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 |
|---|---|---|---|---|
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $198.00 | $330.00 | $7.43 – $85.93 | 24 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $3.17 – $32.02 | 22 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $198.60 | $331.00 | $6.51 – $87.00 | 24 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $351.60 | $586.00 | $16.66 – $213.17 | 24 |
| Cytopath smear other source CPT 88160 | $139.80 | $233.00 | $6.48 – $100.48 | 24 |
| Cytopath smear other source CPT 88162 | $216.60 | $361.00 | $9.71 – $119.39 | 24 |
| Cytopath smear oth prep screen & interp CPT 88161 | $225.60 | $376.00 | $7.08 – $113.98 | 24 |
| Cytopath tbs c/v manual CPT 88164 | $83.40 | $139.00 | $5.29 – $36.30 | 24 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $13.22 – $179.32 | 24 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $9.26 – $67.67 | 24 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $776.40 | $1,294.00 | $20.88 – $195.84 | 22 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $180.07 | $300.11 | $3.73 – $28.77 | 22 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,070.44 | $5,117.40 | $15.18 – $46.72 | 41 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2.18 | $3.64 | $0.04 – $0.52 | 19 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $15,683.37 | $26,138.95 | $48.70 – $115.67 | 40 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3,483.00 | $5,805.00 | $2.93 – $23.58 | 43 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $363.03 | $605.05 | $220.74 – $569.01 | 40 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $51.78 – $281.34 | 13 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $33.91 – $1,553.00 | 38 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $49.43 – $1,553.00 | 38 |
| Dch glucoscan CPT 82948 | $39.60 | $66.00 | $1.32 – $11.49 | 24 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $31.36 – $68.40 | 19 |
| Dch validity tests CPT 81002 | not published | not published | $1.32 – $7.93 | 24 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $116.48 – $878.95 | 38 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $324.11 – $1,950.60 | 38 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $60.81 – $878.95 | 38 |
| D&c of cervical stump CPT 57558 | not published | not published | $25.81 – $1,553.00 | 38 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $11.53 – $28.83 | 19 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $126.71 – $878.91 | 19 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $5.80 – $37.59 | 38 |
| Debridement (>20 cm) charge pt CPT 97598 | $894.00 | $1,490.00 | $9.80 – $23.43 | 19 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,530.80 | $4,218.00 | $55.19 – $2,699.52 | 40 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,425.60 | $2,376.00 | $8.15 – $1,520.64 | 21 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,530.80 | $4,218.00 | $14.17 – $2,699.52 | 21 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $814.80 | $1,358.00 | $8.48 – $1,285.51 | 40 |
| Debride nail1-5 11720 CPT 11720 | $595.80 | $993.00 | $3.08 – $954.45 | 21 |
| Debride nail6 or more 11721 CPT 11721 | $402.00 | $670.00 | $5.28 – $481.98 | 21 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $52.75 – $367.03 | 38 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $77.06 – $1,132.89 | 38 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $101.65 – $697.87 | 19 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $134.42 – $950.66 | 19 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $814.80 | $1,358.00 | $3.85 – $1,285.51 | 21 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $11.43 – $95.32 | 19 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $49.15 – $357.32 | 38 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $2.93 – $19.61 | 19 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,425.60 | $2,376.00 | $40.09 – $1,520.64 | 40 |
| Decalcification CPT 88311 | $117.00 | $195.00 | $2.25 – $35.70 | 24 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $41.80 | $69.67 | $1.69 – $33.46 | 23 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $880.80 | $1,468.00 | $8.67 – $1,416.85 | 39 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $133.00 – $1,487.08 | 38 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $148.80 – $801.87 | 38 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $290.55 – $1,430.50 | 38 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $142.71 – $1,487.08 | 38 |
| Decompress fingers/hand CPT 26035 | not published | not published | $202.82 – $1,487.08 | 38 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $283.66 – $1,487.08 | 38 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $189.58 – $1,487.08 | 38 |
| Decompression fasct forearm CPT 24495 | not published | not published | $167.69 – $3,321.81 | 38 |
| Decompression of leg CPT 27892 | not published | not published | $140.40 – $1,487.08 | 38 |
| Decompression of leg CPT 27893 | not published | not published | $139.46 – $3,321.81 | 38 |
| Decompression of leg CPT 27894 | not published | not published | $212.96 – $1,487.08 | 38 |
| Decompression of lower leg CPT 27600 | not published | not published | $107.76 – $1,487.08 | 38 |
| Decompression of lower leg CPT 27601 | not published | not published | $110.67 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $127.12 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $138.21 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $150.95 – $801.87 | 38 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $168.80 – $3,321.81 | 38 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $95.07 – $878.95 | 38 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $66.44 – $878.95 | 38 |
| Decompressive craniotomy CPT 61322 | not published | not published | $466.31 – $1,805.70 | 19 |
| Decompress optic nerve CPT 67570 | not published | not published | $270.14 – $1,456.12 | 38 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $331.99 – $3,321.81 | 38 |
| Decompress small bowel CPT 44021 | not published | not published | $217.25 – $946.40 | 19 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $307.89 – $3,321.81 | 38 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $365.03 – $2,345.50 | 19 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $70.17 – $448.40 | 19 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $37.61 – $1,132.89 | 38 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $155.39 – $2,942.05 | 38 |
| Delay flap arms/legs CPT 15610 | not published | not published | $40.56 – $926.15 | 38 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $57.31 – $926.15 | 38 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $52.84 – $926.15 | 38 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $34.39 – $1,822.02 | 38 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $17.12 – $1,553.00 | 38 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $178.79 – $1,072.59 | 19 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $208.29 – $1,266.40 | 13 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $202.22 – $632.70 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $2.52 – $23.70 | 19 |
| Denervation of hip joint CPT 27035 | not published | not published | $288.30 – $1,506.40 | 38 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,681.80 | $7,803.00 | $13.64 – $60.66 | 43 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $27.22 – $187.84 | 19 |
| Dermabrasion other than face CPT 15782 | not published | not published | $70.32 – $432.41 | 38 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $72.39 – $436.26 | 38 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $61.86 – $362.50 | 38 |
| Dermabrasion total face CPT 15780 | not published | not published | $111.55 – $574.66 | 38 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $110.46 – $1,822.02 | 38 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $132.67 – $1,822.02 | 38 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $96.29 – $926.15 | 38 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $468.82 – $2,099.84 | 19 |
| Design custom breast implant CPT 19396 | not published | not published | $24.24 – $1,438.67 | 32 |
| Design mlc device for imrt CPT 77338 | not published | not published | $67.58 – $719.51 | 41 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $20.43 | $34.05 | $2.18 – $25.37 | 40 |
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.