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 |
|---|---|---|---|---|
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $636.83 – $3,733.01 | 31 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $125.28 – $2,002.17 | 32 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $798.83 – $3,736.16 | 31 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $99.47 – $926.15 | 38 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $89.06 – $926.15 | 38 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $548.40 – $2,083.92 | 15 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $548.40 – $2,083.92 | 15 |
| Xm archive tissue molec anal CPT 88363 | $118.80 | $198.00 | $2.55 – $52.21 | 22 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $92.31 – $346.01 | 13 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $83.86 – $466.20 | 19 |
| X-ray abdomen 1 view CPT 74018 | $207.60 | $346.00 | $3.72 – $250.00 | 21 |
| X-ray abdomen 2 views CPT 74019 | $237.60 | $396.00 | $4.55 – $446.39 | 21 |
| X-ray abdomen >=3 views CPT 74021 | $272.40 | $454.00 | $5.32 – $446.39 | 20 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $310.80 | $518.00 | $6.01 – $250.00 | 23 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $239.40 | $399.00 | $4.59 – $58.67 | 22 |
| X-ray ankle 2 views (both sides) CPT 73600 | $386.40 | $644.00 | $3.45 – $250.00 | 23 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,294.80 | $2,158.00 | $13.77 – $213.54 | 22 |
| X-ray assay calculus CPT 82370 | not published | not published | $5.29 – $28.55 | 24 |
| X-ray bone age studies CPT 77072 | $239.40 | $399.00 | $3.01 – $250.00 | 23 |
| X-ray bone length studies CPT 77073 | $319.20 | $532.00 | $5.19 – $250.00 | 23 |
| X-ray bone survey complete CPT 77075 | $730.80 | $1,218.00 | $12.16 – $250.00 | 23 |
| X-ray bone survey infant CPT 77076 | $427.80 | $713.00 | $10.92 – $250.00 | 23 |
| X-ray cervical spine 2-3 views CPT 72040 | $328.80 | $548.00 | $4.59 – $250.00 | 23 |
| X-ray cervical spine 4-5 views CPT 72050 | $427.20 | $712.00 | $6.56 – $250.00 | 23 |
| X-ray cervical spine >= 6 views CPT 72052 | $489.60 | $816.00 | $8.22 – $250.00 | 23 |
| X-ray clavicle complete (both sides) CPT 73000 | $496.80 | $828.00 | $3.49 – $250.00 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $674.40 | $1,124.00 | $16.76 – $253.34 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $804.00 | $1,340.00 | $22.91 – $351.77 | 23 |
| X-ray consultation CPT 76140 | not published | not published | $10.00 – $10.00 | 11 |
| X-ray elbow 2 views (both sides) CPT 73070 | $393.60 | $656.00 | $3.44 – $250.00 | 23 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $525.60 | $876.00 | $4.24 – $250.00 | 23 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $135.30 – $279.91 | 21 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $165.42 – $281.39 | 21 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $484.80 | $808.00 | $10.39 – $250.00 | 23 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $478.80 | $798.00 | $9.11 – $158.11 | 39 |
| X-ray exam entire spi 6/> vw CPT 72084 | $623.40 | $1,039.00 | $10.88 – $185.17 | 39 |
| X-ray exam of arm infant CPT 73092 | $115.20 | $192.00 | $3.49 – $250.00 | 23 |
| X-ray exam of eye sockets CPT 70200 | $256.80 | $428.00 | $5.66 – $60.81 | 22 |
| X-ray exam of femur 1 CPT 73551 | $252.00 | $420.00 | $3.75 – $250.00 | 21 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $3.74 – $45.73 | 22 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $11.95 – $213.54 | 22 |
| X-ray exam of mastoids CPT 70120 | $282.00 | $470.00 | $4.29 – $55.07 | 22 |
| X-ray exam of middle ear CPT 70134 | $94.80 | $158.00 | $5.97 – $76.62 | 22 |
| X-ray exam of penis CPT 74445 | not published | not published | $12.96 – $136.74 | 22 |
| X-ray exam of perineum CPT 74775 | not published | not published | $11.23 – $148.30 | 41 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $4.66 – $59.39 | 22 |
| X-ray exam of sinuses CPT 70210 | $210.00 | $350.00 | $3.91 – $45.01 | 22 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $6.60 – $178.54 | 22 |
| X-ray exam of teeth CPT 70300 | not published | not published | $1.87 – $23.66 | 22 |
| X-ray exam of teeth CPT 70310 | not published | not published | $3.91 – $61.54 | 22 |
| X-ray exam si joints CPT 72200 | $214.80 | $358.00 | $3.69 – $42.86 | 22 |
| X-ray exam thorac spine4/>vw CPT 72074 | $408.00 | $680.00 | $5.79 – $250.00 | 23 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $493.20 | $822.00 | $3.46 – $42.86 | 22 |
| X-ray facial bones complete > 3 views CPT 70150 | $334.80 | $558.00 | $5.46 – $250.00 | 23 |
| X-ray fallopian tube CPT 74742 | not published | not published | $19.37 – $226.78 | 20 |
| X-ray femur >=2 views (both sides) CPT 73552 | $504.00 | $840.00 | $4.37 – $250.00 | 21 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $343.20 | $572.00 | $3.38 – $250.00 | 23 |
| X-ray foot 2 views (both sides) CPT 73620 | $379.20 | $632.00 | $3.40 – $250.00 | 23 |
| X-ray forearm 2 views (both sides) CPT 73090 | $472.80 | $788.00 | $3.49 – $250.00 | 23 |
| X-ray hand 2 views (both sides) CPT 73120 | $439.20 | $732.00 | $3.45 – $250.00 | 23 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $2.76 – $34.97 | 22 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $417.60 | $696.00 | $3.35 – $250.00 | 23 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $379.20 | $632.00 | $6.95 – $74.47 | 20 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $277.20 | $462.00 | $5.33 – $250.00 | 21 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $379.20 | $632.00 | $6.59 – $250.00 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $483.60 | $806.00 | $7.64 – $80.94 | 20 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $174.00 | $290.00 | $4.00 – $250.00 | 21 |
| X-ray humerus >= 2 views left CPT 73060 | $470.40 | $784.00 | $3.82 – $250.00 | 23 |
| X-ray joint survey 1 view CPT 77077 | $226.20 | $377.00 | $6.13 – $47.18 | 22 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $492.00 | $820.00 | $3.64 – $250.00 | 23 |
| X-ray knee 3 views (both sides) CPT 73562 | $628.80 | $1,048.00 | $4.24 – $250.00 | 23 |
| X-ray knee ap standing bilateral CPT 73565 | $243.60 | $406.00 | $3.74 – $52.92 | 22 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $348.00 | $580.00 | $3.49 – $250.00 | 23 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $331.20 | $552.00 | $6.03 – $58.67 | 22 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $460.80 | $768.00 | $6.74 – $250.00 | 23 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $465.60 | $776.00 | $8.73 – $96.75 | 22 |
| X-ray male genital tract CPT 74440 | not published | not published | $9.95 – $136.74 | 22 |
| X-ray mandible complete > 4 views CPT 70110 | $320.40 | $534.00 | $4.90 – $55.80 | 22 |
| X-ray mandible ltd <4 views CPT 70100 | $208.80 | $348.00 | $3.84 – $52.20 | 22 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $6.15 – $58.90 | 22 |
| X-ray nasal bones complete > 3 views CPT 70160 | $230.40 | $384.00 | $3.92 – $250.00 | 23 |
| X-ray neck soft tissue CPT 70360 | $184.80 | $308.00 | $3.36 – $250.00 | 23 |
| X-ray nose to rectum for foreign body child CPT 76010 | $207.60 | $346.00 | $3.60 – $250.00 | 23 |
| X-ray of mammary ducts CPT 77054 | $486.00 | $810.00 | $16.30 – $178.54 | 22 |
| X-ray optic foramina CPT 70190 | $66.00 | $110.00 | $4.49 – $52.20 | 22 |
| X-ray pelvis 1-2 views CPT 72170 | $218.40 | $364.00 | $3.46 – $250.00 | 23 |
| X-ray pelvis complete > 3 views CPT 72190 | $292.80 | $488.00 | $4.87 – $250.00 | 23 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $96.37 – $192.40 | 21 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $110.20 – $208.18 | 21 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $12.99 – $250.00 | 42 |
| X-ray ribs 2 views left CPT 71100 | $270.00 | $450.00 | $4.17 – $250.00 | 23 |
| X-ray ribs 3 views bilateral CPT 71110 | $351.60 | $586.00 | $5.37 – $250.00 | 23 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $280.80 | $468.00 | $5.05 – $250.00 | 23 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $468.00 | $780.00 | $6.61 – $250.00 | 23 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $253.20 | $422.00 | $4.44 – $250.00 | 23 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $230.40 | $384.00 | $3.86 – $250.00 | 23 |
| X-ray scapula complete (both sides) CPT 73010 | $475.20 | $792.00 | $3.64 – $250.00 | 23 |
| X-ray sella turcica CPT 70240 | $58.80 | $98.00 | $3.56 – $42.86 | 22 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $368.40 | $614.00 | $3.07 – $34.97 | 22 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $296.40 | $494.00 | $5.17 – $250.00 | 23 |
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.