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 |
|---|---|---|---|---|
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $3.97 – $29.34 | 24 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.87 – $49.61 | 22 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $200.13 – $1,117.99 | 19 |
| Adh-sendout CPT 84588 | $277.20 | $462.00 | $11.90 – $77.38 | 24 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $0.01 – $397.68 | 17 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $117.05 – $3,321.81 | 38 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $151.28 – $926.15 | 38 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $437.94 | $729.90 | $0.50 – $2.14 | 21 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $475.80 | $793.00 | $4.43 – $117.82 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $523.80 | $873.00 | $9.65 – $158.73 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $954.60 | $1,591.00 | $19.52 – $324.60 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $585.60 | $976.00 | $14.43 – $191.33 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $396.00 | $660.00 | $5.01 – $58.26 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $390.60 | $651.00 | $7.90 – $129.80 | 20 |
| Administration immunization 1 vaccine CPT 90471 | $124.80 | $208.00 | $4.12 – $15.87 | 19 |
| Administration immunization each additional component CPT 90461 | not published | not published | $2.66 – $12.51 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $56.40 | $94.00 | $1.76 – $12.51 | 19 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $5.17 – $25.42 | 13 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $1.78 – $25.42 | 19 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $1.54 – $12.51 | 19 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $24.11 – $24.11 | 11 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $24.11 – $24.11 | 11 |
| Adrenal cortex & medulla img CPT 78075 | $3,267.60 | $5,446.00 | $25.21 – $859.35 | 41 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $316.91 – $1,604.00 | 19 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $14.62 – $69.52 | 13 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $20.48 – $85.01 | 13 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $20.01 – $81.73 | 13 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $27.27 – $111.58 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $241.80 | $403.00 | $9.85 – $45.71 | 22 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $1.32 – $16.67 | 24 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $11.71 – $263.02 | 22 |
| After cataract laser surgery CPT 66821 | not published | not published | $69.01 – $295.20 | 38 |
| Air conduction bilat CPT 92552 | $93.00 | $155.00 | $4.06 – $20.58 | 19 |
| Air injection into abdomen 49400 CPT 49400 | $1,306.20 | $2,177.00 | $23.96 – $1,416.85 | 20 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $9.10 – $30.56 | 19 |
| Albumin body fluid quantitative each specimen CPT 82042 | $104.40 | $174.00 | $2.65 – $17.74 | 24 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $481.30 | $802.16 | $45.83 – $137.03 | 41 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $465.69 | $776.15 | $48.60 – $140.10 | 41 |
| Albumin ischemia modified CPT 82045 | not published | not published | $16.76 – $77.38 | 22 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $189.60 | $316.00 | $2.65 – $13.18 | 24 |
| Albumin serum plasma or whole blood CPT 82040 | $88.20 | $147.00 | $2.65 – $11.29 | 24 |
| Albuterol ipratrop non-comp HCPCS J7620 | $9.18 | $15.30 | $0.13 – $0.43 | 21 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $6.91 – $39.38 | 21 |
| Alkaline phosphatase CPT 84075 | $94.80 | $158.00 | $2.45 – $11.81 | 24 |
| Allergen alpha lactalbumin ige CPT 86008 | $63.00 | $105.00 | $8.86 – $40.88 | 15 |
| Allergen egg white ige CPT 86003 | $109.20 | $182.00 | $1.32 – $11.90 | 24 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $165.60 | $276.00 | $2.65 – $18.17 | 24 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $2.33 – $19.30 | 19 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $1.87 – $15.00 | 19 |
| Allergy Skin Testing CPT 95004 | not published | not published | $0.86 – $6.07 | 19 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1.08 – $7.90 | 19 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $325.31 – $9,509.56 | 38 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $1.33 – $13.66 | 19 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $0.69 – $5.59 | 19 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $31.81 – $146.85 | 22 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $5.29 – $38.76 | 24 |
| Alpha-fetoprotein tumor marker CPT 82105 | $297.00 | $495.00 | $5.29 – $38.24 | 24 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $134.03 | $223.38 | $55.91 – $209.83 | 41 |
| Alt/sgpt CPT 84460 | $106.80 | $178.00 | $2.51 – $12.08 | 24 |
| Aluminum - quest CPT 82108 | $196.20 | $327.00 | $9.26 – $58.09 | 24 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $58.51 – $264.00 | 38 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $15.53 – $415.12 | 20 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $8.31 – $51.87 | 15 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $3.52 – $22.52 | 19 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $44.00 | $73.34 | $0.75 – $2.54 | 21 |
| Amino acid screen, urine CPT 82128 | $251.40 | $419.00 | $3.97 – $31.62 | 24 |
| Amino acid single qual CPT 82127 | not published | not published | $6.46 – $32.33 | 24 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $1.70 – $44.71 | 24 |
| Aminolevulinic acid delta CPT 82135 | $187.80 | $313.00 | $7.22 – $37.51 | 24 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $41.59 | $69.31 | $5.13 – $24.82 | 15 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $264.58 | $440.97 | $3.84 – $15.76 | 13 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $41.20 | $68.66 | $0.23 – $1.13 | 21 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $2.02 – $51.87 | 15 |
| Ammonia CPT 82140 | $225.60 | $376.00 | $7.20 – $33.22 | 24 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $14.97 – $115.13 | 38 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $33.44 – $250.62 | 38 |
| Amniotic fluid scan CPT 82143 | not published | not published | $3.18 – $21.32 | 24 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $167.93 – $1,487.08 | 38 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $6.05 – $51.87 | 15 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $3.74 – $21.04 | 13 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $154.67 | $257.79 | $0.95 – $2.42 | 21 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $66.51 | $110.85 | $1.77 – $5.90 | 21 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $114.65 – $1,487.08 | 38 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $188.15 – $992.40 | 19 |
| Amputate hand at wrist CPT 25922 | not published | not published | $150.63 – $801.87 | 38 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $182.35 – $1,487.08 | 38 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $211.35 – $1,128.90 | 19 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $136.02 – $1,487.08 | 38 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $175.45 – $1,487.08 | 38 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $195.86 – $905.20 | 19 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $143.71 – $926.15 | 38 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $186.35 – $1,487.08 | 38 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $129.19 – $1,487.08 | 38 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $150.44 – $1,487.08 | 38 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $235.65 – $1,082.00 | 19 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $170.78 – $889.70 | 19 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $178.56 – $3,321.81 | 38 |
| Amputation of lower leg CPT 27882 | not published | not published | $164.06 – $909.90 | 19 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $149.65 – $633.66 | 19 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $192.67 – $723.66 | 19 |
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.