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 |
|---|---|---|---|---|
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $118.81 | $198.01 | $0.05 – $1.51 | 21 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $57.47 – $632.63 | 41 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 24 |
| Male sling procedure CPT 53440 | not published | not published | $193.44 – $9,871.23 | 38 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 19 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $76.07 – $801.87 | 38 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $97.33 – $801.87 | 38 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $151.20 | $252.00 | $3.64 – $23.70 | 19 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $151.20 | $252.00 | $4.20 – $29.50 | 19 |
| Manipulation of hip joint CPT 27275 | not published | not published | $45.77 – $801.87 | 38 |
| Manipulation of spine CPT 22505 | not published | not published | $31.90 – $801.87 | 38 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $22.74 – $80.84 | 38 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.12 | $66.86 | $2.20 – $5.87 | 15 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $1.76 – $11.56 | 24 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $44.57 – $71.30 | 19 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $45.97 – $165.04 | 19 |
| Map tachycard site(s) CPT 93609 | not published | not published | $66.00 – $130.10 | 19 |
| Marker biop eviva buckle ss HCPCS A4648 | $200.40 | $334.00 | $200.00 – $200.00 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 19 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 38 |
| Mast mod rad CPT 19307 | not published | not published | $192.23 – $2,482.82 | 38 |
| Mastoidectomy CPT 69501 | not published | not published | $133.53 – $2,702.95 | 38 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $176.91 – $2,702.95 | 38 |
| Mastoids complete CPT 70130 | $550.80 | $918.00 | $6.67 – $83.81 | 22 |
| Mastoid surgery revision CPT 69603 | not published | not published | $232.90 – $2,702.95 | 38 |
| Mastopexy CPT 19316 | not published | not published | $133.14 – $2,482.82 | 38 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 38 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 24 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 24 |
| Maxillofacial fixation CPT 21100 | not published | not published | $99.06 – $2,702.95 | 38 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $358.80 | $598.00 | $5.29 – $32.97 | 24 |
| Mayo aathr protein s free CPT 85306 | $440.40 | $734.00 | $6.61 – $34.93 | 24 |
| Mayo activated protein c resistance assay CPT 85307 | $294.00 | $490.00 | $6.61 – $34.93 | 24 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $280.80 | $468.00 | $6.61 – $33.70 | 24 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $258.60 | $431.00 | $5.29 – $30.64 | 24 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $233.40 | $389.00 | $7.44 – $34.38 | 24 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $219.00 | $365.00 | $60.06 – $277.32 | 22 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $635.40 | $1,059.00 | $43.83 – $208.98 | 22 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,842.60 | $3,071.00 | $540.00 – $2,644.80 | 22 |
| Mayo androstenedione CPT 82157 | $200.40 | $334.00 | $10.58 – $66.76 | 24 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $308.40 | $514.00 | $6.61 – $33.29 | 24 |
| Mayo antithrombin iii antigen CPT 85301 | $513.60 | $856.00 | $5.34 – $24.65 | 24 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $79.80 | $133.00 | $5.29 – $34.31 | 24 |
| Mayo avwpr vw factor activity CPT 85397 | $55.80 | $93.00 | $9.42 – $70.36 | 22 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $175.80 | $293.00 | $5.02 – $23.21 | 24 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $426.00 | $710.00 | $60.88 – $330.24 | 21 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 21 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $163.80 | $273.00 | $3.97 – $29.41 | 24 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $171.00 | $285.00 | $3.97 – $30.07 | 24 |
| Mayo brcmg brucella antibody igm CPT 86622 | $121.80 | $203.00 | $3.97 – $20.36 | 24 |
| Mayo c1 esterase inhibitor CPT 83883 | $223.20 | $372.00 | $2.65 – $31.01 | 24 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $198.00 | $330.00 | $1.70 – $38.46 | 24 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.09 – $61.06 | 22 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $192.60 | $321.00 | $60.36 – $278.66 | 15 |
| Mayo ceruloplasmin CPT 82390 | $228.00 | $380.00 | $5.08 – $24.49 | 24 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $264.00 | $440.00 | $5.29 – $32.19 | 24 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $303.60 | $506.00 | $5.29 – $29.37 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $210.60 | $351.00 | $3.97 – $26.95 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $108.00 | $180.00 | $3.97 – $28.91 | 24 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,052.40 | $1,754.00 | $59.26 – $265.60 | 24 |
| Mayo chromium CPT 82495 | $185.40 | $309.00 | $9.60 – $46.24 | 24 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo coccidioides antibody CPT 86635 | $166.80 | $278.00 | $3.97 – $26.15 | 24 |
| Mayo cocou cortisone urine CPT 82542 | $216.60 | $361.00 | $8.31 – $54.93 | 24 |
| Mayo cortisol free CPT 82530 | $315.00 | $525.00 | $7.91 – $38.10 | 24 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $82.20 | $137.00 | $16.85 – $102.60 | 25 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $3.97 – $27.63 | 24 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | $196.20 | $327.00 | $7.93 – $44.23 | 24 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $24.34 – $235.58 | 22 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $139.80 | $233.00 | $6.54 – $30.21 | 24 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $248.40 | $414.00 | $11.90 – $57.62 | 24 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 24 |
| Mayo efpo chloride stool CPT 82438 | $111.60 | $186.00 | $2.41 – $11.40 | 24 |
| Mayo estriol CPT 82677 | $206.40 | $344.00 | $10.58 – $55.13 | 24 |
| Mayo estrone CPT 82679 | $207.00 | $345.00 | $9.64 – $56.89 | 24 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $151.80 | $253.00 | $8.07 – $37.26 | 24 |
| Mayo everolimus therapeutic drug level CPT 80169 | $235.20 | $392.00 | $6.78 – $31.30 | 22 |
| Mayo factor ii CPT 85210 | $287.40 | $479.00 | $5.29 – $29.59 | 24 |
| Mayo factor v CPT 85220 | $384.60 | $641.00 | $5.95 – $40.24 | 24 |
| Mayo factor vii CPT 85230 | $675.00 | $1,125.00 | $5.95 – $40.81 | 24 |
| Mayo factor viii vw factor antigen CPT 85246 | $422.40 | $704.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $271.80 | $453.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $316.20 | $527.00 | $11.33 – $52.30 | 24 |
| Mayo factor x CPT 85260 | $390.60 | $651.00 | $5.95 – $40.81 | 24 |
| Mayo factor xi CPT 85270 | $388.20 | $647.00 | $5.95 – $40.81 | 24 |
| Mayo fat/lipids feces quantitative CPT 82710 | $370.80 | $618.00 | $7.64 – $38.30 | 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.