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 |
|---|---|---|---|---|
| Mayo cortisol free CPT 82530 | $192.00 | $320.00 | $7.91 – $38.10 | 24 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $84.60 | $141.00 | $16.85 – $102.60 | 25 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $3.97 – $27.63 | 24 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | not published | not published | $7.93 – $44.23 | 24 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $24.34 – $235.58 | 22 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $110.40 | $184.00 | $6.54 – $30.21 | 24 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $240.60 | $401.00 | $11.90 – $57.62 | 24 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 24 |
| Mayo efpo chloride stool CPT 82438 | $57.60 | $96.00 | $2.41 – $11.40 | 24 |
| Mayo estriol CPT 82677 | $126.60 | $211.00 | $10.58 – $55.13 | 24 |
| Mayo estrone CPT 82679 | $178.20 | $297.00 | $9.64 – $56.89 | 24 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $130.80 | $218.00 | $8.07 – $37.26 | 24 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $6.78 – $31.30 | 22 |
| Mayo factor ii CPT 85210 | $264.00 | $440.00 | $5.29 – $29.59 | 24 |
| Mayo factor v CPT 85220 | $259.80 | $433.00 | $5.95 – $40.24 | 24 |
| Mayo factor vii CPT 85230 | not published | not published | $5.95 – $40.81 | 24 |
| Mayo factor viii vw factor antigen CPT 85246 | $176.40 | $294.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $231.60 | $386.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $200.40 | $334.00 | $11.33 – $52.30 | 24 |
| Mayo factor x CPT 85260 | $294.00 | $490.00 | $5.95 – $40.81 | 24 |
| Mayo factor xi CPT 85270 | not published | not published | $5.95 – $40.81 | 24 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $7.64 – $38.30 | 24 |
| Mayo fbl culture fungi blood CPT 87103 | $207.60 | $346.00 | $4.62 – $46.65 | 24 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $91.20 | $152.00 | $2.65 – $183.45 | 24 |
| Mayo ffspg allergen clam igg CPT 86001 | $100.80 | $168.00 | $2.47 – $17.83 | 24 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.97 – $32.97 | 24 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $351.60 | $586.00 | $7.24 – $49.41 | 22 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $134.40 | $224.00 | $0.01 – $201.60 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | $84.60 | $141.00 | $2.15 – $10.83 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $357.60 | $596.00 | $16.60 – $80.01 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $17.13 – $80.01 | 24 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $170.40 | $284.00 | $3.97 – $31.44 | 24 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $302.40 | $504.00 | $12.74 – $58.85 | 24 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $157.80 | $263.00 | $2.65 – $20.27 | 24 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $41.40 | $69.00 | $5.29 – $30.83 | 24 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $135.00 | $225.00 | $12.85 – $61.95 | 24 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $174.00 | $290.00 | $3.97 – $39.38 | 24 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $197.40 | $329.00 | $6.61 – $34.18 | 24 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $239.40 | $399.00 | $10.26 – $47.45 | 24 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $189.60 | $316.00 | $6.61 – $47.45 | 24 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $108.60 | $181.00 | $5.67 – $36.64 | 24 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $232.20 | $387.00 | $5.92 – $27.31 | 22 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $359.40 | $599.00 | $17.33 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $14.04 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $17.13 – $80.01 | 24 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $489.00 | $815.00 | $17.13 – $97.68 | 24 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $28.88 – $164.59 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo inhab inhibin a CPT 86336 | $136.20 | $227.00 | $7.70 – $35.55 | 24 |
| Mayo insft insulin free CPT 83527 | $110.40 | $184.00 | $6.39 – $29.53 | 24 |
| Mayo insulin antibodies CPT 86337 | $150.00 | $250.00 | $10.57 – $48.81 | 24 |
| Mayo iodine CPT 83789 | $196.80 | $328.00 | $8.31 – $54.97 | 24 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $10.84 – $61.81 | 21 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $10.84 – $61.81 | 22 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $118.20 | $197.00 | $6.54 – $30.21 | 22 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $132.00 | $220.00 | $3.97 – $29.16 | 24 |
| Mayo legionella antibody CPT 86713 | $194.40 | $324.00 | $5.29 – $34.88 | 24 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $5.29 – $36.94 | 24 |
| Mayo lipoprotein electrophoresis CPT 83700 | $93.60 | $156.00 | $5.55 – $25.67 | 22 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $150.00 | $250.00 | $6.61 – $35.32 | 24 |
| Mayo manganese CPT 83785 | $69.00 | $115.00 | $10.58 – $60.76 | 24 |
| Mayo metanephrines plasma CPT 83835 | $282.60 | $471.00 | $7.93 – $38.62 | 24 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $5.18 – $51.87 | 15 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $41.40 | $69.00 | $12.05 – $46.00 | 19 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $195.60 | $326.00 | $6.61 – $33.17 | 24 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $118.20 | $197.00 | $5.44 – $42.50 | 24 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $480.60 | $801.00 | $50.00 – $312.36 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $333.60 | $556.00 | $74.08 – $422.26 | 15 |
| Mayo muramidase CPT 85549 | $102.00 | $170.00 | $8.87 – $42.75 | 24 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $243.00 | $405.00 | $8.91 – $41.15 | 22 |
| Mayo myoglobin CPT 83874 | $207.60 | $346.00 | $5.29 – $29.46 | 24 |
| Mayo nickel CPT 83885 | not published | not published | $9.26 – $55.88 | 24 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $6.77 – $51.87 | 15 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $5.47 – $51.87 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $5.62 – $51.87 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $294.00 | $490.00 | $7.79 – $48.36 | 24 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $7.59 – $37.51 | 24 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $6.09 – $32.95 | 24 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $222.60 | $371.00 | $5.70 – $26.29 | 24 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $357.00 | $595.00 | $5.29 – $34.27 | 24 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $190.20 | $317.00 | $0.61 – $27.47 | 24 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $428.40 | $714.00 | $16.60 – $80.01 | 24 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $193.80 | $323.00 | $5.00 – $40.99 | 22 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $138.60 | $231.00 | $6.61 – $31.37 | 24 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $99.60 | $166.00 | $3.97 – $19.24 | 24 |
| Mayo pregnenolone CPT 84140 | $148.80 | $248.00 | $5.29 – $47.13 | 24 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $144.60 | $241.00 | $6.61 – $37.83 | 24 |
| Mayo proinsulin CPT 84206 | $195.00 | $325.00 | $6.61 – $60.85 | 24 |
| Mayo psaft prostate specific antigen free CPT 84154 | $154.20 | $257.00 | $8.70 – $41.93 | 24 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $331.80 | $553.00 | $5.29 – $41.95 | 24 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $5.05 – $30.46 | 24 |
| Mayo receptor assay transferrin soluble CPT 84238 | $340.80 | $568.00 | $18.06 – $83.38 | 24 |
| Mayo renin CPT 84244 | $259.20 | $432.00 | $8.21 – $50.14 | 24 |
| Mayo repu protein electrophoresis urine CPT 84166 | $150.00 | $250.00 | $2.04 – $40.65 | 24 |
| Mayo selenium CPT 84255 | $130.80 | $218.00 | $10.58 – $58.21 | 24 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $7.58 – $35.34 | 15 |
| Mayo serotonin CPT 84260 | $313.20 | $522.00 | $10.58 – $70.63 | 24 |
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.