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 |
|---|---|---|---|---|
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $43.73 – $599.32 | 38 |
| Dilation of salivary duct CPT 42660 | not published | not published | $18.23 – $85.84 | 38 |
| Dilation of urethra CPT 53661 | not published | not published | $9.03 – $62.59 | 19 |
| Dilation of urethra CPT 53665 | not published | not published | $8.75 – $910.38 | 38 |
| Dilation of vagina CPT 57400 | not published | not published | $31.03 – $1,553.00 | 38 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $13.68 – $90.50 | 38 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $19.80 – $137.57 | 38 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $38.40 – $1,592.02 | 32 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $64.34 – $1,592.02 | 32 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,001.55 | $1,669.25 | $579.08 – $1,610.78 | 40 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $38.75 | $64.58 | $0.69 – $1.69 | 21 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $7.76 – $148.70 | 21 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $2.62 – $17.70 | 19 |
| Disability dlco CPT 94727 | $513.00 | $855.00 | $8.86 – $30.56 | 19 |
| Disaccharidases CPT 82657 | $376.20 | $627.00 | $8.54 – $50.55 | 24 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $111.68 – $926.15 | 38 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $310.46 – $1,948.70 | 19 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $43.05 – $278.60 | 19 |
| Discography cerv/thor spine CPT 72285 | $1,591.80 | $2,653.00 | $31.32 – $1,298.32 | 22 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $40.49 – $786.52 | 31 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $115.31 – $541.30 | 19 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $309.69 – $1,542.50 | 19 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $184.85 – $2,702.95 | 38 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $75.77 – $425.86 | 19 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $4.75 – $51.87 | 15 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $89.05 – $272.23 | 13 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $76.38 – $636.12 | 22 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $54.80 – $312.36 | 15 |
| Dna antibody native/double stranded CPT 86225 | $251.40 | $419.00 | $6.50 – $31.33 | 24 |
| Dna gardnerella CPT 87510 | $60.60 | $101.00 | $9.49 – $45.71 | 24 |
| Dna probe chlamydia CPT 87490 | $198.00 | $330.00 | $9.49 – $51.87 | 24 |
| Dna probe gc CPT 87590 | $320.40 | $534.00 | $9.49 – $61.29 | 24 |
| Dna trichomonas CPT 87660 | $60.60 | $101.00 | $9.49 – $45.71 | 24 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $99.10 | $165.17 | $3.61 – $17.84 | 20 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $3,324.62 | $5,541.03 | $1.00 – $5.53 | 23 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $65.76 | $109.60 | $0.75 – $1.62 | 15 |
| Doppler echo complete CPT 93320 | $945.60 | $1,576.00 | $13.19 – $82.70 | 19 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $63.57 – $214.60 | 19 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $969.60 | $1,616.00 | $15.73 – $184.44 | 20 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $637.20 | $1,062.00 | $8.59 – $100.50 | 20 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $17,344.68 | $28,907.80 | $226.55 – $531.90 | 37 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $190.78 | $317.96 | $1.58 – $9.80 | 23 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $99.43 | $165.72 | $85.48 – $155.28 | 30 |
| Dpyd gene common variants CPT 81232 | not published | not published | $69.92 – $398.57 | 22 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $28.25 – $153.83 | 38 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $25.68 – $171.44 | 38 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $28.85 – $149.92 | 38 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $20.97 – $130.16 | 38 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $48.30 – $1,132.89 | 38 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $123.76 – $1,132.89 | 38 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $23.34 – $124.05 | 38 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $39.72 – $668.59 | 38 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $89.88 – $1,132.89 | 38 |
| Drainage of eye CPT 65800 | not published | not published | $30.85 – $1,158.89 | 38 |
| Drainage of eye CPT 65810 | not published | not published | $105.26 – $1,158.89 | 38 |
| Drainage of eye CPT 65815 | not published | not published | $107.28 – $1,158.89 | 38 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $103.25 – $801.87 | 38 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $22.35 – $357.32 | 38 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $28.29 – $160.53 | 38 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $59.53 – $652.86 | 38 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $56.81 – $652.86 | 38 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $61.29 – $1,291.25 | 38 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $66.90 – $451.35 | 38 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $76.39 – $315.46 | 38 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $78.77 – $2,702.95 | 38 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $79.31 – $1,291.25 | 38 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $92.80 – $652.86 | 38 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $26.46 – $160.63 | 38 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $26.99 – $209.90 | 38 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $130.07 – $801.87 | 38 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $154.85 – $1,487.08 | 38 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $96.43 – $1,592.02 | 38 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $104.46 – $1,592.02 | 38 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $129.32 – $1,592.02 | 38 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $34.34 – $599.32 | 38 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $116.30 – $1,320.79 | 38 |
| Drainage of salivary gland CPT 42305 | not published | not published | $99.93 – $1,291.25 | 38 |
| Drainage of salivary gland CPT 42320 | not published | not published | $41.11 – $279.43 | 38 |
| Drainage of throat abscess CPT 42725 | not published | not published | $187.70 – $2,702.95 | 38 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $87.89 – $1,592.02 | 38 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $35.31 – $252.12 | 38 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $103.40 – $604.10 | 38 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $144.53 – $910.38 | 38 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $11.82 – $113.10 | 38 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $5.41 – $33.91 | 19 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $64.72 – $4,822.82 | 39 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $60.73 – $4,822.82 | 20 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $17.65 – $351.21 | 38 |
| Drain chest lesion CPT 21502 | not published | not published | $132.85 – $1,487.08 | 38 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $32.53 – $179.20 | 38 |
| Drain lower leg bursa CPT 27604 | not published | not published | $87.32 – $1,487.08 | 38 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $97.24 – $1,132.89 | 38 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $78.50 – $1,132.89 | 38 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $263.38 – $1,206.70 | 19 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $91.22 – $1,553.00 | 38 |
| Drain ovary abscess open CPT 58820 | not published | not published | $71.36 – $1,553.00 | 38 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $237.53 – $999.90 | 19 |
| Drain penis lesion CPT 54015 | not published | not published | $69.47 – $668.59 | 38 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $175.45 – $931.40 | 38 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $55.84 – $1,132.89 | 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.