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 |
|---|---|---|---|---|
| Revision of eyelid CPT 67880 | not published | not published | $83.06 – $958.01 | 38 |
| Revision of eyelid CPT 67882 | not published | not published | $106.92 – $958.01 | 38 |
| Revision of eyelid CPT 67950 | not published | not published | $109.66 – $958.01 | 38 |
| Revision of eyelid CPT 67961 | not published | not published | $106.74 – $958.01 | 38 |
| Revision of eyelid CPT 67966 | not published | not published | $148.00 – $958.01 | 38 |
| Revision of foot CPT 28116 | not published | not published | $150.10 – $1,487.08 | 38 |
| Revision of foot and ankle CPT 28262 | not published | not published | $294.32 – $3,321.81 | 38 |
| Revision of foot bones CPT 28737 | not published | not published | $184.49 – $9,534.60 | 38 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $106.00 – $1,487.08 | 38 |
| Revision of foot tendon CPT 28238 | not published | not published | $133.44 – $3,321.81 | 38 |
| Revision of foot tendon CPT 28261 | not published | not published | $209.94 – $1,009.91 | 38 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $405.78 – $2,506.80 | 19 |
| Revision of hip tendon CPT 27097 | not published | not published | $167.99 – $1,487.08 | 38 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $225.27 – $950.70 | 19 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $131.18 – $1,822.02 | 38 |
| Revision of infusion pump CPT 36261 | not published | not published | $90.70 – $2,761.22 | 38 |
| Revision of iris CPT 66761 | not published | not published | $92.67 – $417.90 | 38 |
| Revision of iris CPT 66762 | not published | not published | $96.02 – $407.82 | 38 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $42.91 – $652.86 | 38 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $100.38 – $1,291.25 | 38 |
| Revision of knee joint CPT 27440 | not published | not published | $189.45 – $8,270.59 | 38 |
| Revision of knee joint CPT 27441 | not published | not published | $199.90 – $6,364.19 | 38 |
| Revision of knee joint CPT 27442 | not published | not published | $222.16 – $8,517.21 | 38 |
| Revision of knee joint CPT 27443 | not published | not published | $208.48 – $8,528.94 | 38 |
| Revision of knee joint CPT 27446 | not published | not published | $288.11 – $8,719.62 | 38 |
| Revision of larynx CPT 31400 | not published | not published | $228.72 – $2,702.95 | 38 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $66.19 – $1,515.56 | 38 |
| Revision of neck muscle CPT 21700 | not published | not published | $108.62 – $3,321.81 | 38 |
| Revision of neck muscle CPT 21720 | not published | not published | $97.51 – $1,487.08 | 38 |
| Revision of neck muscle CPT 21725 | not published | not published | $133.56 – $441.81 | 38 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $159.72 – $795.40 | 19 |
| Revision of nose CPT 30120 | not published | not published | $102.19 – $1,291.25 | 38 |
| Revision of nose CPT 30430 | not published | not published | $209.38 – $2,702.95 | 38 |
| Revision of nose CPT 30435 | not published | not published | $278.57 – $2,702.95 | 38 |
| Revision of nose CPT 30450 | not published | not published | $365.81 – $2,702.95 | 38 |
| Revision of nose CPT 30460 | not published | not published | $179.57 – $2,702.95 | 38 |
| Revision of nose CPT 30462 | not published | not published | $359.75 – $2,702.95 | 38 |
| Revision of penis CPT 54300 | not published | not published | $145.43 – $1,592.02 | 38 |
| Revision of penis CPT 54304 | not published | not published | $170.71 – $1,592.02 | 38 |
| Revision of penis CPT 54420 | not published | not published | $158.30 – $1,592.02 | 38 |
| Revision of penis CPT 54430 | not published | not published | $143.06 – $781.22 | 19 |
| Revision of penis CPT 54435 | not published | not published | $92.56 – $1,592.02 | 38 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $408.14 – $2,702.95 | 38 |
| Revision of radius CPT 25350 | not published | not published | $202.16 – $4,747.80 | 38 |
| Revision of radius CPT 25355 | not published | not published | $224.05 – $1,487.08 | 38 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $109.63 – $878.95 | 38 |
| Revision of scrotum CPT 55175 | not published | not published | $79.36 – $1,592.02 | 38 |
| Revision of scrotum CPT 55180 | not published | not published | $152.43 – $2,419.37 | 38 |
| Revision of spinal shunt CPT 63744 | not published | not published | $130.22 – $4,111.67 | 38 |
| Revision of testis CPT 54660 | not published | not published | $78.82 – $3,411.18 | 38 |
| Revision of thigh muscles CPT 27430 | not published | not published | $188.06 – $3,321.81 | 38 |
| Revision of toe CPT 28312 | not published | not published | $85.18 – $1,487.08 | 38 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $579.79 – $2,361.40 | 19 |
| Revision of ulna CPT 25360 | not published | not published | $197.12 – $4,284.88 | 38 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $190.14 – $3,321.81 | 38 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $189.50 – $3,321.81 | 38 |
| Revision of urethra CPT 53450 | not published | not published | $89.95 – $1,592.02 | 38 |
| Revision of urethra CPT 53460 | not published | not published | $101.36 – $1,592.02 | 38 |
| Revision of urethra CPT 57220 | not published | not published | $72.25 – $2,090.81 | 38 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $152.61 – $2,842.25 | 38 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $203.08 – $2,702.95 | 38 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $189.73 – $3,321.81 | 38 |
| Revision tips CPT 37183 | not published | not published | $109.40 – $4,005.59 | 19 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $507.10 – $2,149.54 | 19 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $548.08 – $2,321.76 | 19 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $348.40 – $2,727.13 | 19 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $328.04 – $2,568.29 | 19 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $190.72 – $2,702.95 | 38 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $203.37 – $2,702.95 | 38 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $329.73 – $2,419.37 | 38 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $141.58 – $1,930.53 | 31 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $198.41 – $2,702.95 | 38 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $84.68 – $1,858.37 | 38 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $36.16 – $1,858.37 | 38 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $32.10 – $1,858.37 | 38 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $552.39 – $552.39 | 11 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $807.36 – $10,583.65 | 31 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $87.56 – $446.81 | 13 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $48.92 – $1,383.45 | 39 |
| Rheumatoid factor qualitative CPT 86430 | $160.20 | $267.00 | $2.65 – $14.00 | 24 |
| Rheumatoid factor quantitative CPT 86431 | $187.20 | $312.00 | $2.68 – $12.93 | 24 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $236.14 – $2,702.95 | 38 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $511.80 | $853.00 | $4.83 – $29.61 | 22 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $76.92 – $229.97 | 22 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $288.63 – $338.40 | 11 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $184.24 – $338.40 | 11 |
| Rib cartilage graft CPT 21230 | not published | not published | $195.88 – $2,702.95 | 38 |
| Right ventric recording CPT 93603 | not published | not published | $40.85 – $80.90 | 19 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $9,864.87 | $16,441.45 | $37.41 – $143.03 | 40 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $13.05 | $21.75 | $20.45 – $20.45 | 11 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $420.26 – $464.00 | 11 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $316.55 – $770.60 | 11 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $281.00 – $1,271.50 | 19 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $17.32 – $99.81 | 38 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $182.31 – $2,648.76 | 32 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $85.29 – $801.87 | 38 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $91.15 – $1,132.89 | 38 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $49.61 – $599.32 | 38 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $34.20 – $147.00 | 38 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $680.36 – $2,949.63 | 30 |
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.