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 |
|---|---|---|---|---|
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $75.66 – $585.84 | 19 |
| Preparation palate mold CPT 42280 | not published | not published | $24.56 – $117.85 | 38 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $111.75 – $297.00 | 12 |
| Prepare penis study CPT 54230 | not published | not published | $17.80 – $100.83 | 19 |
| Prep skin to 100cm2 other CPT 15004 | $1,488.60 | $2,481.00 | $48.49 – $1,587.84 | 40 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,335.60 | $2,226.00 | $39.14 – $1,424.64 | 40 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,848.60 | $3,081.00 | $7.83 – $1,971.84 | 21 |
| Pressure max expiratory/inspiratory CPT 94799 | $233.40 | $389.00 | $0.01 – $17.65 | 17 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $45.55 – $210.10 | 19 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $10.58 – $75.58 | 24 |
| Pretreat rbc absorption reference CPT 86978 | $460.20 | $767.00 | $11.36 – $78.00 | 24 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $3.97 – $117.00 | 24 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $321.00 | $535.00 | $7.93 – $131.98 | 23 |
| Pretreat rbc w enzyme reference CPT 86971 | $218.40 | $364.00 | $3.97 – $1,135.91 | 23 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $109.40 – $210.50 | 19 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $13.58 – $87.67 | 38 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $25.55 – $668.59 | 38 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,137.00 | $1,895.00 | $29.86 – $1,416.85 | 40 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $290.48 – $952.10 | 19 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $14.82 – $29.52 | 19 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $11.46 – $26.45 | 19 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $10.38 – $24.97 | 19 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $13.38 – $32.36 | 19 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $15.78 – $36.80 | 19 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $17.95 – $41.73 | 19 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $20.00 – $134.17 | 19 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $32.08 – $205.76 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $21.81 – $139.44 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $15.87 – $97.63 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $16.94 – $105.51 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $11.81 – $73.21 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $6.60 – $41.16 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $118.76 – $9,898.92 | 38 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $43.81 – $496.05 | 19 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,488.60 | $2,481.00 | $28.11 – $1,587.84 | 40 |
| Pr incision & drainage abscess simple/single CPT 10060 | $744.00 | $1,240.00 | $15.62 – $954.45 | 40 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $24.10 – $107.30 | 38 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $615.60 | $1,026.00 | $15.52 – $954.45 | 40 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $39.98 – $185.79 | 13 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $27.28 – $136.95 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $306.00 | $510.00 | $11.97 – $20.34 | 13 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $114.21 – $878.95 | 38 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $53.79 – $193.13 | 38 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $47.50 – $958.01 | 38 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $59.88 – $958.01 | 38 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $56.31 – $1,230.06 | 38 |
| Procalcitonin CPT 84145 | $315.60 | $526.00 | $11.19 – $62.06 | 22 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $44.48 | $74.14 | $3.43 – $12.17 | 21 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $427.84 – $2,029.40 | 19 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $414.34 – $1,919.60 | 19 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $24.26 – $1,320.79 | 38 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $25.80 – $599.32 | 38 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $18.48 – $640.68 | 38 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $10.89 – $95.17 | 38 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $18.22 – $1,320.79 | 38 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $22.13 – $599.32 | 38 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $24.39 – $599.32 | 38 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $23.36 – $1,320.79 | 38 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $17.20 – $599.32 | 38 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $21.72 – $1,320.79 | 38 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $26.68 – $3,913.07 | 38 |
| Progesterone CPT 84144 | $349.20 | $582.00 | $5.29 – $47.56 | 24 |
| Prolactin CPT 84146 | $385.80 | $643.00 | $9.17 – $44.19 | 24 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $30.58 – $46.54 | 13 |
| Promethazine hcl injection HCPCS J2550 | $63.05 | $105.08 | $2.44 – $7.45 | 21 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $109.54 – $467.77 | 38 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $111.94 – $478.01 | 38 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $222.85 – $8,526.80 | 38 |
| Prophylactic tx radius CPT 25490 | not published | not published | $208.20 – $3,321.81 | 38 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $259.95 – $1,487.08 | 38 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $218.48 – $6,364.19 | 38 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $45.25 | $75.42 | $0.08 – $0.29 | 21 |
| _propoxygc/msur CPT 80367 | not published | not published | $5.04 – $51.87 | 15 |
| Prostate biopsy, any mthd HCPCS G0416 | $805.80 | $1,343.00 | $72.84 – $624.75 | 20 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $184.47 – $2,419.37 | 38 |
| Prostate laser enucleation CPT 52649 | not published | not published | $223.34 – $2,419.37 | 38 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $125.92 – $1,176.62 | 38 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $136.70 – $1,125.12 | 38 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $43.72 | $72.87 | $0.91 – $2.47 | 20 |
| Protein c activity CPT 85303 | $536.40 | $894.00 | $5.29 – $31.56 | 24 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $228.00 | $380.00 | $1.26 – $24.49 | 24 |
| Protein s total CPT 85305 | $535.80 | $893.00 | $5.29 – $26.47 | 24 |
| Protein total 24 hour urine CPT 84156 | $88.80 | $148.00 | $1.73 – $8.37 | 24 |
| Protein total body fluid CPT 84157 | $88.80 | $148.00 | $1.81 – $9.12 | 24 |
| Protein total serum plasma whole blood CPT 84155 | $88.80 | $148.00 | $1.73 – $8.37 | 24 |
| Prothrombin complex kcentra HCPCS J7168 | $3.84 | $6.40 | $2.61 – $3.12 | 32 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $100.80 | $168.00 | $1.32 – $8.98 | 24 |
| Proton treatment complex CPT 77525 | not published | not published | $858.52 – $1,902.34 | 41 |
| Proton trmt intermediate CPT 77523 | not published | not published | $99.17 – $1,902.34 | 41 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $801.00 – $1,256.93 | 41 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $88.34 – $1,256.93 | 41 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $3.97 – $22.21 | 24 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $124.14 – $407.20 | 13 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $140.90 – $1,587.82 | 38 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $15.61 – $73.76 | 13 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $327.21 – $11,488.97 | 31 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $424.46 – $11,247.50 | 31 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $168.18 – $11,908.11 | 17 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $222.76 – $856.53 | 19 |
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.