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 |
|---|---|---|---|---|
| Place needles pelvic for right CPT 55920 | not published | not published | $97.50 – $5,325.53 | 39 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $53.19 – $5,367.06 | 20 |
| Placental lactogen CPT 83632 | not published | not published | $9.26 – $46.10 | 24 |
| Place po breast cath for rad CPT 19296 | not published | not published | $33.00 – $4,280.36 | 38 |
| Place right device/marker pros CPT 55876 | not published | not published | $24.55 – $901.25 | 38 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $88.28 – $9,644.91 | 20 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $72.76 – $5,367.06 | 20 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $79.50 – $9,644.91 | 20 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $78.50 – $5,367.06 | 20 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $88.47 – $9,644.91 | 20 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $280.80 | $468.00 | $30.00 – $49.59 | 13 |
| Plasma volume multiple CPT 78111 | not published | not published | $7.82 – $859.35 | 41 |
| Plasma volume single CPT 78110 | not published | not published | $6.79 – $859.35 | 41 |
| Platelet aggregation each agent teg CPT 85576 | $136.80 | $228.00 | $2.52 – $41.84 | 24 |
| Platelet automated CPT 85049 | $49.80 | $83.00 | $2.12 – $10.21 | 24 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $2.39 – $8.40 | 13 |
| Platelet pheresis each unit HCPCS P9034 | $1,637.40 | $2,729.00 | $30.00 – $412.40 | 13 |
| Platelets each unit HCPCS P9019 | $277.20 | $462.00 | $114.49 – $114.49 | 2 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $3,293.40 | $5,489.00 | $500.00 – $683.83 | 13 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $294.00 | $490.00 | $30.00 – $112.83 | 13 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,617.00 | $2,695.00 | $448.61 – $500.00 | 13 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,397.00 | $3,995.00 | $500.00 – $573.24 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,897.80 | $3,163.00 | $30.00 – $473.64 | 13 |
| Platelet survival CPT 78191 | not published | not published | $22.07 – $284.23 | 41 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $87.29 – $7,256.67 | 39 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $46.18 – $179.94 | 13 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $47.65 – $7,373.42 | 39 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $78.19 – $7,373.42 | 39 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $196.33 – $734.57 | 13 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,907.00 | $4,845.00 | $13.93 – $3,100.80 | 21 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $2,199.00 | $3,665.00 | $7.01 – $2,345.60 | 21 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $79.22 – $295.00 | 13 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $10.46 – $469.39 | 19 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $2,320.80 | $3,868.00 | $8.27 – $2,475.52 | 21 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,985.40 | $3,309.00 | $7.01 – $2,117.76 | 21 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $8.68 – $42.30 | 19 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $218.29 – $1,301.00 | 19 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $80.88 – $7,256.67 | 39 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $115.90 – $7,256.67 | 39 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $59.40 – $4,769.51 | 39 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $61.58 – $7,373.42 | 39 |
| Pm device progr eval dual CPT 93280 | not published | not published | $9.76 – $30.56 | 19 |
| Pm device progr eval multi CPT 93281 | not published | not published | $11.44 – $35.82 | 19 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $83.24 – $472.67 | 22 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $303.34 – $1,729.06 | 15 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $175.64 – $1,754.64 | 15 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $21.14 – $106.25 | 15 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $8.77 – $56.81 | 19 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $81.40 – $463.98 | 22 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $282.81 – $1,542.42 | 22 |
| Pms2 known familial variants CPT 81318 | not published | not published | $65.62 – $754.68 | 22 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $23.62 – $319.05 | 38 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $8.36 – $194.73 | 24 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $239.40 | $399.00 | $10.43 – $59.44 | 24 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $101.70 – $2,337.78 | 20 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $62.32 – $2,647.09 | 20 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $90.91 – $2,647.09 | 20 |
| Positional change of finger CPT 26555 | not published | not published | $259.35 – $3,321.81 | 38 |
| Positional nystagmus test CPT 92532 | not published | not published | $10.00 – $36.54 | 13 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $148.86 – $1,005.10 | 19 |
| Postpartum Care Only CPT 59430 | not published | not published | $23.36 – $170.95 | 19 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $149.36 – $997.60 | 19 |
| Potassium 24 hour urine CPT 84133 | $36.00 | $60.00 | $2.03 – $10.78 | 24 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $63.35 | $105.59 | $0.06 – $0.38 | 21 |
| Potassium serum/plasma/whole blood CPT 84132 | $42.00 | $70.00 | $2.17 – $10.85 | 24 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $2.40 | $4.00 | $0.39 – $3.85 | 11 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $31.43 – $439.41 | 20 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $14.44 – $153.50 | 20 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $99.10 – $4,989.67 | 38 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $26.54 – $319.05 | 38 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $41.95 – $672.84 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $90.53 – $1,487.08 | 38 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $84.94 – $1,487.08 | 38 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $305.77 | $509.61 | $88.31 – $264.02 | 21 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $124.72 – $1,487.08 | 38 |
| Pr application of long arm splint CPT 29105 | not published | not published | $11.65 – $78.37 | 38 |
| Pr application splint static short arm CPT 29125 | $269.40 | $449.00 | $7.73 – $287.36 | 21 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $0.85 – $5.89 | 19 |
| Pr biopsy skin punch single lesion CPT 11104 | $489.00 | $815.00 | $7.88 – $776.94 | 39 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $115.71 – $4,797.29 | 38 |
| Pr correction hammertoe CPT 28285 | not published | not published | $75.12 – $1,487.08 | 38 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $73.80 | $123.00 | $1.77 – $15.70 | 13 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $68.95 – $258.50 | 13 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $60.17 – $226.38 | 13 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $33.48 – $1,592.02 | 38 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $583.20 | $972.00 | $3.23 – $52.30 | 20 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $11.73 – $76.10 | 19 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $17.21 – $108.35 | 19 |
| Prealbumin CPT 84134 | $117.00 | $195.00 | $4.88 – $33.27 | 24 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $1.45 – $8.67 | 19 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $5.60 – $25.12 | 19 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $8.88 | $14.80 | $0.16 – $0.88 | 20 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.90 | $3.16 | $0.01 – $0.02 | 20 |
| Pregabalin - sendout CPT 80366 | not published | not published | $3.31 – $51.87 | 15 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $59.11 – $814.39 | 38 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $7.01 – $34.31 | 24 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $572.40 | $954.00 | $26.71 – $400.00 | 42 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $514.80 | $858.00 | $23.20 – $400.00 | 42 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $94.65 – $139.89 | 19 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $62.00 – $345.95 | 19 |
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.