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 |
|---|---|---|---|---|
| Drain shoulder lesion CPT 23030 | not published | not published | $65.39 – $1,132.89 | 38 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $123.75 – $1,132.89 | 38 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $36.33 – $652.86 | 38 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $168.80 – $950.70 | 19 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $19.88 – $104.68 | 38 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $441.60 | $736.00 | $9.72 – $481.98 | 21 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $22.79 – $202.51 | 38 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $8.38 – $61.97 | 19 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $175.17 – $1,022.00 | 19 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $67.47 – $491.00 | 19 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $167.59 – $686.10 | 19 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $105.65 – $1,487.08 | 38 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $26.46 – $183.70 | 38 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $46.02 – $668.59 | 38 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $18.77 – $82.01 | 38 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $49.63 – $279.43 | 38 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $67.40 – $1,553.00 | 38 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $122.18 – $1,487.08 | 38 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $103.48 – $1,487.08 | 38 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $89.99 – $599.32 | 38 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $51.83 – $1,291.25 | 38 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $35.52 – $668.59 | 38 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $247.78 – $881.30 | 19 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $221.23 – $813.20 | 19 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $156.71 – $807.66 | 19 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $354.08 – $1,165.00 | 19 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $35.00 – $652.86 | 38 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $28.48 – $279.43 | 38 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $40.32 | $67.20 | $2.14 – $21.78 | 20 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $3,483.60 | $5,806.00 | $14.33 – $108.92 | 20 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $35.65 – $144.29 | 19 |
| Drug assay caffeine CPT 80155 | not published | not published | $7.72 – $87.94 | 22 |
| Drug assay posaconazole CPT 80187 | not published | not published | $10.84 – $61.81 | 22 |
| Drug assay rufinamide CPT 80210 | not published | not published | $10.84 – $61.81 | 21 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $15.43 – $87.94 | 22 |
| Drug assay voriconazole CPT 80285 | not published | not published | $10.84 – $61.81 | 22 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $46.60 | 20 |
| Drug of abuse screen urine CPT 80305 | $141.60 | $236.00 | $5.94 – $28.73 | 22 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $9.85 – $61.81 | 22 |
| Drug test def 1-7 classes HCPCS G0480 | $393.00 | $655.00 | $31.98 – $114.43 | 20 |
| Drug test def 8-14 classes HCPCS G0481 | $393.00 | $655.00 | $45.77 – $156.59 | 20 |
| Drug test prsmv instrmnt CPT 80306 | $141.60 | $236.00 | $7.18 – $39.08 | 22 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $207.00 | $345.00 | $31.70 – $141.68 | 22 |
| Drvvt confirm - quest CPT 85597 | $295.20 | $492.00 | $6.61 – $40.99 | 24 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $129.83 – $630.05 | 38 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $36.93 – $1,130.49 | 39 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $35.19 – $221.38 | 38 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $29.74 – $179.60 | 38 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $35.48 – $223.45 | 38 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $48.35 – $301.07 | 38 |
| Ductogram sgl duct CPT 77053 | not published | not published | $12.67 – $178.54 | 22 |
| Duodenal motility study CPT 91022 | not published | not published | $39.16 – $141.65 | 19 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $36.29 – $897.51 | 38 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $22.50 – $424.98 | 38 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $802.20 | $1,337.00 | $8.84 – $190.01 | 20 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $17.52 – $201.43 | 20 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,363.20 | $2,272.00 | $16.24 – $549.90 | 20 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $5.95 – $86.01 | 20 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $61.94 – $61.94 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $35.62 – $741.27 | 38 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $8.05 – $12.00 | 19 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $14.73 – $460.37 | 38 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $21.48 – $460.37 | 38 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $8.91 – $62.11 | 19 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $16.46 – $94.98 | 38 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $37.26 – $207.37 | 38 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $38.33 – $741.27 | 38 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $26.40 – $150.27 | 38 |
| Dynamic surface emg CPT 96002 | not published | not published | $4.15 – $531.65 | 20 |
| Ear and throat examination CPT 92502 | not published | not published | $19.05 – $98.50 | 19 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $11.88 – $110.17 | 38 |
| Ear cartilage graft CPT 21235 | not published | not published | $140.34 – $2,702.95 | 38 |
| Ear irrigation 69209 CPT 69209 | $183.00 | $305.00 | $2.54 – $283.42 | 20 |
| Ear protector evaluation CPT 92596 | not published | not published | $6.24 – $28.52 | 19 |
| Ecg 12 lead tracing only CPT 93005 | $330.60 | $551.00 | $2.76 – $15.78 | 19 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $2.28 – $11.60 | 19 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $1.63 – $7.20 | 19 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $59.72 – $172.93 | 19 |
| Ecg external < 48 hours recording CPT 93225 | $1,060.80 | $1,768.00 | $11.52 – $25.96 | 19 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,060.80 | $1,768.00 | $18.64 – $36.64 | 19 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $460.80 | $768.00 | $4.61 – $13.67 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $922.20 | $1,537.00 | $4.61 – $13.67 | 13 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,727.60 | $4,546.00 | $45.57 – $262.23 | 19 |
| Echocardiography doppler color flow mapping CPT 93325 | $763.20 | $1,272.00 | $2.46 – $60.88 | 19 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $786.00 | $1,310.00 | $18.29 – $93.40 | 19 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $463.80 | $773.00 | $5.27 – $54.10 | 19 |
| Echo exam of eye CPT 76516 | not published | not published | $14.01 – $95.29 | 22 |
| Echo exam of eye CPT 76519 | not published | not published | $14.80 – $106.08 | 22 |
| Echo exam of eye CPT 76529 | not published | not published | $13.94 – $93.87 | 22 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $2.47 – $14.30 | 22 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $38.58 – $436.44 | 41 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $20.23 – $312.41 | 41 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $16.02 – $94.60 | 22 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $11.90 – $50.05 | 22 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $22.38 – $177.19 | 41 |
| Echograp trans r pros study CPT 76873 | not published | not published | $34.71 – $188.70 | 41 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $15.78 – $48.00 | 20 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $8.81 – $43.61 | 20 |
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.