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 |
|---|---|---|---|---|
| Radiation treatment delivery CPT 77402 | not published | not published | $72.56 – $390.35 | 41 |
| Radiation treatment delivery CPT 77412 | not published | not published | $124.64 – $753.36 | 41 |
| Radiation tx management x5 CPT 77427 | not published | not published | $129.72 – $180.90 | 21 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $362.44 – $2,222.77 | 19 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $221.60 – $1,167.30 | 19 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $273.51 – $1,392.90 | 19 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $231.96 – $1,238.75 | 19 |
| Radical resection of elbow CPT 24149 | not published | not published | $229.56 – $3,321.81 | 38 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $237.58 – $1,550.50 | 19 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $205.05 – $1,218.88 | 38 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $280.90 – $1,643.93 | 38 |
| Radiology port images(s) CPT 77417 | not published | not published | $1.65 – $101.59 | 20 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $260.88 – $3,093.31 | 41 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,707.80 | $4,513.00 | $29.78 – $859.35 | 41 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,421.80 | $5,703.00 | $37.09 – $1,054.82 | 41 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,893.20 | $4,822.00 | $82.38 – $1,722.55 | 39 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,494.80 | $4,158.00 | $37.14 – $859.35 | 41 |
| Radphm lcl tumor plr sgl day CPT 78800 | $880.20 | $1,467.00 | $22.43 – $321.84 | 41 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $13.96 – $74.28 | 13 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $248.12 – $1,347.90 | 19 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $223.92 – $1,308.50 | 38 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $258.82 – $1,515.81 | 38 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $202.29 – $1,132.89 | 38 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $145.53 – $1,132.89 | 38 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $260.10 – $1,579.87 | 38 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $146.08 – $1,132.89 | 38 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $205.29 – $1,243.55 | 38 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $183.63 – $4,415.83 | 38 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $147.18 – $1,132.89 | 38 |
| Range of motion measurements CPT 95852 | not published | not published | $1.01 – $11.44 | 19 |
| Rapid desensitization CPT 95180 | not published | not published | $16.85 – $100.80 | 19 |
| Rapid Strep Test CPT 87880 | $124.80 | $208.00 | $15.83 – $37.69 | 24 |
| Rbc count only automated CPT 85041 | $35.40 | $59.00 | $1.36 – $6.89 | 24 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,122.60 | $1,871.00 | $60.00 – $368.91 | 13 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $8.40 – $14.72 | 13 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $3.97 – $19.61 | 24 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $3.30 – $17.03 | 24 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $10.58 – $117.00 | 24 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $26.16 – $55.77 | 13 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $13.52 – $27.89 | 13 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $16.79 – $33.46 | 13 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $5.63 – $16.73 | 13 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $7.55 – $22.31 | 13 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $7.18 – $11.15 | 13 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $427.36 – $2,775.50 | 19 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $307.01 – $2,169.60 | 19 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $290.25 – $1,946.40 | 19 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $311.76 – $1,612.90 | 19 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $307.59 – $1,673.90 | 19 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $432.46 – $2,813.50 | 19 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $411.10 – $2,519.50 | 19 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $401.66 – $2,413.00 | 19 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $626.98 – $3,730.40 | 19 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $498.41 – $3,519.40 | 19 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $147.18 – $1,291.25 | 38 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $176.48 – $2,702.95 | 38 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $188.58 – $2,702.95 | 38 |
| Realignment of knee CPT 27457 | not published | not published | $185.42 – $1,288.30 | 19 |
| Realignment of knee CPT 27455 | not published | not published | $183.89 – $1,233.50 | 19 |
| Realignment of tendons CPT 26437 | not published | not published | $118.81 – $1,487.08 | 38 |
| Realignment of thigh bone CPT 27454 | not published | not published | $254.48 – $1,624.10 | 19 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $163.95 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $159.03 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $210.31 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $165.57 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $234.65 – $2,702.95 | 38 |
| Rechanneling of artery CPT 35361 | not published | not published | $382.88 – $1,982.00 | 19 |
| Rechanneling of artery CPT 35306 | not published | not published | $114.00 – $938.54 | 19 |
| Rechanneling of artery CPT 35311 | not published | not published | $362.10 – $2,130.70 | 19 |
| Rechanneling of artery CPT 35363 | not published | not published | $434.19 – $2,138.60 | 19 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $306.42 – $2,509.22 | 19 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $340.43 – $2,034.10 | 19 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $319.95 – $2,610.35 | 19 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $360.96 – $1,838.00 | 19 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $244.53 – $1,156.10 | 19 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $310.24 – $2,509.22 | 19 |
| Recipient nephrectomy CPT 50340 | not published | not published | $182.72 – $1,154.20 | 19 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $293.93 – $1,592.30 | 19 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $284.67 – $2,702.95 | 38 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $265.86 – $3,404.27 | 38 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $240.67 – $1,418.70 | 19 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $325.57 – $1,969.80 | 19 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $200.92 – $1,464.70 | 19 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $231.45 – $3,689.54 | 38 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $211.91 – $2,702.95 | 38 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $189.70 – $14,153.20 | 38 |
| Reconstruct bronchus CPT 31775 | not published | not published | $343.05 – $2,103.50 | 19 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $182.36 – $1,211.90 | 19 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $207.55 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $214.34 – $1,291.25 | 38 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $250.31 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $165.10 – $3,668.05 | 38 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $132.88 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $225.86 – $2,702.95 | 38 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $384.90 – $2,739.40 | 19 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $455.75 – $1,956.88 | 19 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $425.36 – $3,357.60 | 19 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $173.02 – $5,407.55 | 38 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $194.79 – $13,471.26 | 38 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $207.14 – $8,850.13 | 38 |
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.