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 |
|---|---|---|---|---|
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $26.76 – $1,291.25 | 38 |
| Biopsy of urethra CPT 53200 | not published | not published | $31.80 – $910.38 | 38 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $88.97 – $1,487.08 | 38 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $322.95 – $900.00 | 12 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $322.95 – $750.00 | 12 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $110.99 – $1,438.67 | 38 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $123.27 – $1,438.67 | 38 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | not published | not published | $32.69 – $3,586.20 | 39 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $24.86 – $105.92 | 38 |
| Biopsy skin incisional single lesion CPT 11106 | $843.00 | $1,405.00 | $12.62 – $1,285.51 | 39 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $39.37 – $668.59 | 38 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $95.32 – $1,132.89 | 38 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $25.36 – $131.68 | 38 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $28.42 – $1,553.00 | 38 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $23.54 – $130.69 | 38 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $106.18 – $3,321.81 | 38 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $95.49 – $1,487.08 | 38 |
| Biospy of bladder CPT 53899 | not published | not published | $0.01 – $1,629.12 | 17 |
| Biotinidase - quest CPT 82261 | not published | not published | $1.70 – $38.46 | 24 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $23.39 – $113.69 | 13 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $1,387.80 | $2,313.00 | $10.09 – $1,416.85 | 39 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $32.50 – $220.47 | 38 |
| Bld prd mix CPT 86965 | $119.40 | $199.00 | $5.29 – $78.00 | 24 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $13.30 – $220.47 | 38 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $465.62 | $776.03 | $21.02 – $100.86 | 23 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $79.97 – $926.15 | 38 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $61.70 – $926.15 | 38 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $100.43 – $926.15 | 38 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $84.96 – $926.15 | 38 |
| Blink reflex test CPT 95933 | not published | not published | $12.90 – $275.41 | 20 |
| Blm gene CPT 81209 | not published | not published | $15.72 – $89.63 | 15 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $38.85 – $462.90 | 38 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $33.69 – $632.83 | 38 |
| Block paracervical nrv CPT 64435 | not published | not published | $18.03 – $93.61 | 38 |
| Block plantar digital nerve CPT 64455 | not published | not published | $9.55 – $34.14 | 38 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $20.17 – $106.57 | 19 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $16.07 – $86.60 | 19 |
| Blood Clotting (PT/INR) Test CPT 85610 | $88.20 | $147.00 | $1.32 – $9.78 | 24 |
| Blood Clotting (PTT) Test CPT 85730 | $126.60 | $211.00 | $2.65 – $13.70 | 24 |
| Blood Count (CBC) Test CPT 85025 | $153.00 | $255.00 | $3.68 – $17.72 | 24 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $120.00 | $200.00 | $3.06 – $14.75 | 24 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $1.32 – $15.96 | 24 |
| Blood Culture Test CPT 87040 | $287.40 | $479.00 | $3.97 – $23.53 | 24 |
| Blood draw capillary 36416 CPT 36416 | $46.20 | $77.00 | $0.70 – $11.70 | 22 |
| Blood gases o2 saturation direct measurement CPT 82805 | $331.80 | $553.00 | $5.29 – $179.60 | 24 |
| Blood gases ph venous CPT 82800 | $137.40 | $229.00 | $3.97 – $25.08 | 24 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $109.20 | $182.00 | $7.86 – $36.30 | 24 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $73.20 | $122.00 | $1.63 – $9.64 | 24 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $70.20 | $117.00 | $1.32 – $9.99 | 24 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $77.40 | $129.00 | $1.63 – $12.13 | 22 |
| Blood smear interpretation CPT 85060 | not published | not published | $1.77 – $56.34 | 24 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $77.40 | $129.00 | $1.32 – $8.66 | 24 |
| Blood typing abo CPT 86900 | $75.60 | $126.00 | $1.41 – $6.82 | 24 |
| Blood typing ag donor ea ag CPT 86902 | $165.00 | $275.00 | $2.15 – $14.48 | 22 |
| Blood typing patient serum CPT 86904 | $100.80 | $168.00 | $3.97 – $37.26 | 24 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $172.80 | $288.00 | $1.32 – $8.73 | 24 |
| Blood typing rh (d) CPT 86901 | $75.60 | $126.00 | $1.48 – $6.82 | 24 |
| Blood typing rh phenotype complete reference CPT 86906 | $480.00 | $800.00 | $2.65 – $17.67 | 24 |
| Blood volume CPT 78122 | not published | not published | $15.25 – $327.11 | 41 |
| Bone biopsy open superficial CPT 20240 | $5,199.60 | $8,666.00 | $58.81 – $4,631.00 | 40 |
| Bone Density Scan (DEXA) CPT 77080 | $403.20 | $672.00 | $7.29 – $250.00 | 42 |
| Bone imaging multiple areas CPT 78305 | $1,455.60 | $2,426.00 | $26.60 – $388.63 | 41 |
| Bone/joint imaging ltd area CPT 78300 | $1,411.20 | $2,352.00 | $19.62 – $306.73 | 41 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $17.08 – $113.18 | 38 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $21.80 – $143.56 | 38 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $89.35 – $779.23 | 38 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $61.55 – $2,350.28 | 38 |
| Bone marrow imaging body CPT 78104 | not published | not published | $27.26 – $418.82 | 41 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $17.97 – $291.65 | 41 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $24.86 – $384.34 | 41 |
| Bone marrow interpretation CPT 85097 | $175.80 | $293.00 | $3.68 – $155.40 | 24 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $711.92 – $4,073.30 | 38 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $663.45 – $3,645.50 | 38 |
| Bone survey-lead poisoning CPT 77074 | $421.80 | $703.00 | $8.56 – $98.17 | 22 |
| Boot j walker l HCPCS L4386 | $118.80 | $198.00 | $10.38 – $116.85 | 18 |
| Boot softgait shrt m HCPCS L4387 | $88.20 | $147.00 | $11.23 – $127.78 | 19 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $118.80 | $198.00 | $18.94 – $189.42 | 17 |
| Borrelia antibody CPT 86619 | not published | not published | $3.97 – $30.51 | 24 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $253.20 | $422.00 | $5.29 – $38.83 | 24 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $14.04 – $136.85 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $107.97 | $179.95 | $1.05 – $139.46 | 42 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.32 – $7.82 | 24 |
| Bowel imaging CPT 78290 | $1,544.40 | $2,574.00 | $24.13 – $614.92 | 41 |
| Brace afo lg left 6607 HCPCS L1930 | $47.40 | $79.00 | $16.10 – $16.10 | 8 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $49.20 | $82.00 | $8.22 – $77.00 | 14 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $80.40 | $134.00 | $6.77 – $89.22 | 19 |
| Brace wrist classic lft sm HCPCS L3908 | $22.80 | $38.00 | $4.01 – $4.01 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $124.69 – $1,132.89 | 38 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $63.54 – $754.85 | 19 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $71.45 – $851.31 | 19 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $85.73 – $1,461.78 | 19 |
| Brach/thor cath addl CPT 36218 | not published | not published | $13.68 – $137.58 | 19 |
| Brachytx isodose complex CPT 77318 | not published | not published | $50.04 – $422.41 | 39 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $34.49 – $311.29 | 39 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $26.36 – $238.47 | 39 |
| Braf gene CPT 81210 | $365.40 | $609.00 | $70.16 – $399.91 | 15 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $273.98 – $1,734.80 | 19 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $235.61 – $1,279.40 | 19 |
| Brain flow imaging only CPT 78610 | $3,070.20 | $5,117.00 | $10.62 – $327.11 | 41 |
| Brain image < 4 views CPT 78600 | not published | not published | $15.47 – $330.45 | 41 |
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.