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 |
|---|---|---|---|---|
| Ped crit care transport CPT 99466 | not published | not published | $37.56 – $235.52 | 19 |
| Ped crit care transport addl CPT 99467 | not published | not published | $19.07 – $117.60 | 19 |
| Ped critical care initial CPT 99471 | not published | not published | $137.66 – $859.80 | 19 |
| Ped critical care subsq CPT 99472 | not published | not published | $66.53 – $437.80 | 19 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $66.83 – $145.03 | 13 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $145.03 – $400.08 | 13 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $105.59 – $926.15 | 38 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,121.58 | $15,202.63 | $36.33 – $561.57 | 37 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,522.80 | $2,538.00 | $43.49 – $433.67 | 41 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,248.60 | $2,081.00 | $41.27 – $650.00 | 42 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,010.40 | $1,684.00 | $30.12 – $650.00 | 42 |
| Pelvic exenteration CPT 45126 | not published | not published | $646.87 – $2,605.30 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,454.00 | $4,090.00 | $79.35 – $818.70 | 42 |
| Pelvic MRI (with contrast) CPT 72196 | $2,044.80 | $3,408.00 | $62.07 – $681.50 | 41 |
| Pelvic MRI (without contrast) CPT 72195 | $1,636.20 | $2,727.00 | $52.62 – $700.00 | 42 |
| Pelvic Ultrasound (complete) CPT 76856 | $552.00 | $920.00 | $20.59 – $400.00 | 42 |
| Pelvic Ultrasound (limited) CPT 76857 | $518.40 | $864.00 | $9.01 – $70.15 | 41 |
| Peng benzathine/procaine inj HCPCS J0558 | $338.23 | $563.72 | $2.75 – $43.92 | 39 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $48.74 | $81.23 | $16.14 – $54.83 | 34 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $41.87 | $69.79 | $0.43 – $2.64 | 20 |
| Penile injection CPT 54235 | not published | not published | $16.20 – $70.83 | 38 |
| Penile vascular study CPT 93980 | not published | not published | $20.22 – $282.55 | 20 |
| Penile vascular study CPT 93981 | not published | not published | $12.09 – $260.45 | 20 |
| Penile venous occlusion CPT 37790 | not published | not published | $123.89 – $1,592.02 | 38 |
| Penis plastic surgery CPT 54360 | not published | not published | $163.76 – $1,592.02 | 38 |
| Penis study CPT 54240 | not published | not published | $22.00 – $57.37 | 39 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $104.32 – $18,138.72 | 39 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $78.64 – $2,648.76 | 38 |
| Percut ablate liver rf CPT 47382 | not published | not published | $201.36 – $12,177.48 | 39 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $83.70 | $139.50 | $42.16 – $112.97 | 21 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $55.75 – $209.79 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $361.32 – $1,936.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $57.87 – $606.20 | 32 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $214.72 – $1,256.00 | 19 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $122.58 – $1,438.67 | 38 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $51.34 – $1,553.00 | 38 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $0.40 – $12.66 | 19 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $6.05 – $18.55 | 19 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $4.55 – $16.43 | 19 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $101.90 – $2,842.25 | 38 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $9.50 – $178.54 | 22 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $26.93 – $426.71 | 41 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $197.74 – $1,042.96 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $195.61 – $760.22 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $20.91 – $587.56 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | $2,320.80 | $3,868.00 | $16.42 – $2,475.52 | 21 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $274.56 – $4,450.23 | 38 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $186.92 – $4,450.23 | 38 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $792.22 – $8,000.18 | 31 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $672.14 – $11,477.74 | 31 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $695.93 – $6,960.20 | 31 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $529.42 – $6,408.37 | 31 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $265.77 – $265.77 | 11 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $94.29 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $127.58 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $152.29 – $12,177.48 | 39 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $23.36 – $125.52 | 32 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $102.93 – $1,487.08 | 38 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $94.17 – $1,487.08 | 38 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $201.13 – $305.80 | 17 |
| Perq transcath closure each CPT 93592 | not published | not published | $90.71 – $413.64 | 13 |
| Perq transcath closure pda CPT 93582 | not published | not published | $139.29 – $603.90 | 19 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $205.87 – $939.04 | 13 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $248.07 – $1,131.53 | 13 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $157.24 – $672.13 | 19 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $134.62 – $134.62 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $45.82 – $1,487.08 | 38 |
| Perq tx malar fracture CPT 21355 | not published | not published | $63.42 – $1,638.27 | 38 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $69.07 – $3,438.65 | 38 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $149.52 – $1,291.25 | 38 |
| Pertussis ag if CPT 87265 | $168.00 | $280.00 | $5.67 – $27.31 | 24 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $86.66 – $2,255.47 | 41 |
| Pet CT whole body initial CPT 78816 | not published | not published | $87.50 – $2,255.47 | 41 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $52.15 – $2,255.47 | 41 |
| Pet image full body CPT 78813 | not published | not published | $71.43 – $2,255.47 | 41 |
| Pet image ltd area CPT 78811 | not published | not published | $56.08 – $2,255.47 | 41 |
| Pet image skull-thigh CPT 78812 | not published | not published | $68.08 – $2,255.47 | 41 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $78.64 – $2,255.47 | 41 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.01 – $2,255.47 | 22 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $4.34 – $31.00 | 13 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $6.52 – $46.00 | 13 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $2.18 – $16.00 | 13 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $55.96 – $1,487.08 | 38 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $30.10 – $47.85 | 13 |
| Ph body fluid CPT 83986 | $58.80 | $98.00 | $1.69 – $8.16 | 24 |
| Phencyclidine (pcp) CPT 83992 | $153.00 | $255.00 | $7.20 – $80.01 | 24 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $135.50 | $225.83 | $27.07 – $109.58 | 21 |
| Phenobarbital therapeutic drug level CPT 80184 | $140.40 | $234.00 | $5.13 – $34.88 | 24 |
| Phentolaine mesylate inj HCPCS J2760 | $881.36 | $1,468.94 | $428.36 – $1,272.81 | 41 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $41.63 | $69.38 | $0.02 – $0.02 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $39.08 | $65.14 | $0.28 – $1.34 | 20 |
| Phenytoin total therapeutic drug level CPT 80185 | $163.20 | $272.00 | $6.27 – $30.21 | 24 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $11.10 – $409.66 | 20 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $111.44 – $457.08 | 38 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $136.25 – $704.00 | 38 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $4.07 – $63.57 | 13 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $6.14 – $93.91 | 13 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $2.09 – $34.06 | 13 |
| Phosphorus CPT 84100 | $49.80 | $83.00 | $2.24 – $10.81 | 24 |
| Phosphorus 24 hour urine CPT 84105 | $36.00 | $60.00 | $2.45 – $13.18 | 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.