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 |
|---|---|---|---|---|
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $149.03 – $931.64 | 38 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $152.23 – $1,487.08 | 38 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $3.97 – $36.23 | 24 |
| Ghs reticulocyte count CPT 85044 | $91.80 | $153.00 | $2.03 – $9.83 | 24 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.67 – $31.71 | 24 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.32 – $9.74 | 24 |
| Ghs semen analysis fert CPT 89320 | $258.60 | $431.00 | $4.30 – $28.07 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $22.44 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $138.60 | $231.00 | $2.65 – $17.05 | 24 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $28.90 – $202.51 | 38 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $38.53 – $293.19 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $36.62 – $230.81 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $46.55 – $449.30 | 38 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $25.13 – $191.28 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $23.20 – $146.46 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $31.61 – $240.17 | 38 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $41.92 – $316.49 | 38 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $55.69 – $549.20 | 38 |
| Ghs sleep study unattended CPT 95800 | $771.60 | $1,286.00 | $45.47 – $556.10 | 19 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $19.81 – $68.32 | 20 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $32.67 – $257.98 | 19 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $5.59 – $93.30 | 19 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $17.50 – $88.20 | 38 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $6.41 – $11.21 | 19 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $15.03 – $77.94 | 19 |
| Ghs st - eval for alt comm CPT 92567 | $86.40 | $144.00 | $4.04 – $19.24 | 19 |
| Ghs strapping shoulder - 29240 CPT 29240 | $196.20 | $327.00 | $11.42 – $283.42 | 21 |
| Ghs st - re-eval for alt comm CPT 92597 | $294.00 | $490.00 | $9.38 – $51.25 | 19 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $3.23 – $18.74 | 19 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $30.66 – $175.78 | 19 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $32.10 – $318.97 | 38 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $23.32 – $202.51 | 38 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $54.32 – $652.86 | 38 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $2.65 – $16.64 | 24 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $64.26 – $276.28 | 38 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $63.75 – $308.51 | 38 |
| Ghs urine, hydroxproline total CPT 83505 | $371.40 | $619.00 | $10.26 – $55.40 | 24 |
| Ghs urine, porphyrins quant CPT 84120 | $210.00 | $350.00 | $6.61 – $33.54 | 24 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $138.49 – $987.53 | 19 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,217.40 | $2,029.00 | $777.76 – $1,000.00 | 13 |
| Ghs windowing of cast CPT 29730 | not published | not published | $11.89 – $62.51 | 38 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $5.29 – $33.56 | 24 |
| Gi endoscopic ultrasound CPT 76975 | $419.40 | $699.00 | $19.87 – $118.78 | 22 |
| Gi inhouse confirmation CPT 87045 | $232.80 | $388.00 | $4.46 – $21.52 | 24 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $58.98 – $347.13 | 32 |
| Gi protein loss CPT 78282 | not published | not published | $10.52 – $377.61 | 41 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $137.63 – $719.40 | 19 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $117.70 – $763.85 | 11 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $52.95 – $657.57 | 13 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $159.83 – $1,470.20 | 13 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $40.45 – $230.55 | 22 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $24.61 – $140.27 | 22 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.00 – $79.80 | 22 |
| Glaucoma surgery CPT 66150 | not published | not published | $196.20 – $2,002.17 | 38 |
| Glaucoma surgery CPT 66155 | not published | not published | $195.47 – $2,757.77 | 38 |
| Glaucoma surgery CPT 66160 | not published | not published | $222.42 – $1,158.89 | 38 |
| Glaucoma surgery CPT 66170 | not published | not published | $269.09 – $1,227.61 | 38 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $351.53 | $585.88 | $174.77 – $522.52 | 41 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $4.87 – $32.58 | 24 |
| Glucose 1 hr post dose CPT 82950 | $123.60 | $206.00 | $2.25 – $10.83 | 24 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.65 – $13.79 | 24 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $72.00 | $120.00 | $1.32 – $7.48 | 24 |
| Glucose blood quantitative CPT 82947 | $77.40 | $129.00 | $1.94 – $8.96 | 24 |
| Glucose body fluid CPT 82945 | $100.80 | $168.00 | $1.94 – $9.07 | 24 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $11.38 – $218.24 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $262.20 | $437.00 | $4.63 – $29.34 | 24 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $73.20 | $122.00 | $1.80 – $8.94 | 24 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $120.40 | $200.66 | $0.62 – $1.15 | 12 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $61.21 | $102.01 | $12.34 – $43.49 | 40 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $344.40 | $574.00 | $7.93 – $42.36 | 24 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $345.00 | $575.00 | $7.93 – $42.23 | 24 |
| Gonioscopy CPT 92020 | not published | not published | $2.44 – $19.25 | 19 |
| Goniotomy CPT 65820 | not published | not published | $172.85 – $2,002.17 | 38 |
| Graft axiofill 1000mg HCPCS J3590 | $2,890.20 | $4,817.00 | $0.01 – $0.01 | 11 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $217.31 – $1,487.08 | 38 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $222.43 – $1,241.90 | 19 |
| Granisetron hcl injection HCPCS J1626 | $41.81 | $69.69 | $0.53 – $4.21 | 22 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $37.30 – $125.66 | 38 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $99.49 – $926.15 | 32 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $98.37 – $1,822.02 | 32 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $29.59 – $130.32 | 13 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $98.99 – $1,822.02 | 32 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.77 – $35.89 | 24 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $11.97 – $172.37 | 22 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $415.72 – $1,564.10 | 19 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $152.91 – $631.30 | 19 |
| G-tube reposition CPT 43761 | $1,591.20 | $2,652.00 | $25.48 – $1,416.85 | 39 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $16.48 – $939.74 | 22 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $32.81 – $1,563.42 | 39 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $60.11 – $154.80 | 13 |
| Gum graft CPT 41870 | not published | not published | $70.20 – $652.86 | 32 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $63.92 – $1,438.67 | 38 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $13.10 – $318.97 | 32 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $38.55 – $247.61 | 32 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $58.62 – $353.36 | 32 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $38.87 | $64.78 | $1.42 – $6.26 | 20 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $2.85 – $11.58 | 20 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $205.47 – $1,487.08 | 38 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $162.10 – $3,321.81 | 38 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $181.62 – $1,487.08 | 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.