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 |
|---|---|---|---|---|
| Subsequent repair of nerve CPT 64872 | not published | not published | $25.81 – $165.60 | 19 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $140.78 – $1,487.08 | 38 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $133.92 – $3,321.81 | 38 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $124.64 – $1,487.08 | 38 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $171.33 – $8,416.54 | 38 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $289.64 – $1,687.90 | 13 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $49.13 | $81.88 | $0.15 – $3.10 | 14 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $200.00 – $1,943.43 | 31 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $200.00 – $1,943.43 | 31 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $200.00 – $1,943.43 | 31 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $200.00 – $974.12 | 31 |
| Sugars multiple quant CPT 84379 | not published | not published | $5.05 – $26.29 | 24 |
| Sugars single quant CPT 84378 | not published | not published | $5.05 – $26.29 | 24 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $3.17 – $51.87 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $50.71 | $84.52 | $18.33 – $72.22 | 18 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $0.50 – $8.45 | 19 |
| Support clav 29.6-40.5in med HCPCS L3650 | $24.60 | $41.00 | $3.96 – $39.58 | 12 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $89.13 – $110.28 | 13 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $62.33 – $96.06 | 13 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $24.64 – $1,320.79 | 38 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $142.89 – $1,001.00 | 19 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $143.48 – $1,016.67 | 19 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $91.45 – $1,592.02 | 38 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $247.86 – $1,078.20 | 19 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $128.98 – $3,321.81 | 38 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $142.70 – $999.90 | 19 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $156.19 – $3,321.81 | 38 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $130.68 – $849.40 | 19 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $195.97 – $2,419.37 | 38 |
| Surgical opening esophagus CPT 43351 | not published | not published | $311.68 – $1,257.90 | 19 |
| Surgical opening esophagus CPT 43352 | not published | not published | $250.85 – $1,096.10 | 19 |
| Surgical opening of stomach CPT 43510 | not published | not published | $219.10 – $861.10 | 19 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $173.43 – $691.80 | 19 |
| Surgical opening of throat CPT 42955 | not published | not published | $171.33 – $652.86 | 38 |
| Surgical pathology level 1 gross examination only CPT 88300 | $157.80 | $263.00 | $2.14 – $28.42 | 24 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $199.80 | $333.00 | $4.59 – $56.83 | 24 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $356.40 | $594.00 | $6.47 – $77.13 | 24 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $427.80 | $713.00 | $10.55 – $206.25 | 24 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $784.80 | $1,308.00 | $25.27 – $286.70 | 24 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $854.40 | $1,424.00 | $37.86 – $378.93 | 24 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $299.62 – $1,178.10 | 19 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $340.51 – $1,329.60 | 19 |
| Surgical revision intestine CPT 44680 | not published | not published | $237.99 – $1,118.60 | 19 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $81.96 – $1,320.79 | 38 |
| Susceptibility agar dilution per agent CPT 87181 | $105.00 | $175.00 | $0.74 – $10.83 | 24 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $67.80 | $113.00 | $0.74 – $10.83 | 22 |
| Susceptibility mic per plate CPT 87186 | $71.40 | $119.00 | $2.65 – $19.72 | 24 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.14 – $15.14 | 24 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $230.84 – $1,188.00 | 19 |
| Suspension of testis CPT 54620 | not published | not published | $67.60 – $1,592.02 | 38 |
| Suspension of uterus CPT 58410 | not published | not published | $160.71 – $1,008.84 | 19 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $86.80 – $540.40 | 19 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $237.73 – $1,094.20 | 19 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $304.04 – $1,418.30 | 19 |
| Svc venogram s&i CPT 75827 | not published | not published | $26.37 – $557.99 | 22 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $0.30 – $139.00 | 24 |
| Sympathectomy cervical CPT 64802 | not published | not published | $127.79 – $1,107.01 | 38 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $154.14 – $893.00 | 38 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $140.12 – $900.90 | 19 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $158.16 – $1,487.08 | 38 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $181.83 – $1,151.40 | 19 |
| Synthetic sentence id test CPT 92576 | not published | not published | $4.05 – $23.23 | 19 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $80.40 | $134.00 | $2.09 – $10.03 | 24 |
| T3 (triiodothyronine) free CPT 84481 | $222.60 | $371.00 | $8.01 – $38.62 | 24 |
| T3 (triiodothyronine) total CPT 84480 | $172.80 | $288.00 | $5.29 – $32.33 | 24 |
| T4 (thyroxine) free CPT 84439 | $188.40 | $314.00 | $2.65 – $20.57 | 24 |
| T4 (thyroxine) total CPT 84436 | $119.40 | $199.00 | $2.65 – $15.66 | 24 |
| Tacrolimus therapeutic drug level CPT 80197 | $342.60 | $571.00 | $6.78 – $31.77 | 24 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $433.66 – $2,685.83 | 19 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $399.14 – $2,465.07 | 19 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $246.40 – $1,611.40 | 19 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $22.65 – $147.35 | 19 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $18.50 – $105.69 | 19 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $48.96 – $1,731.73 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,167.84 – $6,656.69 | 15 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $48.96 – $1,363.23 | 15 |
| Tas congenital car anomal CPT 33741 | not published | not published | $188.21 – $695.52 | 13 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $21.09 – $144.11 | 38 |
| Tavr perq femoral CPT 33361 | not published | not published | $332.63 – $1,577.26 | 19 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $54.80 – $312.36 | 15 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $33.57 – $33.57 | 11 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $3.11 – $3.11 | 11 |
| Tbs techl calculation only CPT 77091 | not published | not published | $28.38 – $322.18 | 17 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.08 – $322.18 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $34.89 – $228.00 | 22 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $288.60 | $481.00 | $30.61 – $141.31 | 22 |
| Tc-99m depreotide HCPCS A9536 | $1,181.40 | $1,969.00 | $640.00 – $1,484.00 | 12 |
| Tc-99m disofenin HCPCS A9510 | $72.00 | $120.00 | $0.02 – $84.59 | 13 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,393.40 | $3,989.00 | $102.48 – $3,856.43 | 15 |
| Tc-99m exametazime diag HCPCS A9521 | $2,270.40 | $3,784.00 | $937.50 – $3,669.05 | 14 |
| Tc-99m labeled rbc HCPCS A9560 | $302.40 | $504.00 | $112.87 – $272.64 | 15 |
| Tc-99m maa HCPCS A9540 | $258.60 | $431.00 | $36.25 – $224.00 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $58.80 | $98.00 | $66.84 – $66.84 | 1 |
| Tc-99m medronate HCPCS A9503 | $69.00 | $115.00 | $15.71 – $35.53 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $465.60 | $776.00 | $2,723.76 – $2,723.76 | 6 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.00 | $10.00 | $0.67 – $0.67 | 11 |
| Tc-99m pentetate dtpa HCPCS A9539 | $222.60 | $371.00 | $0.02 – $68.40 | 13 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $190.80 | $318.00 | $23.30 – $23.30 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $17.40 | $29.00 | $1.93 – $3.84 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $55.80 | $93.00 | $75.00 – $75.00 | 11 |
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.