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 |
|---|---|---|---|---|
| Reconstruction of throat CPT 42950 | not published | not published | $182.61 – $2,702.95 | 38 |
| Reconstruction of urethra CPT 53410 | not published | not published | $210.18 – $2,419.37 | 38 |
| Reconstruction of urethra CPT 53415 | not published | not published | $242.99 – $1,472.20 | 19 |
| Reconstruction of urethra CPT 53430 | not published | not published | $206.91 – $2,419.37 | 38 |
| Reconstruction of urethra CPT 54308 | not published | not published | $151.42 – $2,419.37 | 38 |
| Reconstruction of urethra CPT 54312 | not published | not published | $190.18 – $1,592.02 | 38 |
| Reconstruction of urethra CPT 54316 | not published | not published | $227.07 – $4,450.23 | 38 |
| Reconstruction of urethra CPT 54318 | not published | not published | $153.12 – $1,592.02 | 38 |
| Reconstruction of urethra CPT 54322 | not published | not published | $177.89 – $1,592.02 | 38 |
| Reconstruction of urethra CPT 54324 | not published | not published | $221.75 – $1,592.02 | 38 |
| Reconstruction of urethra CPT 54326 | not published | not published | $214.21 – $1,592.02 | 38 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $58.14 – $1,291.25 | 38 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $151.97 – $2,702.95 | 38 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $128.19 – $1,291.25 | 38 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $274.31 – $1,554.70 | 19 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $363.08 – $2,250.30 | 19 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $235.62 – $9,106.34 | 38 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $285.69 – $13,700.10 | 38 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $173.28 – $3,321.81 | 38 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $232.57 – $2,702.95 | 38 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $248.76 – $2,419.37 | 38 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $183.30 – $2,419.37 | 38 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $201.34 – $2,419.37 | 38 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $379.35 – $2,178.50 | 19 |
| Rectal sensation test CPT 91120 | not published | not published | $36.17 – $381.28 | 19 |
| Red blood cells each unit HCPCS P9021 | $551.40 | $919.00 | $141.42 – $650.00 | 13 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $2,587.20 | $4,312.00 | $197.25 – $650.00 | 13 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $607.80 | $1,013.00 | $241.75 – $650.00 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $546.00 | $910.00 | $60.00 – $178.81 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $751.20 | $1,252.00 | $259.60 – $355.66 | 13 |
| Red blood cells washed each unit HCPCS P9022 | $494.40 | $824.00 | $298.24 – $650.00 | 13 |
| Red cell mass multiple CPT 78121 | not published | not published | $11.39 – $327.11 | 41 |
| Red cell mass single CPT 78120 | not published | not published | $8.31 – $324.83 | 41 |
| Red cell sequestration CPT 78140 | not published | not published | $19.80 – $324.83 | 41 |
| Red cell survival study CPT 78130 | not published | not published | $18.74 – $324.83 | 41 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $91.53 – $5,367.06 | 39 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $208.48 – $918.80 | 19 |
| Reduce testis torsion CPT 54600 | not published | not published | $100.18 – $1,592.02 | 38 |
| Reduction of facial bones CPT 21209 | not published | not published | $122.02 – $2,702.95 | 38 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $43.57 – $464.17 | 38 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $205.23 – $1,148.10 | 19 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $102.42 – $336.71 | 13 |
| Re-explore parathyroids CPT 60502 | not published | not published | $241.88 – $1,572.60 | 19 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $6.78 – $954.33 | 20 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $13.58 – $189.51 | 20 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $626.62 | $1,044.37 | $5.25 – $184.96 | 21 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $36.77 – $207.30 | 19 |
| Reinforce clavicle CPT 23490 | not published | not published | $164.83 – $3,321.81 | 38 |
| Reinforce eye wall CPT 67250 | not published | not published | $146.06 – $958.01 | 38 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $127.81 – $2,002.17 | 38 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $197.74 – $8,731.87 | 38 |
| Reinforce thigh CPT 27495 | not published | not published | $220.67 – $1,574.40 | 19 |
| Reinforce tibia CPT 27745 | not published | not published | $147.54 – $4,683.01 | 38 |
| Reinnervate larynx CPT 31590 | not published | not published | $202.72 – $2,702.95 | 38 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $253.30 – $1,584.30 | 19 |
| Reinsert ocular implant CPT 65155 | not published | not published | $157.90 – $1,456.12 | 38 |
| Release encircling material CPT 67115 | not published | not published | $93.49 – $2,002.17 | 38 |
| Release eye tissue CPT 67343 | not published | not published | $122.54 – $958.01 | 38 |
| Release facial nerve CPT 69720 | not published | not published | $184.70 – $2,702.95 | 38 |
| Release facial nerve CPT 69725 | not published | not published | $287.68 – $2,049.10 | 19 |
| Release facial nerve CPT 69955 | not published | not published | $305.13 – $2,328.60 | 19 |
| Release finger contracture CPT 26525 | not published | not published | $124.00 – $801.87 | 38 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $135.05 – $1,487.08 | 38 |
| Release inner ear canal CPT 69960 | not published | not published | $294.16 – $2,255.00 | 19 |
| Release knuckle contracture CPT 26520 | not published | not published | $123.87 – $1,487.08 | 38 |
| Release middle ear bone CPT 69650 | not published | not published | $122.79 – $1,291.25 | 38 |
| Release muscles of hand CPT 26593 | not published | not published | $114.34 – $1,487.08 | 38 |
| Release of eye fluid CPT 67015 | not published | not published | $108.53 – $1,158.89 | 38 |
| Release of foot tendon CPT 28220 | not published | not published | $60.16 – $350.85 | 38 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $51.57 – $1,487.08 | 38 |
| Release of foot tendons CPT 28222 | not published | not published | $69.80 – $1,487.08 | 38 |
| Release of foot tendons CPT 28226 | not published | not published | $76.38 – $1,487.08 | 38 |
| Release of lower leg tendon CPT 27680 | not published | not published | $84.31 – $1,487.08 | 38 |
| Release of lower leg tendons CPT 27681 | not published | not published | $106.05 – $1,487.08 | 38 |
| Release of lung 32220 CPT 32220 | not published | not published | $380.69 – $1,790.60 | 19 |
| Release of midfoot joint CPT 28260 | not published | not published | $101.45 – $1,487.08 | 38 |
| Release of midfoot joint CPT 28264 | not published | not published | $149.21 – $801.87 | 38 |
| Release of shoulder ligament CPT 23415 | not published | not published | $135.70 – $3,321.81 | 38 |
| Release palm contracture CPT 26040 | not published | not published | $60.40 – $801.87 | 38 |
| Release palm contracture CPT 26121 | not published | not published | $116.17 – $1,487.08 | 38 |
| Release palm contracture CPT 26123 | not published | not published | $162.39 – $1,487.08 | 38 |
| Release palm contracture CPT 26125 | not published | not published | $53.96 – $364.40 | 19 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $90.98 – $1,487.08 | 38 |
| Release palm & finger tendon CPT 26442 | not published | not published | $184.39 – $1,487.08 | 38 |
| Release palm/finger tendon CPT 26440 | not published | not published | $117.86 – $801.87 | 38 |
| Release thumb contracture CPT 26508 | not published | not published | $122.53 – $1,487.08 | 38 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $101.80 – $1,487.08 | 38 |
| Relieve bladder contracture CPT 52640 | not published | not published | $67.28 – $1,592.02 | 38 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $409.69 – $2,407.40 | 19 |
| Relocation of testis(es) CPT 54680 | not published | not published | $177.81 – $1,592.02 | 38 |
| Relocation skin pocket aicd CPT 33223 | not published | not published | $102.22 – $926.15 | 38 |
| Relocation skin pocket pm CPT 33222 | not published | not published | $84.82 – $926.15 | 38 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $9.30 – $46.08 | 38 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $16.27 – $79.94 | 38 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $91.75 – $5,367.06 | 39 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $4.52 – $36.98 | 19 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $4.52 – $42.41 | 19 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $4.19 – $49.66 | 19 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $9.82 – $58.76 | 13 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $2.97 – $17.69 | 13 |
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.