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 |
|---|---|---|---|---|
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $9.81 – $72.66 | 21 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $22.70 – $285.52 | 24 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $60.13 – $342.75 | 20 |
| MRA abdomen post contrast CPT 74185 | $3,236.40 | $5,394.00 | $61.57 – $670.02 | 22 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,959.20 | $4,932.00 | $60.74 – $700.00 | 23 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $5,701.20 | $9,502.00 | $61.37 – $668.57 | 22 |
| MRA pelvis CPT 72198 | $2,863.20 | $4,772.00 | $61.25 – $668.57 | 22 |
| MRA spinal canal CPT 72159 | $2,811.60 | $4,686.00 | $63.67 – $693.71 | 22 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,425.40 | $5,709.00 | $61.34 – $689.39 | 22 |
| Mr elastography CPT 76391 | not published | not published | $31.55 – $168.05 | 32 |
| MRI brain w/dye CPT 70558 | not published | not published | $57.80 – $648.38 | 41 |
| MRI brain without dye CPT 70557 | not published | not published | $51.98 – $582.20 | 41 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $57.76 – $838.94 | 41 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $70.90 – $899.18 | 39 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $79.04 – $270.20 | 13 |
| MRI breast without cont bi CPT 77047 | not published | not published | $75.56 – $899.18 | 40 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $79.03 – $700.00 | 14 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $50.34 – $428.62 | 41 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $66.71 – $700.00 | 42 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $79.11 – $734.66 | 42 |
| MRI chest without contrast CPT 71550 | $1,543.20 | $2,572.00 | $52.07 – $693.71 | 41 |
| MRI chest without & w/contrast CPT 71552 | $2,314.80 | $3,858.00 | $80.61 – $969.56 | 42 |
| MRI chest w IV cont CPT 71551 | $1,929.00 | $3,215.00 | $61.83 – $776.33 | 41 |
| MRI fetal ea addl gestation CPT 74713 | $1,636.20 | $2,727.00 | $31.40 – $284.23 | 20 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,636.20 | $2,727.00 | $64.74 – $663.29 | 39 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $54.07 – $645.57 | 20 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $151.35 – $467.60 | 20 |
| MRI loex nonjt w IV cont CPT 73719 | $4,072.80 | $6,788.00 | $58.24 – $682.23 | 41 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,258.00 | $5,430.00 | $48.24 – $700.00 | 42 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,886.40 | $8,144.00 | $76.53 – $825.17 | 42 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,369.80 | $2,283.00 | $48.24 – $700.00 | 42 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,398.20 | $3,997.00 | $76.53 – $805.07 | 42 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,713.00 | $2,855.00 | $58.00 – $670.02 | 41 |
| MRI tmj CPT 70336 | $2,977.80 | $4,963.00 | $50.35 – $506.22 | 41 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,351.20 | $7,252.00 | $48.32 – $606.07 | 41 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,801.60 | $6,336.00 | $76.78 – $818.70 | 42 |
| MRI upper extremity w/dye CPT 73219 | $3,042.00 | $5,070.00 | $58.24 – $679.35 | 41 |
| Mr spectroscopy CPT 76390 | not published | not published | $50.27 – $754.78 | 42 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $85.32 – $486.32 | 22 |
| Msh2 gene full seq CPT 81295 | not published | not published | $91.03 – $870.28 | 22 |
| Msh2 gene known variants CPT 81296 | not published | not published | $70.22 – $770.02 | 22 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $95.20 – $542.64 | 22 |
| Msh6 gene full seq CPT 81298 | not published | not published | $172.70 – $1,463.42 | 22 |
| Msh6 gene known variants CPT 81299 | not published | not published | $70.22 – $702.24 | 22 |
| Mthfr gene analy common variants CPT 81291 | $438.00 | $730.00 | $26.14 – $148.98 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $9.64 – $61.29 | 24 |
| Mucin synovial fluid CPT 83872 | not published | not published | $2.65 – $13.36 | 24 |
| Mucopolysaccharides CPT 83864 | not published | not published | $5.29 – $64.98 | 24 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $5.19 – $28.79 | 19 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $12.15 – $53.46 | 13 |
| Multiple sleep latency test CPT 95805 | not published | not published | $42.49 – $333.13 | 19 |
| Mumps antibody igg CPT 86735 | $91.20 | $152.00 | $5.29 – $29.75 | 24 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $178.65 – $1,209.28 | 38 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $193.30 – $1,822.02 | 38 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $206.42 – $1,822.02 | 38 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $14.03 – $46.17 | 20 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $7.73 – $42.93 | 20 |
| Muscle test larynx CPT 95865 | not published | not published | $22.86 – $52.34 | 20 |
| Muscle test one fiber CPT 95872 | not published | not published | $32.60 – $48.20 | 20 |
| Muscle transfers CPT 23397 | not published | not published | $222.97 – $3,321.81 | 38 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $251.44 – $4,158.38 | 38 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $165.76 – $1,822.02 | 32 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $146.32 – $3,321.81 | 38 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $17.13 – $109.99 | 24 |
| Mycoplasma antibody igm CPT 86738 | $195.00 | $325.00 | $5.29 – $30.19 | 24 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $70.16 – $399.91 | 15 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $24.29 – $387.49 | 22 |
| Myelography l-s spine CPT 72265 | not published | not published | $17.51 – $387.49 | 22 |
| Myelography neck spine CPT 72240 | not published | not published | $18.61 – $387.49 | 22 |
| Myelography thoracic spine CPT 72255 | not published | not published | $18.53 – $387.49 | 22 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,632.40 | $6,054.00 | $32.61 – $4,631.00 | 21 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,339.00 | $5,565.00 | $31.67 – $4,631.00 | 21 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,339.00 | $5,565.00 | $31.13 – $4,631.00 | 21 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,339.00 | $5,565.00 | $32.07 – $4,631.00 | 21 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $679.20 | $1,132.00 | $5.29 – $26.29 | 24 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $638.97 – $2,870.70 | 19 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $52.22 – $2,255.47 | 41 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $7.20 – $5,628.32 | 39 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $101.19 – $1,238.91 | 32 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $64.91 – $2,255.47 | 41 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $7.45 – $5,628.32 | 39 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $227.09 – $1,484.13 | 19 |
| Myomectomy abdom method CPT 58140 | not published | not published | $181.72 – $1,150.79 | 19 |
| Myomectomy vag method CPT 58145 | not published | not published | $107.93 – $1,553.00 | 38 |
| Myringoplasty CPT 69620 | not published | not published | $74.53 – $1,291.25 | 38 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $49.64 | $82.74 | $2.81 – $8.12 | 21 |
| Narcosynthesis CPT 90865 | not published | not published | $22.12 – $127.00 | 13 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $18.10 – $143.60 | 38 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $0.01 – $0.01 | 11 |
| Nasal function studies CPT 92512 | not published | not published | $4.92 – $42.20 | 19 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $57.27 – $2,252.84 | 38 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $44.05 – $741.27 | 38 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $66.43 – $2,252.84 | 38 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $39.16 – $741.27 | 38 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $67.35 – $2,252.84 | 38 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $99.65 – $2,252.84 | 38 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $125.62 – $2,252.84 | 38 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $33.12 – $207.37 | 38 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $39.44 – $741.27 | 38 |
| Nasal sinus therapy CPT 30210 | not published | not published | $22.29 – $107.24 | 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.