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 |
|---|---|---|---|---|
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $83.70 | $139.50 | $42.16 – $112.97 | 21 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $67.34 – $209.79 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $361.32 – $1,936.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $70.01 – $606.20 | 32 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $219.56 – $1,256.00 | 19 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $132.75 – $1,438.67 | 38 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $59.94 – $1,553.00 | 38 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $0.40 – $12.66 | 19 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $7.82 – $18.55 | 19 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $5.89 – $16.43 | 19 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $101.90 – $2,842.25 | 38 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $9.50 – $178.54 | 22 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $26.93 – $426.71 | 41 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $197.74 – $1,042.96 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $235.94 – $760.22 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $29.62 – $587.56 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $21.82 – $383.18 | 20 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $286.23 – $4,450.23 | 38 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $194.96 – $4,450.23 | 38 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $792.22 – $8,000.18 | 31 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $672.14 – $11,477.74 | 31 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $695.93 – $6,960.20 | 31 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $529.42 – $6,408.37 | 31 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $265.77 – $265.77 | 11 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $94.29 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $127.58 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $152.29 – $12,177.48 | 39 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $23.36 – $125.52 | 32 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $129.37 – $1,487.08 | 38 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $116.48 – $1,487.08 | 38 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $201.13 – $305.80 | 17 |
| Perq transcath closure each CPT 93592 | not published | not published | $141.89 – $413.64 | 13 |
| Perq transcath closure pda CPT 93582 | not published | not published | $218.50 – $603.90 | 19 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $321.77 – $939.04 | 13 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $387.76 – $1,131.53 | 13 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $243.22 – $672.13 | 19 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $134.62 – $134.62 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $57.28 – $1,487.08 | 38 |
| Perq tx malar fracture CPT 21355 | not published | not published | $79.24 – $1,638.27 | 38 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $77.59 – $3,438.65 | 38 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $200.35 – $1,291.25 | 38 |
| Pertussis ag if CPT 87265 | $234.00 | $390.00 | $5.67 – $27.31 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $10,118.19 | $16,863.65 | $14.49 – $37.24 | 41 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $86.66 – $2,255.47 | 41 |
| Pet CT whole body initial CPT 78816 | not published | not published | $87.50 – $2,255.47 | 41 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $52.15 – $2,255.47 | 41 |
| Pet image full body CPT 78813 | not published | not published | $71.43 – $2,255.47 | 41 |
| Pet image ltd area CPT 78811 | not published | not published | $56.08 – $2,255.47 | 41 |
| Pet image skull-thigh CPT 78812 | not published | not published | $68.08 – $2,255.47 | 41 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $78.64 – $2,255.47 | 41 |
| Pet scan brain perf study CPT 78609 | not published | not published | $42.20 – $2,255.47 | 22 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $76.82 – $1,487.08 | 38 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $40.54 – $47.85 | 13 |
| Ph body fluid CPT 83986 | $89.40 | $149.00 | $1.69 – $8.16 | 24 |
| Phencyclidine (pcp) CPT 83992 | $171.00 | $285.00 | $7.20 – $80.01 | 24 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $77.20 | $128.66 | $27.07 – $109.58 | 21 |
| Phenobarbital therapeutic drug level CPT 80184 | $248.40 | $414.00 | $5.13 – $34.88 | 24 |
| Phentolaine mesylate inj HCPCS J2760 | $881.36 | $1,468.94 | $428.36 – $1,272.81 | 41 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $41.63 | $69.38 | $0.02 – $0.02 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $39.08 | $65.14 | $0.28 – $1.34 | 21 |
| Phenytoin total therapeutic drug level CPT 80185 | $236.40 | $394.00 | $6.27 – $30.21 | 24 |
| Phlebotomy therapeutic CPT 99195 | $383.40 | $639.00 | $11.10 – $409.66 | 20 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $115.73 – $457.08 | 38 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $140.52 – $704.00 | 38 |
| Phosphorus CPT 84100 | $90.60 | $151.00 | $2.24 – $10.81 | 24 |
| Phosphorus 24 hour urine CPT 84105 | $129.00 | $215.00 | $2.45 – $13.18 | 24 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $11.23 – $217.07 | 19 |
| Photochemotherapy puva CPT 96912 | not published | not published | $14.36 – $217.07 | 19 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $19.43 – $1,348.78 | 19 |
| Photo patch test CPT 95052 | not published | not published | $1.19 – $9.60 | 19 |
| Photopheresis CPT 36522 | not published | not published | $26.04 – $2,350.28 | 38 |
| Photosensitivity tests CPT 95056 | not published | not published | $4.11 – $28.99 | 19 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $3.71 – $121.32 | 24 |
| Phys blood bank serv reactj CPT 86078 | $484.20 | $807.00 | $3.69 – $121.32 | 24 |
| Phys blood bank serv xmatch CPT 86077 | $77.40 | $129.00 | $3.66 – $121.32 | 24 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $133.36 | $222.26 | $2.90 – $9.26 | 15 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $5.59 – $50.00 | 13 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $109.93 – $3,756.81 | 22 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $73.93 – $388.17 | 38 |
| Pin finger dislocation CPT 26776 | not published | not published | $109.36 – $1,487.08 | 38 |
| Pin finger fracture each CPT 26756 | not published | not published | $102.68 – $1,487.08 | 38 |
| Pin hand dislocation CPT 26676 | not published | not published | $124.03 – $1,487.08 | 38 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $107.04 – $1,487.08 | 38 |
| Pinworm exam CPT 87172 | $64.20 | $107.00 | $2.02 – $9.74 | 24 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $104.73 | $174.55 | $1.18 – $3.86 | 21 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $58.71 – $12,816.43 | 39 |
| Place cath intracranial art CPT 36228 | not published | not published | $67.34 – $801.50 | 19 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $33.06 – $171.09 | 19 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $53.01 – $2,545.04 | 39 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $63.86 – $3,871.01 | 39 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $235.59 – $963.30 | 19 |
| Place gastrostomy tube perc CPT 49440 | $4,474.80 | $7,458.00 | $58.23 – $4,631.00 | 40 |
| Placement bile duct support CPT 47801 | not published | not published | $242.88 – $965.20 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,329.40 | $5,549.00 | $21.62 – $3,551.36 | 21 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $3,329.40 | $5,549.00 | $10.43 – $3,551.36 | 21 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,985.40 | $3,309.00 | $18.51 – $2,117.76 | 21 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $56.50 – $4,769.51 | 39 |
| Placement of seton CPT 46020 | not published | not published | $48.07 – $1,320.79 | 38 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $138.33 – $6,472.96 | 38 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $85.27 – $7,470.11 | 39 |
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.