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 |
|---|---|---|---|---|
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $90.91 – $2,647.09 | 20 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $4.74 – $23.96 | 24 |
| 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 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $54.80 – $312.36 | 15 |
| 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 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $75.66 – $585.84 | 19 |
| Preparation for bladder xray CPT 51605 | not published | not published | $8.21 – $76.10 | 19 |
| Preparation palate mold CPT 42280 | not published | not published | $24.56 – $117.85 | 38 |
| Prepare donor heart CPT 33944 | not published | not published | $72.32 – $1,569.30 | 13 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $86.84 – $1,569.30 | 13 |
| Prepare donor intestine CPT 44715 | not published | not published | $96.03 – $268.30 | 13 |
| Prepare donor lung double CPT 32856 | not published | not published | $84.53 – $2,354.00 | 13 |
| Prepare donor lung single CPT 32855 | not published | not published | $70.17 – $1,569.30 | 13 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $111.75 – $297.00 | 12 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $21.23 – $219.85 | 13 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $430.11 – $2,875.40 | 19 |
| Prepare penis study CPT 54230 | not published | not published | $17.80 – $100.83 | 19 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $42.73 – $247.68 | 19 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $35.98 – $213.70 | 13 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $17.32 – $670.05 | 13 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $90.28 – $485.88 | 19 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $61.93 – $332.05 | 19 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $122.39 – $336.50 | 13 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $90.19 – $485.88 | 19 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $122.39 – $336.50 | 13 |
| Prep donor liver/venous CPT 47146 | not published | not published | $77.36 – $416.47 | 19 |
| Prep donor liver whole CPT 47143 | not published | not published | $99.02 – $336.50 | 13 |
| Prep donor pancreas CPT 48551 | not published | not published | $55.64 – $230.00 | 13 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $53.42 – $284.68 | 19 |
| Prep donor renal graft CPT 50325 | not published | not published | $30.78 – $213.70 | 13 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $25.79 – $150.67 | 13 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $39.21 – $231.69 | 19 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $37.91 – $221.37 | 19 |
| Prep renal graft/venous CPT 50327 | not published | not published | $44.64 – $264.52 | 19 |
| Prep skin to 100cm2 other CPT 15004 | $2,238.60 | $3,731.00 | $42.91 – $2,387.84 | 40 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,951.80 | $3,253.00 | $35.73 – $2,081.92 | 40 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,988.40 | $3,314.00 | $7.20 – $2,120.96 | 21 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $0.01 – $17.65 | 17 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $51.59 – $267.80 | 19 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $29.36 – $210.10 | 19 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $10.58 – $75.58 | 24 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $11.36 – $78.00 | 24 |
| Pretreat rbc density gradient separation reference CPT 86972 | $178.20 | $297.00 | $3.97 – $117.00 | 24 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $7.93 – $131.98 | 23 |
| Pretreat rbc w enzyme reference CPT 86971 | $165.60 | $276.00 | $3.97 – $1,135.91 | 23 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $109.40 – $210.50 | 19 |
| Preventive counseling group CPT 99411 | not published | not published | $7.96 – $17.92 | 13 |
| Preventive counseling group CPT 99412 | not published | not published | $13.10 – $24.56 | 13 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $19.40 – $31.56 | 19 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $51.08 – $66.62 | 13 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $76.43 – $107.09 | 13 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $102.15 – $147.05 | 13 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $12.80 – $87.67 | 38 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $25.30 – $668.59 | 38 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $22.09 – $154.78 | 38 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $290.48 – $952.10 | 19 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $13.86 – $29.52 | 19 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $8.33 – $26.45 | 19 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $7.06 – $24.97 | 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.