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 |
|---|---|---|---|---|
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $8.35 – $250.00 | 23 |
| X-ray skull < 4 views CPT 70250 | $230.40 | $384.00 | $4.56 – $50.78 | 22 |
| X-ray skull > 4 views complete CPT 70260 | $365.40 | $609.00 | $6.34 – $250.00 | 23 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $14.84 – $140.56 | 22 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $396.00 | $660.00 | $11.78 – $250.00 | 42 |
| X-ray small intestine follow-through study CPT 74248 | $297.60 | $496.00 | $11.34 – $128.50 | 20 |
| X-ray spine single view CPT 72020 | $195.00 | $325.00 | $3.02 – $250.00 | 23 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $303.60 | $506.00 | $4.78 – $53.65 | 22 |
| X-ray sternum > 2 views CPT 71120 | $243.60 | $406.00 | $4.35 – $44.31 | 22 |
| X-ray surgical specimen CPT 76098 | $682.80 | $1,138.00 | $2.70 – $316.07 | 23 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $439.20 | $732.00 | $10.94 – $250.00 | 42 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $455.40 | $759.00 | $5.86 – $74.47 | 22 |
| X-ray thoracic spine 2 views CPT 72070 | $256.80 | $428.00 | $4.41 – $250.00 | 23 |
| X-ray thoracic spine 3 views CPT 72072 | $342.00 | $570.00 | $4.92 – $250.00 | 23 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $250.80 | $418.00 | $4.55 – $250.00 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $229.20 | $382.00 | $5.27 – $250.00 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $465.60 | $776.00 | $8.38 – $250.00 | 21 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $494.40 | $824.00 | $3.55 – $250.00 | 23 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $324.00 | $540.00 | $3.28 – $250.00 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $704.40 | $1,174.00 | $14.76 – $194.44 | 41 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $660.00 | $1,100.00 | $13.09 – $164.26 | 41 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $24.47 – $250.00 | 20 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $32.45 – $110.23 | 19 |
| X-ray wrist 2 views (both sides) CPT 73100 | $403.20 | $672.00 | $3.54 – $250.00 | 23 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $9.25 – $124.76 | 22 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $93.07 – $170.06 | 13 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $18.49 – $87.72 | 19 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $4.51 – $29.43 | 24 |
| Yersinia antibody CPT 86793 | not published | not published | $5.29 – $30.07 | 24 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $25.34 – $116.99 | 22 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.32 – $38.42 | 22 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $69.19 | $115.32 | $7.21 – $63.20 | 22 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.02 – $510.41 | 22 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $77.30 – $440.61 | 15 |
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.