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 |
|---|---|---|---|---|
| Desoxycorticosterone CPT 82633 | $196.80 | $328.00 | $14.55 – $70.63 | 24 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $107.84 – $493.47 | 19 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $404.33 – $1,803.17 | 19 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $296.30 – $1,323.17 | 19 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $14.61 – $95.07 | 19 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $20.40 – $120.30 | 38 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $23.63 – $144.11 | 38 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $16.02 – $101.46 | 38 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $18.04 – $110.46 | 38 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $20.98 – $127.75 | 19 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $11.22 – $69.90 | 19 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $14.81 – $96.75 | 19 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $19.00 – $118.09 | 19 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $21.00 – $129.09 | 19 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $60.15 – $878.95 | 38 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $18.21 – $135.88 | 19 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $36.10 – $152.53 | 38 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $163.80 | $273.00 | $8.73 – $212.57 | 21 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $44.55 – $926.15 | 38 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $25.56 – $130.37 | 38 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $13.16 – $88.08 | 19 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $101.37 – $608.23 | 38 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $55.82 – $263.49 | 38 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $140.69 – $503.82 | 38 |
| Destruction 2-14 lesions 17003 CPT 17003 | $119.40 | $199.00 | $0.86 – $141.72 | 21 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $28.82 – $187.09 | 38 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $40.26 – $1,320.79 | 38 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $30.29 – $165.68 | 38 |
| Destruction benign lesions < 14 lesions CPT 17110 | $295.80 | $493.00 | $10.16 – $481.98 | 21 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $39.32 – $462.90 | 38 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $15.86 – $122.74 | 19 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $58.96 – $878.95 | 38 |
| Destruction ciliary body CPT 66700 | not published | not published | $90.15 – $1,158.89 | 38 |
| Destruction ciliary body CPT 66720 | not published | not published | $95.72 – $958.01 | 38 |
| Destruction ciliary body CPT 66740 | not published | not published | $90.35 – $958.01 | 38 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $31.31 – $196.77 | 38 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $29.33 – $1,320.79 | 38 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $34.91 – $181.02 | 38 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $23.64 – $144.57 | 38 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $29.10 – $176.27 | 38 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $22.48 – $138.77 | 38 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $26.06 – $160.76 | 38 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $20.60 – $101.47 | 19 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $33.85 – $926.15 | 38 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $520.80 | $868.00 | $22.98 – $776.94 | 40 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $148.24 – $1,320.79 | 38 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $39.17 – $1,553.00 | 38 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $21.98 – $115.71 | 38 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $18.80 – $90.28 | 38 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $9.49 – $68.47 | 24 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $18.97 – $99.57 | 24 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $5.44 – $22.80 | 19 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $29.40 – $530.21 | 20 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $13.42 – $56.67 | 13 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $213.00 | $355.00 | $3.38 – $250.00 | 42 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $112.07 | $186.78 | $0.12 – $0.34 | 16 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $78.83 | $131.39 | $0.99 – $2.90 | 20 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.67 | $131.12 | $1.00 – $17.96 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $79.62 | $132.70 | $0.99 – $4.75 | 21 |
| Dextrose 5 % IV bolus HCPCS J7070 | $78.86 | $131.44 | $1.99 – $9.43 | 20 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $426.60 | $711.00 | $7.93 – $50.68 | 24 |
| Diabetes (HbA1c) Test CPT 83036 | $195.00 | $325.00 | $3.97 – $22.14 | 24 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $43.56 – $741.27 | 38 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $74.31 – $2,648.76 | 38 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $26.31 – $124.37 | 19 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $35.48 – $599.32 | 38 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $8.59 – $60.55 | 19 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $53.40 | $89.00 | $18.60 – $43.17 | 13 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $53.40 | $89.00 | $15.12 – $54.02 | 13 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $11.35 – $65.51 | 38 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $18.19 – $91.26 | 38 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $378.00 | $630.00 | $27.03 – $327.17 | 41 |
| Diagnostic Mammogram (one breast) CPT 77065 | $276.60 | $461.00 | $21.32 – $255.68 | 41 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $0.01 – $34.97 | 13 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $52.94 – $187.45 | 13 |
| Dialysis one evaluation CPT 90945 | not published | not published | $14.43 – $80.70 | 13 |
| Diathermy eg microwave CPT 97024 | not published | not published | $0.63 – $8.43 | 20 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.22 | $0.36 | $0.08 – $0.17 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $80.83 | $134.71 | $5.47 – $17.16 | 15 |
| Dicyclomine injection HCPCS J0500 | $193.54 | $322.57 | $24.97 – $83.14 | 20 |
| Diffusing capacity CPT 94729 | $390.00 | $650.00 | $6.56 – $46.25 | 19 |
| Digital analysis of eeg CPT 95957 | not published | not published | $47.03 – $94.40 | 19 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $191.62 | $319.36 | $5.43 – $35.37 | 20 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,815.78 | $11,359.63 | $617.81 – $10,998.23 | 41 |
| Digoxin total therapeutic drug level CPT 80162 | $235.20 | $392.00 | $6.28 – $30.28 | 24 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $308.90 | $514.84 | $28.52 – $379.96 | 21 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $37.66 – $352.37 | 19 |
| Dilate esophagus CPT 43453 | not published | not published | $22.44 – $814.39 | 38 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $20.76 – $460.37 | 38 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $90.63 – $258.40 | 13 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $45.31 – $258.40 | 13 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $128.87 – $954.80 | 13 |
| Dilate tear duct opening CPT 68801 | not published | not published | $24.42 – $86.85 | 19 |
| Dilate urethra stricture CPT 53600 | not published | not published | $14.62 – $102.15 | 38 |
| Dilate urethra stricture CPT 53601 | not published | not published | $12.04 – $83.84 | 19 |
| Dilate urethra stricture CPT 53605 | not published | not published | $14.86 – $1,592.02 | 38 |
| Dilate urethra stricture CPT 53621 | not published | not published | $16.45 – $114.55 | 38 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $9.27 – $63.18 | 38 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $36.78 – $599.32 | 38 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $11.28 – $47.26 | 38 |
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.