Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.)
1331 S A St St, Elwood, IN · Ascension · · NPI 1477508596
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 |
|---|---|---|---|---|
| Creatine isoforms CPT 82554 | not published | not published | $3.97 – $27.06 | 24 |
| Creatine kinase CPT 82550 | $123.60 | $206.00 | $2.65 – $14.84 | 24 |
| Creatine kinase isoenzymes CPT 82552 | $276.60 | $461.00 | $6.33 – $30.53 | 24 |
| Creatine kinase mb CPT 82553 | $207.00 | $345.00 | $3.97 – $26.33 | 24 |
| Creatine - sendout CPT 82540 | $111.00 | $185.00 | $2.16 – $10.58 | 24 |
| Creatinine CPT 82565 | $88.20 | $147.00 | $1.32 – $11.67 | 24 |
| Creatinine 24 hour urine CPT 82570 | $112.80 | $188.00 | $2.45 – $11.81 | 24 |
| Creatinine clearance urine CPT 82575 | $231.60 | $386.00 | $4.47 – $21.57 | 24 |
| #creutz-prot.,western blot CPT 84182 | $951.00 | $1,585.00 | $2.11 – $41.84 | 24 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $122.61 – $2,702.95 | 38 |
| Cricotracheal resection CPT 31592 | not published | not published | $463.97 – $2,702.95 | 32 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $39.67 – $121.83 | 19 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $20.55 – $60.92 | 19 |
| Critical care 30-74 minutes CPT 99291 | $3,266.40 | $5,444.00 | $38.08 – $330.48 | 19 |
| Critical care each additional 30 minutes CPT 99292 | $741.00 | $1,235.00 | $19.10 – $165.87 | 19 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $271.47 – $1,744.70 | 19 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $231.15 – $1,477.40 | 19 |
| Cross-over vein graft CPT 34520 | not published | not published | $274.80 – $1,148.10 | 19 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $203.45 – $1,241.40 | 19 |
| Cryoablate prostate CPT 55873 | not published | not published | $256.94 – $6,392.66 | 38 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $30.02 – $129.06 | 38 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $45.00 | $75.00 | $2.65 – $32.24 | 24 |
| Cryoprecipitate each unit HCPCS P9012 | $175.80 | $293.00 | $5.00 – $57.85 | 13 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $440.00 – $1,352.40 | 12 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $322.95 – $400.00 | 12 |
| Cryopreservation sperm CPT 89259 | not published | not published | $125.00 – $322.95 | 12 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $13.80 – $16.80 | 13 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $28.60 – $111.75 | 12 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $33.73 – $2,053.61 | 32 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $21.42 – $105.58 | 19 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $7.98 – $46.86 | 13 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $5.29 – $32.85 | 24 |
| Cryptosporidium antigen CPT 87272 | $119.40 | $199.00 | $5.75 – $27.31 | 24 |
| Crystal identification light microscopy CPT 89060 | $161.40 | $269.00 | $0.84 – $115.06 | 24 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $348.34 – $2,263.19 | 13 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $191.97 – $1,221.10 | 13 |
| Csf leakage imaging CPT 78650 | not published | not published | $21.58 – $859.35 | 41 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $20.50 – $52.50 | 38 |
| Csf ventriculography CPT 78635 | not published | not published | $21.58 – $632.17 | 41 |
| CT 3d report other modality w/workstation CPT 76377 | $525.60 | $876.00 | $17.08 – $650.00 | 21 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,501.40 | $4,169.00 | $67.86 – $650.00 | 42 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,824.20 | $4,707.00 | $81.79 – $650.00 | 23 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $4,993.20 | $8,322.00 | $66.15 – $561.53 | 41 |
| Cta neck without &/or w/contrast CPT 70498 | $2,395.80 | $3,993.00 | $62.35 – $760.52 | 42 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,182.80 | $8,638.00 | $77.86 – $875.45 | 40 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,370.60 | $3,951.00 | $68.24 – $650.00 | 42 |
| CT Angiogram of the Head CPT 70496 | $3,418.80 | $5,698.00 | $62.58 – $725.32 | 42 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $84.25 – $650.00 | 42 |
| CT angio pelvis CPT 72191 | $2,139.60 | $3,566.00 | $64.55 – $601.75 | 41 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,136.60 | $3,561.00 | $62.35 – $650.00 | 42 |
| CT bone density axial CPT 77078 | $279.00 | $465.00 | $8.84 – $203.78 | 41 |
| CT colonography dx CPT 74261 | not published | not published | $53.76 – $650.00 | 35 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $60.34 – $650.00 | 35 |
| CT colonography screening CPT 74263 | not published | not published | $117.69 – $707.69 | 15 |
| CT guidance for needle placement CPT 77012 | $1,660.20 | $2,767.00 | $40.72 – $650.00 | 21 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,146.60 | $1,911.00 | $20.13 – $400.00 | 21 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $0.01 – $0.01 | 11 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $85.60 – $650.00 | 21 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $366.60 | $611.00 | $12.02 – $650.00 | 23 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $58.23 – $650.00 | 42 |
| CT hrt w/3d image CPT 75572 | not published | not published | $40.23 – $650.00 | 42 |
| CT limited or localized follow-up study CPT 76380 | $269.40 | $449.00 | $25.23 – $650.00 | 23 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,560.60 | $2,601.00 | $39.91 – $359.66 | 41 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,248.60 | $2,081.00 | $33.43 – $650.00 | 42 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,371.60 | $7,286.00 | $43.49 – $473.89 | 41 |
| CT neck soft tissue w/contrast CPT 70491 | $1,711.20 | $2,852.00 | $40.71 – $650.00 | 42 |
| CT neck soft tissue without contrast CPT 70490 | $1,369.20 | $2,282.00 | $34.21 – $650.00 | 42 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,054.40 | $3,424.00 | $49.21 – $650.00 | 42 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,027.40 | $3,379.00 | $51.81 – $506.92 | 41 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,689.00 | $2,815.00 | $45.19 – $650.00 | 42 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,351.20 | $2,252.00 | $38.77 – $650.00 | 42 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $32.76 – $195.61 | 38 |
| CT scan for therapy guide CPT 77014 | $904.20 | $1,507.00 | $30.96 – $650.00 | 21 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,788.40 | $6,314.00 | $71.93 – $650.00 | 42 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,224.40 | $5,374.00 | $65.14 – $650.00 | 42 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,651.40 | $4,419.00 | $62.32 – $650.00 | 42 |
| CT thoracic spine w/contrast CPT 72129 | $1,829.40 | $3,049.00 | $43.19 – $650.00 | 42 |
| CT thoracic spine without contrast CPT 72128 | $1,464.00 | $2,440.00 | $35.75 – $650.00 | 42 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $574.80 | $958.00 | $21.01 – $315.51 | 19 |
| CT t-spine w /wo contrast CPT 72130 | $2,195.40 | $3,659.00 | $45.27 – $453.76 | 41 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,525.80 | $2,543.00 | $39.73 – $353.92 | 41 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,220.40 | $2,034.00 | $33.43 – $650.00 | 42 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,661.20 | $6,102.00 | $43.49 – $478.91 | 41 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $715.00 – $2,268.60 | 15 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $650.00 – $2,359.73 | 15 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $119.36 – $1,822.02 | 38 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $111.15 – $926.15 | 38 |
| Culture aerobic additional method definitive id each CPT 87077 | $119.40 | $199.00 | $3.82 – $18.70 | 24 |
| Culture afb any source CPT 87116 | $253.80 | $423.00 | $5.29 – $24.62 | 24 |
| Culture anaerobic additional method definitive id each CPT 87076 | $163.80 | $273.00 | $3.99 – $18.42 | 24 |
| Culture anaerobic except blood CPT 87075 | $249.00 | $415.00 | $3.97 – $21.59 | 24 |
| Culture bact stool aero addl path ea CPT 87046 | $120.00 | $200.00 | $3.12 – $21.52 | 22 |
| Culture body fluid CPT 87070 | $208.20 | $347.00 | $2.65 – $19.65 | 24 |
| Culture fungi definitive id mold CPT 87107 | $210.60 | $351.00 | $5.10 – $23.53 | 22 |
| Culture fungi definitive id yeast CPT 87106 | $166.80 | $278.00 | $4.88 – $23.53 | 24 |
| Culture fungi other (except blood) CPT 87102 | $241.80 | $403.00 | $3.97 – $19.17 | 24 |
| Culture fungi skin/hair/nail CPT 87101 | $176.40 | $294.00 | $3.65 – $17.58 | 24 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $5.29 – $33.31 | 24 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $5.29 – $35.09 | 24 |
| Culture quantitative aerobic other source CPT 87071 | $235.20 | $392.00 | $4.07 – $22.55 | 22 |
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.