | 13 |
| Foam stability fetal lung CPT 83662 | not published | not published | $6.61 – $43.11 | 24 |
| Folic acid CPT 82746 | $181.20 | $302.00 | $6.95 – $33.52 | 24 |
| Follow-up angiography CPT 75898 | not published | not published | $15.88 – $1,806.01 | 41 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $104.45 – $958.01 | 38 |
| Foot X-ray CPT 73630 | $523.20 | $872.00 | $3.88 – $250.00 | 23 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $158.59 – $1,822.02 | 38 |
| Forensic cytopathology CPT 88125 | not published | not published | $2.40 – $37.74 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $13.48 – $125.52 | 38 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $168.29 | $280.48 | $0.56 – $11.40 | 39 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $7.12 – $64.98 | 24 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $3.75 – $56.00 | 20 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $17.96 – $102.35 | 22 |
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.