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 |
|---|---|---|---|---|
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $10.55 – $32.36 | 19 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $13.73 – $36.80 | 19 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $15.15 – $41.73 | 19 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $20.00 – $134.17 | 19 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $32.08 – $205.76 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $21.81 – $139.44 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $15.87 – $97.63 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $16.88 – $105.51 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $11.71 – $73.21 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $6.38 – $41.16 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $113.99 – $9,898.92 | 38 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $41.54 – $496.05 | 19 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $13.15 – $13.15 | 11 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $886.80 | $1,478.00 | $28.11 – $1,416.85 | 40 |
| Pr incision & drainage abscess simple/single CPT 10060 | $669.00 | $1,115.00 | $15.18 – $954.45 | 40 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $21.24 – $107.30 | 38 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,183.80 | $1,973.00 | $15.52 – $1,416.85 | 40 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $25.96 – $185.79 | 13 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $17.94 – $136.95 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $323.40 | $539.00 | $11.97 – $20.34 | 13 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $114.21 – $878.95 | 38 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $28.29 – $193.13 | 38 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $31.06 – $958.01 | 38 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $41.53 – $958.01 | 38 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $37.70 – $1,230.06 | 38 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $728.44 | $1,214.06 | $89.43 – $637.15 | 32 |
| Procalcitonin CPT 84145 | $307.20 | $512.00 | $11.19 – $62.06 | 22 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $44.48 | $74.14 | $3.43 – $12.17 | 21 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $427.84 – $2,029.40 | 19 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $414.34 – $1,919.60 | 19 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $24.26 – $1,320.79 | 38 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $25.80 – $599.32 | 38 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $18.48 – $640.68 | 38 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $10.89 – $95.17 | 38 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $18.22 – $1,320.79 | 38 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $22.13 – $599.32 | 38 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $24.39 – $599.32 | 38 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $23.36 – $1,320.79 | 38 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $17.20 – $599.32 | 38 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $21.72 – $1,320.79 | 38 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $26.68 – $3,913.07 | 38 |
| Progesterone CPT 84144 | $241.80 | $403.00 | $5.29 – $47.56 | 24 |
| Prolactin CPT 84146 | $270.60 | $451.00 | $9.17 – $44.19 | 24 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $1.36 – $10.75 | 13 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $0.76 – $5.29 | 13 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $37.66 – $37.66 | 11 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $30.58 – $46.54 | 13 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $15.08 – $119.33 | 19 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $14.65 – $111.49 | 19 |
| Prolong service without contact CPT 99358 | not published | not published | $17.45 – $104.83 | 13 |
| Prolong serv without contact add CPT 99359 | not published | not published | $8.40 – $50.69 | 13 |
| Promethazine hcl injection HCPCS J2550 | $38.85 | $64.75 | $2.44 – $7.45 | 20 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $91.39 – $467.77 | 38 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $93.33 – $478.01 | 38 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $169.14 – $8,526.80 | 38 |
| Prophylactic tx radius CPT 25490 | not published | not published | $140.02 – $3,321.81 | 38 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $176.36 – $1,487.08 | 38 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $144.12 – $6,364.19 | 38 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $45.25 | $75.42 | $0.08 – $0.29 | 21 |
| _propoxygc/msur CPT 80367 | not published | not published | $5.04 – $51.87 | 15 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $39.59 | $65.98 | $3.03 – $21.92 | 20 |
| Prostate biopsy, any mthd HCPCS G0416 | $861.60 | $1,436.00 | $72.84 – $624.75 | 20 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $181.74 – $2,419.37 | 38 |
| Prostate laser enucleation CPT 52649 | not published | not published | $176.73 – $2,419.37 | 38 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $125.92 – $1,176.62 | 38 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $133.54 – $1,125.12 | 38 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $119.18 | $198.63 | $0.91 – $2.47 | 21 |
| Protein analysis w/probe CPT 88372 | not published | not published | $3.68 – $119.03 | 24 |
| Protein c activity CPT 85303 | $335.40 | $559.00 | $5.29 – $31.56 | 24 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $162.00 | $270.00 | $1.26 – $24.49 | 24 |
| Protein s total CPT 85305 | $356.40 | $594.00 | $5.29 – $26.47 | 24 |
| Protein total 24 hour urine CPT 84156 | $88.20 | $147.00 | $1.73 – $8.37 | 24 |
| Protein total body fluid CPT 84157 | $86.40 | $144.00 | $1.81 – $9.12 | 24 |
| Protein total serum plasma whole blood CPT 84155 | $52.80 | $88.00 | $1.73 – $8.37 | 24 |
| Protein western blot tissue CPT 88371 | not published | not published | $3.68 – $120.35 | 24 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $112.80 | $188.00 | $1.32 – $8.98 | 24 |
| Proton treatment complex CPT 77525 | not published | not published | $858.52 – $1,902.34 | 41 |
| Proton trmt intermediate CPT 77523 | not published | not published | $99.17 – $1,902.34 | 41 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $634.29 – $1,256.93 | 41 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $88.34 – $1,256.93 | 41 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $3.97 – $22.21 | 24 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $124.14 – $407.20 | 13 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $140.90 – $1,587.82 | 38 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $12.79 – $73.76 | 13 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $327.21 – $11,488.97 | 31 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $424.46 – $11,247.50 | 31 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $168.18 – $23,875.18 | 17 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $168.18 – $11,908.11 | 17 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $141.23 – $856.53 | 19 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $125.94 – $15,990.66 | 20 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $102.22 – $3,321.81 | 38 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $139.54 – $801.87 | 38 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $144.71 – $3,321.81 | 38 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $87.29 – $3,321.81 | 38 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $61.94 – $3,321.81 | 38 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $126.02 – $15,990.66 | 39 |
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.