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 |
|---|---|---|---|---|
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $3.20 | $5.34 | $1.52 – $3.72 | 14 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.18 | $0.30 | $0.13 – $0.27 | 14 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $9.26 – $48.04 | 24 |
| Galactokinase - sendout CPT 82759 | not published | not published | $7.93 – $48.97 | 24 |
| Galactose transferase test CPT 82776 | not published | not published | $2.65 – $26.77 | 24 |
| Galectin-3 CPT 82777 | not published | not published | $7.12 – $100.89 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $163.63 – $2,648.76 | 38 |
| Gammaglobulin iga CPT 82784 | $175.80 | $293.00 | $2.65 – $21.20 | 24 |
| Gammaglobulin ige CPT 82785 | $280.80 | $468.00 | $6.61 – $37.53 | 24 |
| Gamma glutamyltransferase CPT 82977 | $139.80 | $233.00 | $2.65 – $16.42 | 24 |
| Gamunex-c/gammaked HCPCS J1561 | $6,597.25 | $10,995.42 | $49.31 – $177.04 | 41 |
| Gardner vag dna quant CPT 87512 | $124.20 | $207.00 | $17.13 – $95.21 | 24 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $2.69 – $15.30 | 22 |
| Gastric emptying imag study CPT 78265 | $2,382.00 | $3,970.00 | $34.51 – $733.70 | 39 |
| Gastric emptying imag study CPT 78266 | $2,382.00 | $3,970.00 | $38.24 – $878.09 | 39 |
| Gastric motility studies CPT 91020 | not published | not published | $29.60 – $54.50 | 19 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $24.87 – $446.11 | 41 |
| Gastrin test CPT 82938 | not published | not published | $8.74 – $40.33 | 24 |
| Gastroesophageal reflux study CPT 78262 | $1,833.00 | $3,055.00 | $23.41 – $432.45 | 41 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $36.49 – $177.07 | 19 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $285.66 – $954.90 | 19 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $126.87 – $608.30 | 19 |
| Gated heart multiple CPT 78473 | not published | not published | $47.07 – $448.98 | 41 |
| Gba gene CPT 81251 | not published | not published | $28.35 – $107.73 | 22 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $200.24 | $333.73 | $3.65 – $39.47 | 23 |
| General health panel CPT 80050 | $432.00 | $720.00 | $14.55 – $195.16 | 24 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $979.42 – $5,582.72 | 15 |
| Genioplasty augmentation CPT 21120 | not published | not published | $124.39 – $2,702.95 | 38 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $212.01 – $1,291.25 | 38 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $160.50 – $1,965.95 | 38 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $178.99 – $3,404.27 | 38 |
| Genome sequence analysis CPT 81425 | not published | not published | $846.27 – $11,471.14 | 15 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $40.77 | $67.95 | $0.85 – $6.17 | 21 |
| Gentamicin peak therapeutic drug level CPT 80170 | $327.60 | $546.00 | $8.09 – $37.35 | 24 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $59.62 – $367.71 | 38 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $20.33 – $464.17 | 38 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,977.20 | $9,962.00 | $30.23 – $4,631.00 | 40 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $61.20 | $102.00 | $3.92 – $22.37 | 24 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $218.40 | $364.00 | $7.93 – $39.01 | 24 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $40.90 – $233.15 | 22 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $4.56 – $196.17 | 20 |
| Ghs antibodies (torch) igm CPT 86694 | $183.60 | $306.00 | $5.29 – $32.81 | 24 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $8.95 – $58.88 | 38 |
| Ghs bladder cath - complex-foley CPT 51703 | $422.40 | $704.00 | $18.18 – $481.98 | 39 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.13 – $10.99 | 24 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $19.52 – $93.10 | 38 |
| Ghs central line insert < age 5, failed CPT 36555 | $4,270.80 | $7,118.00 | $33.17 – $4,631.00 | 40 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $10.71 – $125.52 | 32 |
| Ghs chemo >8 hrs CPT 96416 | $1,157.40 | $1,929.00 | $21.11 – $256.15 | 20 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $22.01 – $315.50 | 20 |
| Ghs chemo IV push, ea addtl CPT 96411 | $468.60 | $781.00 | $8.28 – $107.28 | 20 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $232.20 | $387.00 | $17.13 – $80.01 | 24 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $57.39 – $247.33 | 38 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $86.91 – $401.90 | 38 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $106.74 – $801.87 | 38 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $97.80 – $403.30 | 38 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $123.25 – $801.87 | 38 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $137.54 – $926.15 | 38 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $70.67 – $288.06 | 38 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $109.43 – $801.87 | 38 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $124.65 – $801.87 | 38 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $111.35 – $531.26 | 38 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $68.91 – $290.32 | 38 |
| Ghs community re-entry 15 minutes CPT 97537 | $77.40 | $129.00 | $5.45 – $22.11 | 19 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $12.56 – $48.65 | 19 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $10.43 – $40.05 | 19 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $10.41 – $108.87 | 19 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $13.68 – $50.50 | 19 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $44.70 – $316.60 | 38 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $9.79 – $102.20 | 19 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $12.55 – $72.70 | 19 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $173.40 | $289.00 | $5.29 – $34.68 | 24 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $80.47 – $422.53 | 38 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $28.53 – $1,407.05 | 39 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $8.94 – $42.65 | 38 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $28.37 – $890.60 | 39 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $631.20 | $1,052.00 | $56.00 – $819.74 | 20 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $5.68 – $10.02 | 19 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $10.84 – $414.73 | 20 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $1.04 – $5.71 | 19 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $12.50 – $104.98 | 19 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $11.25 – $113.81 | 19 |
| Ghs eye exam CPT 92002 | not published | not published | $5.56 – $55.00 | 19 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $26.34 – $166.44 | 38 |
| Ghs fat & muscle CPT 89160 | $117.00 | $195.00 | $1.54 – $11.06 | 24 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $85.82 – $668.59 | 38 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,335.60 | $2,226.00 | $63.31 – $1,424.64 | 40 |
| Ghs fb removal - incisional CPT 10121 | $4,547.40 | $7,579.00 | $32.02 – $4,631.00 | 40 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $36.38 – $143.09 | 38 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $3.45 – $15.91 | 24 |
| Ghs fish cytogen CPT 88271 | $276.00 | $460.00 | $12.13 – $48.84 | 24 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $397.20 | $662.00 | $22.75 – $116.71 | 24 |
| Ghs flow volume loop CPT 94375 | not published | not published | $10.64 – $23.20 | 19 |
| Ghs gastric intub aspiration lavage CPT 43753 | $443.40 | $739.00 | $6.07 – $481.98 | 20 |
| Ghs hcv amplificaiton CPT 87521 | $756.60 | $1,261.00 | $17.33 – $80.01 | 24 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $2.79 – $52.37 | 24 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $378.60 | $631.00 | $5.29 – $35.32 | 24 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $3.97 – $21.59 | 24 |
| Ghs histoplasma antigen CPT 87385 | $344.40 | $574.00 | $5.75 – $30.21 | 24 |
| Ghs HIV antibody CPT 86703 | $228.00 | $380.00 | $5.29 – $31.26 | 24 |
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.