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 |
|---|---|---|---|---|
| Radical resection of elbow CPT 24149 | not published | not published | $289.73 – $3,321.81 | 38 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $321.85 – $1,550.50 | 19 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $300.13 – $1,218.88 | 38 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $405.02 – $1,643.93 | 38 |
| Radiology port images(s) CPT 77417 | not published | not published | $2.50 – $101.59 | 20 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $260.88 – $3,093.31 | 41 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,988.00 | $4,980.00 | $29.78 – $859.35 | 41 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,421.80 | $5,703.00 | $37.09 – $1,054.82 | 41 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,893.20 | $4,822.00 | $82.38 – $1,722.55 | 39 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,494.80 | $4,158.00 | $37.14 – $859.35 | 41 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,927.80 | $3,213.00 | $22.43 – $321.84 | 41 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $13.96 – $74.28 | 13 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $248.12 – $1,347.90 | 19 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $298.80 – $1,308.50 | 38 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $373.09 – $1,515.81 | 38 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $206.31 – $1,132.89 | 38 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $177.56 – $1,132.89 | 38 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $389.06 – $1,579.87 | 38 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $162.28 – $1,132.89 | 38 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $303.36 – $1,243.55 | 38 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $183.63 – $4,415.83 | 38 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $147.18 – $1,132.89 | 38 |
| Rapid desensitization CPT 95180 | not published | not published | $16.85 – $100.80 | 19 |
| Rapid Strep Test CPT 87880 | $121.80 | $203.00 | $15.83 – $37.69 | 24 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $35,222.00 | $58,703.33 | $221.77 – $650.01 | 41 |
| Rbc count only automated CPT 85041 | $54.00 | $90.00 | $1.36 – $6.89 | 24 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,052.40 | $1,754.00 | $60.00 – $368.91 | 13 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $8.40 – $14.72 | 13 |
| Rbc serum pretx incubj drugs CPT 86975 | $234.00 | $390.00 | $10.58 – $117.00 | 24 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $530.82 – $2,775.50 | 19 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $187.25 – $1,291.25 | 38 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $227.66 – $2,702.95 | 38 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $248.17 – $2,702.95 | 38 |
| Realignment of knee CPT 27457 | not published | not published | $248.91 – $1,288.30 | 19 |
| Realignment of tendons CPT 26437 | not published | not published | $161.53 – $1,487.08 | 38 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $194.64 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $187.35 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $251.79 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $196.85 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $280.97 – $2,702.95 | 38 |
| Rechanneling of artery CPT 35361 | not published | not published | $423.75 – $1,982.00 | 19 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $323.13 – $2,509.22 | 19 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $371.91 – $2,034.10 | 19 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $336.33 – $2,610.35 | 19 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $391.26 – $1,838.00 | 19 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $266.16 – $1,156.10 | 19 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $323.13 – $2,509.22 | 19 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $369.46 – $1,592.30 | 19 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $360.57 – $2,702.95 | 38 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $340.29 – $3,404.27 | 38 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $316.56 – $1,418.70 | 19 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $325.57 – $1,969.80 | 19 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $277.64 – $1,464.70 | 19 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $288.20 – $3,689.54 | 38 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $260.67 – $2,702.95 | 38 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $257.40 – $14,153.20 | 38 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $249.47 – $1,211.90 | 19 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $207.55 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $214.34 – $1,291.25 | 38 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $250.31 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $165.10 – $3,668.05 | 38 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $132.88 – $2,702.95 | 38 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $225.86 – $2,702.95 | 38 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $228.27 – $5,407.55 | 38 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $256.84 – $13,471.26 | 38 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $252.18 – $8,850.13 | 38 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $275.82 – $3,321.81 | 38 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $275.07 – $6,364.19 | 38 |
| Reconstruct extra finger CPT 26587 | not published | not published | $241.81 – $1,487.08 | 38 |
| Reconstruct finger joint CPT 26545 | not published | not published | $180.05 – $1,487.08 | 38 |
| Reconstruct finger joint CPT 26548 | not published | not published | $197.59 – $1,487.08 | 38 |
| Reconstruct head of radius CPT 24365 | not published | not published | $162.04 – $9,395.57 | 38 |
| Reconstruct head of radius CPT 24366 | not published | not published | $173.85 – $9,379.59 | 38 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $295.38 – $1,425.30 | 19 |
| Reconstruction knee CPT 27427 | not published | not published | $182.14 – $4,392.76 | 38 |
| Reconstruction knee CPT 27428 | not published | not published | $279.10 – $8,081.49 | 38 |
| Reconstruction knee CPT 27429 | not published | not published | $312.32 – $8,372.86 | 38 |
| Reconstruction of anus CPT 46753 | not published | not published | $125.66 – $1,320.79 | 38 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $350.87 – $1,583.30 | 19 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $170.33 – $958.01 | 38 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $221.00 – $1,200.60 | 38 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $220.18 – $1,456.12 | 38 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $160.67 – $958.01 | 38 |
| Reconstruction of jaw CPT 21245 | not published | not published | $230.00 – $3,404.27 | 38 |
| Reconstruction of jaw CPT 21246 | not published | not published | $220.57 – $3,404.27 | 38 |
| Reconstruction of jaw CPT 21248 | not published | not published | $222.04 – $2,702.95 | 38 |
| Reconstruction of jaw CPT 21249 | not published | not published | $317.13 – $3,382.55 | 38 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $282.98 – $2,702.95 | 38 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $259.72 – $2,702.95 | 38 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $424.01 – $12,517.18 | 38 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $260.44 – $3,694.29 | 38 |
| Reconstruction of mouth CPT 40840 | not published | not published | $147.09 – $2,702.95 | 38 |
| Reconstruction of mouth CPT 40842 | not published | not published | $146.82 – $2,702.95 | 38 |
| Reconstruction of mouth CPT 40843 | not published | not published | $186.83 – $2,702.95 | 38 |
| Reconstruction of mouth CPT 40844 | not published | not published | $259.52 – $2,702.95 | 38 |
| Reconstruction of mouth CPT 40845 | not published | not published | $295.40 – $2,702.95 | 38 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $35.45 – $194.60 | 38 |
| Reconstruction of nose CPT 30410 | not published | not published | $286.97 – $2,702.95 | 38 |
| Reconstruction of nose CPT 30420 | not published | not published | $314.08 – $2,702.95 | 38 |
| Reconstruction of orbit CPT 21256 | not published | not published | $292.58 – $1,566.50 | 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.