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 |
|---|---|---|---|---|
| Fixation of shoulder blade CPT 23400 | not published | not published | $248.79 – $3,321.81 | 38 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $11.99 – $503.34 | 38 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $168.77 – $1,487.08 | 38 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $7.46 – $42.50 | 21 |
| Fl exam g/colon tube w contrast CPT 49465 | $730.20 | $1,217.00 | $7.91 – $954.45 | 39 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $14.46 – $318.54 | 38 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $181.98 – $3,321.81 | 38 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $200.65 – $3,321.81 | 38 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $20.45 – $124.51 | 38 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $13.28 – $192.48 | 21 |
| Flow cytometry marker each additional CPT 88185 | $165.60 | $276.00 | $4.97 – $65.79 | 24 |
| Flow cytometry one marker technical component CPT 88184 | $244.80 | $408.00 | $8.72 – $148.95 | 24 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $10.32 – $143.75 | 21 |
| Flt3 gene CPT 81245 | $407.40 | $679.00 | $66.20 – $377.36 | 15 |
| Flt3 gene analysis CPT 81246 | $275.40 | $459.00 | $33.20 – $189.24 | 22 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $63.52 | $105.87 | $2.80 – $7.97 | 21 |
| Fluidotherapy charges pt CPT 97022 | $143.40 | $239.00 | $2.07 – $18.30 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $23.58 – $357.32 | 38 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $3.77 – $41.03 | 19 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $15.26 – $81.49 | 20 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $29.95 – $906.01 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $255.60 | $426.00 | $1.26 – $27.47 | 24 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $379.80 | $633.00 | $8.47 – $120.44 | 20 |
| Fluoroguide needle placement CPT 77002 | $566.40 | $944.00 | $9.27 – $149.90 | 20 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $4.62 – $43.11 | 22 |
| Fluoroscopy up to 1 hour CPT 76000 | $569.40 | $949.00 | $6.03 – $85.26 | 41 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $185.09 | $308.48 | $2.42 – $7.25 | 23 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $92.23 – $582.93 | 41 |
| Fmri brain by tech CPT 70554 | not published | not published | $75.50 – $700.90 | 41 |
| Fna bx w/ct gdn 1st les CPT 10009 | $3,701.40 | $6,169.00 | $24.16 – $4,631.00 | 40 |
| Fna bx w/ct gdn ea addl CPT 10010 | $3,701.40 | $6,169.00 | $17.65 – $4,631.00 | 21 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $90.56 – $2,259.43 | 39 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $54.72 – $80.86 | 13 |
| Foam stability fetal lung CPT 83662 | not published | not published | $6.61 – $43.11 | 24 |
| Folic acid CPT 82746 | $216.60 | $361.00 | $6.95 – $33.52 | 24 |
| Follow-up angiography CPT 75898 | not published | not published | $15.88 – $1,806.01 | 41 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $125.17 – $958.01 | 38 |
| Fondaparinux sodium HCPCS J1652 | $126.88 | $211.47 | $1.09 – $8.85 | 22 |
| Foot X-ray CPT 73630 | $522.00 | $870.00 | $3.88 – $250.00 | 23 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $166.59 – $1,822.02 | 38 |
| Forensic cytopathology CPT 88125 | not published | not published | $2.40 – $37.74 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $13.48 – $125.52 | 38 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $126.29 | $210.48 | $0.14 – $4.18 | 23 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $168.29 | $280.48 | $0.56 – $11.40 | 40 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $11.07 – $64.98 | 24 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $3.75 – $56.00 | 20 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $17.96 – $102.35 | 22 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $124.74 – $1,592.02 | 38 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $244.45 – $1,079.60 | 19 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $380.40 – $1,904.60 | 19 |
| Frenectomy 41115 CPT 41115 | not published | not published | $33.48 – $190.02 | 38 |
| Frenotomy 40806 CPT 40806 | not published | not published | $7.58 – $91.86 | 38 |
| Frenulotomy of penis CPT 54164 | not published | not published | $42.03 – $910.38 | 38 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $420.00 | $700.00 | $30.00 – $70.89 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $387.00 | $645.00 | $30.00 – $70.38 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $100.20 | $167.00 | $3.97 – $145.00 | 24 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $29.09 – $214.87 | 24 |
| Frozen blood prep CPT 86930 | not published | not published | $24.20 – $252.65 | 24 |
| Frozen blood thaw CPT 86931 | $146.40 | $244.00 | $27.77 – $195.00 | 24 |
| Frozen cell preparation CPT 88241 | not published | not published | $4.62 – $27.57 | 24 |
| Fructosamine glycated protein CPT 82985 | $99.60 | $166.00 | $6.46 – $38.21 | 24 |
| Ftl cgen abnor four anal CPT 81511 | $712.80 | $1,188.00 | $46.48 – $349.98 | 15 |
| Full field erg w/i&r CPT 92273 | not published | not published | $17.79 – $984.01 | 20 |
| Full mouth x-ray of teeth CPT 70320 | $149.40 | $249.00 | $5.80 – $250.00 | 23 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $141.91 – $926.15 | 38 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $104.06 – $926.15 | 38 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $12.65 – $93.41 | 19 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $131.24 – $926.15 | 38 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $8.60 – $46.17 | 19 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $682.01 – $2,246.28 | 19 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $241.81 – $1,175.30 | 19 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $186.98 – $1,487.08 | 38 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $210.66 – $4,552.07 | 38 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $269.12 – $9,099.42 | 38 |
| Fusion of big toe joint CPT 28750 | not published | not published | $155.14 – $4,643.54 | 38 |
| Fusion of big toe joint CPT 28755 | not published | not published | $88.46 – $3,321.81 | 38 |
| Fusion of finger joint CPT 26860 | not published | not published | $145.72 – $1,487.08 | 38 |
| Fusion of finger tendons CPT 26471 | not published | not published | $158.86 – $1,487.08 | 38 |
| Fusion of finger tendons CPT 26474 | not published | not published | $153.53 – $801.87 | 38 |
| Fusion of foot bones CPT 28730 | not published | not published | $216.78 – $9,387.58 | 38 |
| Fusion of foot bones CPT 28735 | not published | not published | $207.75 – $9,290.64 | 38 |
| Fusion of foot bones CPT 28740 | not published | not published | $162.71 – $4,785.61 | 38 |
| Fusion of hand joint CPT 26843 | not published | not published | $189.21 – $3,321.81 | 38 |
| Fusion of knuckle CPT 26850 | not published | not published | $179.89 – $3,321.81 | 38 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $182.45 – $1,908.65 | 38 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $212.28 – $1,487.08 | 38 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $212.92 – $3,321.81 | 38 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $204.53 – $3,321.81 | 38 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $166.12 – $974.57 | 38 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $240.39 – $1,592.02 | 38 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $174.00 – $1,487.08 | 38 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $165.95 – $1,487.08 | 38 |
| Fusion of thumb CPT 26841 | not published | not published | $190.18 – $3,321.81 | 38 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $177.43 – $8,020.24 | 38 |
| Fusion of toes CPT 28280 | not published | not published | $98.10 – $1,487.08 | 38 |
| G6pc gene CPT 81250 | not published | not published | $23.40 – $133.36 | 15 |
| G6pd full gene sequence CPT 81249 | not published | not published | $240.00 – $1,368.00 | 15 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $69.92 – $398.57 | 15 |
| G6pd known familial variant CPT 81248 | not published | not published | $150.10 – $855.57 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $4.59 | $7.65 | $0.34 – $0.86 | 15 |
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.