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 |
|---|---|---|---|---|
| Heterophile antibody absrbj CPT 86310 | not published | not published | $3.64 – $16.80 | 24 |
| Hexa gene CPT 81255 | not published | not published | $30.87 – $117.31 | 22 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $17.13 – $95.21 | 24 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $58.23 – $242.94 | 32 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $203.08 – $3,321.81 | 38 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $200.68 – $1,487.08 | 38 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $323.08 – $3,321.81 | 38 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $165.13 – $3,321.81 | 38 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $180.82 – $3,321.81 | 38 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $317.02 – $3,321.81 | 38 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $323.08 – $3,321.81 | 38 |
| Hip X-ray CPT 73502 | $270.00 | $450.00 | $5.57 – $250.00 | 21 |
| Histamine CPT 83088 | $236.40 | $394.00 | $11.90 – $67.33 | 24 |
| Histochemical stains add-on CPT 88314 | $483.60 | $806.00 | $9.50 – $87.42 | 24 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $1.09 – $20.55 | 24 |
| Hiv-1 ag ia CPT 87390 | $52.80 | $88.00 | $8.62 – $54.86 | 24 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $9.64 – $49.98 | 24 |
| Hla class i high defin qual CPT 86832 | not published | not published | $69.76 – $738.15 | 22 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $63.42 – $742.82 | 22 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $21.76 – $146.35 | 22 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $16.32 – $146.35 | 22 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $34.18 – $186.69 | 22 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $159.49 – $736.35 | 22 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $39.87 – $217.79 | 22 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $176.57 – $815.24 | 22 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $161.81 – $922.31 | 15 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $107.17 – $787.90 | 15 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $198.58 – $916.83 | 15 |
| Hla ii typing 1 loc hr CPT 81382 | $335.40 | $559.00 | $61.08 – $281.99 | 15 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $109.01 – $503.29 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $35.92 – $169.47 | 15 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $87.53 – $404.13 | 15 |
| Hla i typing complete hr CPT 81379 | not published | not published | $107.17 – $764.67 | 15 |
| Hla i typing complete lr CPT 81372 | not published | not published | $161.44 – $920.19 | 15 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $342.00 | $570.00 | $67.96 – $387.37 | 15 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $54.99 – $290.54 | 15 |
| Hla typing a b or c CPT 86813 | $883.80 | $1,473.00 | $18.52 – $132.24 | 24 |
| Hla typing dr/dq CPT 86816 | not published | not published | $11.90 – $68.79 | 24 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $14.61 – $83.29 | 22 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $30.54 – $249.64 | 22 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $20.83 – $83.53 | 13 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $15.22 – $61.18 | 13 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $2.07 – $8.43 | 13 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $14.23 – $57.37 | 13 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.36 | $0.60 | $0.20 – $0.50 | 14 |
| Home sleep test/type 3 porta HCPCS G0399 | $804.00 | $1,340.00 | $75.00 – $225.00 | 13 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $14.11 – $78.79 | 19 |
| Homocysteine CPT 83090 | $455.40 | $759.00 | $8.33 – $40.86 | 24 |
| Homogenization tissue CPT 87176 | $95.40 | $159.00 | $2.90 – $13.41 | 24 |
| Homovanillic acid (hva) CPT 83150 | $189.60 | $316.00 | $9.16 – $51.09 | 24 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $60.36 – $278.66 | 15 |
| Hpv low-risk types CPT 87623 | not published | not published | $17.33 – $80.01 | 15 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $17.33 – $92.45 | 22 |
| H pylori ag ia CPT 87339 | not published | not published | $5.67 – $36.48 | 22 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $33.26 – $153.58 | 22 |
| H pylori (c-13) breath CPT 83013 | $532.80 | $888.00 | $31.86 – $153.58 | 24 |
| H pylori drug admin CPT 83014 | $72.00 | $120.00 | $3.72 – $17.92 | 24 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $288.84 – $1,333.57 | 22 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $288.84 – $1,333.57 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $974.12 – $974.12 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $54.80 – $312.36 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $3.02 – $47.45 | 22 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3.39 | $5.65 | $2.33 – $2.33 | 19 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $180.48 | $300.80 | $0.36 – $1.13 | 21 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.01 | $76.69 | $2.46 – $9.09 | 21 |
| Hydration IV infusion each additional hour CPT 96361 | $106.80 | $178.00 | $3.57 – $19.25 | 19 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $420.00 | $700.00 | $11.75 – $66.15 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $43.68 | $72.80 | $2.04 – $43.65 | 20 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $47.40 | $79.00 | $0.20 – $0.20 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $119.06 | $198.44 | $3.06 – $27.92 | 21 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $195.60 | $326.00 | $6.61 – $40.81 | 24 |
| Hymenotomy CPT 56442 | not published | not published | $11.00 – $1,553.00 | 38 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $250.35 – $3,561.95 | 38 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $3.97 – $23.21 | 24 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $68.21 – $433.91 | 34 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $42.19 – $301.69 | 34 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $43.38 – $356.25 | 34 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $60.84 – $356.25 | 34 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $86.01 – $356.25 | 34 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $225.45 – $1,245.26 | 19 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $241.63 – $1,336.79 | 19 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $207.64 – $1,143.94 | 19 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $51.70 – $391.10 | 19 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $9.62 – $178.54 | 22 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $80.54 – $2,090.81 | 38 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $62.52 – $1,553.00 | 38 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $44.34 – $1,553.00 | 38 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $80.46 – $2,090.81 | 38 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $68.28 – $1,553.00 | 38 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $129.15 – $2,090.81 | 38 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $91.30 – $2,090.81 | 38 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $150.31 – $2,090.81 | 38 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $180.15 – $445.28 | 22 |
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.