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 sfgp rickettsia rickettsii antibody igg CPT 86757 | $59.40 | $99.00 | $9.54 – $44.12 | 24 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $277.20 | $462.00 | $6.78 – $31.30 | 22 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $81.60 | $136.00 | $1.32 – $9.74 | 24 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $103.17 – $476.34 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $413.40 | $689.00 | $12.04 – $58.07 | 24 |
| Mayo tgrp testosterone total CPT 84403 | $277.20 | $462.00 | $9.64 – $58.85 | 24 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $8.87 | 11 |
| Mayo thyroglobulin CPT 84432 | $256.80 | $428.00 | $5.29 – $36.62 | 24 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $138.00 | $230.00 | $4.81 – $23.21 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $3.97 – $28.25 | 24 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $21.68 – $116.92 | 22 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $3.97 – $32.28 | 24 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $6.69 – $30.87 | 22 |
| Mayo vasoactive intestinal peptide CPT 84586 | $327.00 | $545.00 | $6.61 – $80.55 | 24 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $246.00 | $410.00 | $9.26 – $46.15 | 24 |
| Mayo vitamin b3 (niacin) CPT 84591 | $193.80 | $323.00 | $5.85 – $38.90 | 22 |
| Mayo vitamin k CPT 84597 | $299.40 | $499.00 | $6.61 – $31.28 | 24 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $118.20 | $197.00 | $6.54 – $30.21 | 22 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $206.30 – $1,340.53 | 19 |
| Mcoln1 gene CPT 81290 | not published | not published | $15.72 – $89.63 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $89.96 – $1,487.08 | 38 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $103.83 – $1,487.08 | 38 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $109.94 – $801.87 | 38 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $145.14 – $1,822.02 | 32 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $5.77 – $37.66 | 19 |
| Measure kidney pressure CPT 50396 | not published | not published | $25.60 – $306.66 | 38 |
| Measurement post void urine by ultrasound CPT 51798 | $315.60 | $526.00 | $3.87 – $283.42 | 20 |
| Measure ureter pressure CPT 50686 | not published | not published | $18.96 – $144.07 | 38 |
| #mec-opiates CPT 80356 | not published | not published | $6.34 – $51.87 | 15 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $60.00 – $342.00 | 22 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $211.15 – $1,203.54 | 22 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $8.91 – $273.60 | 22 |
| Medial canthopexy CPT 21280 | not published | not published | $111.57 – $1,291.25 | 38 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $76.43 – $786.50 | 19 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $58.51 – $602.82 | 19 |
| Medical testimony CPT 99075 | not published | not published | $190.00 – $190.00 | 11 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $115.62 – $755.23 | 32 |
| Meg evoked single CPT 95966 | not published | not published | $36.90 – $3,450.36 | 20 |
| Meg spontaneous CPT 95965 | not published | not published | $36.90 – $12,457.27 | 20 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $315.53 – $3,321.81 | 38 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $43.57 | $72.61 | $1.40 – $14.67 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $123.09 | $205.15 | $0.45 – $1.82 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $50.94 – $367.12 | 19 |
| Metabolic Blood Panel (Basic) CPT 80048 | $135.00 | $225.00 | $3.47 – $19.29 | 24 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $195.60 | $326.00 | $5.00 – $24.08 | 24 |
| Metabolic panel ionized ca CPT 80047 | $222.60 | $371.00 | $5.42 – $31.30 | 22 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $15.43 – $87.94 | 21 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $8.36 | $13.93 | $0.24 – $9.95 | 30 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $45.56 | $75.93 | $4.79 – $50.49 | 20 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $18.42 | $30.70 | $0.23 – $1.16 | 21 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $45.76 | $76.27 | $0.27 – $0.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $259.96 | $433.27 | $0.60 – $0.68 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $39.02 | $65.04 | $0.81 – $2.59 | 21 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $62.66 | $104.43 | $0.02 – $0.07 | 31 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $45.24 – $284.18 | 15 |
| Microalbumin urine screen CPT 82044 | not published | not published | $1.32 – $14.20 | 24 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $2.65 – $91.59 | 24 |
| Microdissection laser CPT 88380 | not published | not published | $20.02 – $122.60 | 21 |
| Microdissection manual CPT 88381 | not published | not published | $16.56 – $54.06 | 21 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $51.25 | 22 |
| Microsatellite instability CPT 81301 | not published | not published | $142.99 – $794.72 | 22 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $32.66 – $279.10 | 19 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $26.51 – $296.10 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $74.10 | $123.50 | $0.12 – $0.29 | 21 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $17.49 – $118.29 | 22 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $92.06 | $153.44 | $1.56 – $4.20 | 21 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $685.12 – $3,081.30 | 19 |
| Mlh1 gene CPT 81288 | $633.00 | $1,055.00 | $76.93 – $438.49 | 22 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $80.96 – $461.47 | 22 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $270.16 – $1,539.91 | 22 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $70.22 – $754.68 | 22 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $206.50 – $6,364.19 | 38 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $4.44 – $105.92 | 22 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $16.67 – $77.91 | 13 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $38.26 – $801.87 | 38 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $80.92 – $801.87 | 38 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $50.13 – $325.46 | 38 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $28.45 – $164.60 | 19 |
| Modification of contact lens CPT 92325 | not published | not published | $2.87 – $27.79 | 19 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $335.00 – $2,732.40 | 19 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $142.28 – $903.01 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $37.73 | 19 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $25.00 – $145.83 | 15 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $60.13 – $342.75 | 15 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $109.93 – $626.61 | 21 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $120.54 – $687.08 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $113.15 – $644.97 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $507.76 – $1,929.50 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $964.59 – $4,560.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $47.98 | $79.97 | $0.65 – $10.89 | 21 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $18.43 – $532.50 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $447.00 | $745.00 | $19.53 – $163.62 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $523.20 | $872.00 | $14.54 – $532.70 | 22 |
| Motion analysis video/3d CPT 96000 | not published | not published | $16.23 – $1,063.53 | 20 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $18.17 – $1,063.53 | 20 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1.94 – $304.62 | 20 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $68.60 – $1,291.25 | 38 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $8.04 – $58.00 | 21 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $630.60 | $1,051.00 | $26.78 – $532.50 | 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.