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 |
|---|---|---|---|---|
| Prq card stent w/angio addl CPT 92929 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $198.59 – $15,990.66 | 20 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $134.69 – $3,321.81 | 38 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $173.34 – $801.87 | 38 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $188.62 – $3,321.81 | 38 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $107.13 – $3,321.81 | 38 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $69.93 – $3,321.81 | 38 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $198.81 – $15,990.66 | 39 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $222.32 – $20,169.50 | 20 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $179.03 – $9,845.53 | 39 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $212.80 – $15,990.66 | 20 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $222.76 – $15,990.66 | 20 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $18.29 – $107.02 | 19 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $483.60 | $806.00 | $10.10 – $776.94 | 20 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $15.88 – $66.74 | 38 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $31.60 – $204.32 | 38 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $18.30 – $139.23 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $20.91 – $158.78 | 19 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $17.64 – $112.23 | 19 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $19.72 – $124.53 | 19 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $122.68 – $926.15 | 38 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $9.12 – $56.30 | 19 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $161.19 – $1,487.08 | 38 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $155.11 – $3,321.81 | 38 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $31.78 – $103.83 | 13 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $176.93 – $3,321.81 | 38 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $170.16 – $3,321.81 | 38 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $43.86 – $242.77 | 19 |
| PSA (Prostate) Test CPT 84153 | $264.00 | $440.00 | $6.61 – $41.93 | 24 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $0.43 – $66.96 | 20 |
| Psychoanalysis CPT 90845 | not published | not published | $16.88 – $77.39 | 19 |
| Psychotherapy group therapy CPT 90853 | $268.80 | $448.00 | $4.67 – $29.00 | 19 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $229.80 | $383.00 | $49.13 – $85.78 | 19 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $287.40 | $479.00 | $65.16 – $128.83 | 19 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $314.40 | $524.00 | $97.58 – $194.22 | 19 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $25.70 – $530.21 | 20 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $19.58 – $82.52 | 13 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $7.89 – $66.96 | 20 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $5.76 – $66.96 | 20 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $4.57 – $20.83 | 13 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $7.89 – $37.08 | 13 |
| Psytx complex interactive CPT 90785 | not published | not published | $4.77 – $10.88 | 19 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $24.73 – $71.49 | 19 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $137.40 | $229.00 | $27.89 – $116.98 | 19 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $41.37 – $187.76 | 19 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $103.80 | $173.00 | $2.04 – $14.87 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $23.40 | $39.00 | $4.15 – $6.30 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $118.20 | $197.00 | $2.91 – $24.52 | 20 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $99.00 | $165.00 | $1.46 – $11.10 | 20 |
| Pt application of modality traction mechanical CPT 97012 | $122.40 | $204.00 | $1.85 – $15.77 | 20 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $52.56 – $684.00 | 22 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.42 – $1,368.00 | 22 |
| Pten gene known fam variant CPT 81322 | not published | not published | $21.14 – $106.25 | 22 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $171.94 – $2,702.95 | 38 |
| Pt evaluation high complexity patient/family CPT 97163 | $285.60 | $476.00 | $18.05 – $65.00 | 14 |
| Pt evaluation low complexity patient/family CPT 97161 | $191.40 | $319.00 | $18.05 – $65.00 | 14 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $236.40 | $394.00 | $18.05 – $65.00 | 14 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $5.15 – $33.10 | 19 |
| Pt re-evaluation patient/family CPT 97164 | $174.00 | $290.00 | $12.19 – $39.73 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $93.00 | $155.00 | $8.36 – $90.67 | 19 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $92.40 | $154.00 | $4.95 – $22.22 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $101.40 | $169.00 | $4.54 – $20.49 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | $86.40 | $144.00 | $5.52 – $22.35 | 19 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $183.86 – $1,035.70 | 19 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $92.49 – $447.90 | 19 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $406.54 – $2,963.94 | 19 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $235.82 – $1,351.20 | 19 |
| Pulmonary vent imaging CPT 78579 | $1,491.00 | $2,485.00 | $17.09 – $332.83 | 39 |
| Pulse ox continuous overnight monitoring CPT 94762 | $582.00 | $970.00 | $5.47 – $32.60 | 19 |
| Pulse ox multiple CPT 94761 | $290.40 | $484.00 | $1.04 – $7.46 | 19 |
| Pulse ox single CPT 94760 | $156.00 | $260.00 | $0.50 – $4.09 | 19 |
| Punc of shunt for asp or inj CPT 61070 | $668.40 | $1,114.00 | $17.11 – $954.45 | 39 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $126.60 | $211.00 | $3.97 – $141.72 | 20 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $699.00 | $1,165.00 | $16.36 – $954.45 | 40 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $11.62 – $1,291.25 | 38 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,224.60 | $2,041.00 | $16.41 – $1,416.85 | 39 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $13.93 – $73.42 | 19 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $21.55 – $351.21 | 38 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $22.09 – $351.21 | 38 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $207.07 – $845.10 | 19 |
| Pyruvate CPT 84210 | $214.80 | $358.00 | $5.14 – $33.01 | 24 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.66 – $21.52 | 24 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $3,495.00 | $5,825.00 | $29.36 – $545.26 | 39 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,193.00 | $3,655.00 | $25.39 – $341.48 | 39 |
| Quest t3 uptake CPT 84479 | $162.00 | $270.00 | $3.06 – $14.75 | 24 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $452.57 – $1,135.20 | 41 |
| Rabies ig ht&sol human im/sc CPT 90377 | $5,401.91 | $9,003.18 | $239.92 – $597.40 | 39 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,401.91 | $9,003.18 | $335.22 – $986.93 | 41 |
| Rabies vaccine id CPT 90676 | not published | not published | $195.94 – $325.71 | 32 |
| Radiation handling CPT 77790 | not published | not published | $11.07 – $84.53 | 20 |
| Radiation physics consult CPT 77336 | not published | not published | $10.66 – $306.85 | 41 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $10.12 – $81.12 | 41 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $10.55 – $155.05 | 41 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $6.17 – $155.05 | 41 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $22.55 – $172.90 | 41 |
| Radiation treatment delivery CPT 77401 | not published | not published | $5.89 – $274.05 | 41 |
| Radiation treatment delivery CPT 77402 | not published | not published | $72.56 – $390.35 | 41 |
| Radiation treatment delivery CPT 77412 | not published | not published | $124.64 – $753.36 | 41 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $399.86 – $2,222.77 | 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.