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 |
|---|---|---|---|---|
| Whole blood for transfusion HCPCS P9010 | $556.80 | $928.00 | $54.83 – $650.00 | 14 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $785.40 | $1,309.00 | $194.45 – $650.00 | 13 |
| Whole body photography CPT 96904 | not published | not published | $13.96 – $71.10 | 19 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $514.80 – $2,934.36 | 15 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $374.40 – $2,134.08 | 15 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $1,188.60 | $1,981.00 | $15.80 – $1,416.85 | 21 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $473.40 | $789.00 | $40.85 – $41.85 | 13 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $323.40 | $539.00 | $40.85 – $41.85 | 13 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $294.60 | $491.00 | $5.47 – $29.31 | 19 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $315.60 | $526.00 | $6.03 – $31.18 | 19 |
| Wrist arthroscopy CPT 29840 | not published | not published | $112.07 – $1,487.08 | 38 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $119.90 – $1,487.08 | 38 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $125.74 – $1,487.08 | 38 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $143.69 – $1,487.08 | 38 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $132.22 – $1,487.08 | 38 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $137.09 – $3,321.81 | 38 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $123.24 – $801.87 | 38 |
| Wrist X-ray CPT 73110 | $510.00 | $850.00 | $4.11 – $250.00 | 23 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $236.38 – $2,002.17 | 32 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $247.62 – $1,158.89 | 38 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $636.83 – $3,733.01 | 31 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $172.10 – $2,002.17 | 32 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $798.83 – $3,736.16 | 31 |
| Xe133 xenon 10mci HCPCS A9558 | $177.00 | $295.00 | $32.81 – $253.41 | 13 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $108.85 – $926.15 | 38 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $101.07 – $926.15 | 38 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $548.40 – $2,083.92 | 15 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $548.40 – $2,083.92 | 15 |
| Xm archive tissue molec anal CPT 88363 | $113.40 | $189.00 | $2.55 – $52.21 | 22 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $111.68 – $346.01 | 13 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $92.92 – $466.20 | 19 |
| X-ray abdomen 1 view CPT 74018 | $241.80 | $403.00 | $3.72 – $250.00 | 21 |
| X-ray abdomen 2 views CPT 74019 | $321.60 | $536.00 | $4.55 – $446.39 | 21 |
| X-ray abdomen >=3 views CPT 74021 | $339.00 | $565.00 | $5.32 – $446.39 | 20 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $333.00 | $555.00 | $6.01 – $250.00 | 23 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $264.60 | $441.00 | $4.59 – $58.67 | 22 |
| X-ray ankle 2 views (both sides) CPT 73600 | $387.60 | $646.00 | $3.45 – $250.00 | 23 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,515.60 | $2,526.00 | $13.77 – $213.54 | 22 |
| X-ray assay calculus CPT 82370 | not published | not published | $5.29 – $28.55 | 24 |
| X-ray bone age studies CPT 77072 | $239.40 | $399.00 | $3.01 – $250.00 | 23 |
| X-ray bone length studies CPT 77073 | $355.20 | $592.00 | $5.19 – $250.00 | 23 |
| X-ray bone survey complete CPT 77075 | $703.20 | $1,172.00 | $12.16 – $250.00 | 23 |
| X-ray bone survey infant CPT 77076 | $792.00 | $1,320.00 | $10.92 – $250.00 | 23 |
| X-ray cervical spine 2-3 views CPT 72040 | $308.40 | $514.00 | $4.59 – $250.00 | 23 |
| X-ray cervical spine 4-5 views CPT 72050 | $427.80 | $713.00 | $6.56 – $250.00 | 23 |
| X-ray cervical spine >= 6 views CPT 72052 | $453.00 | $755.00 | $8.22 – $250.00 | 23 |
| X-ray clavicle complete (both sides) CPT 73000 | $498.00 | $830.00 | $3.49 – $250.00 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $679.20 | $1,132.00 | $16.76 – $253.34 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $804.60 | $1,341.00 | $22.91 – $351.77 | 23 |
| X-ray consultation CPT 76140 | not published | not published | $10.00 – $10.00 | 11 |
| X-ray elbow 2 views (both sides) CPT 73070 | $392.40 | $654.00 | $3.44 – $250.00 | 23 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $524.40 | $874.00 | $4.24 – $250.00 | 23 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $192.40 – $279.91 | 21 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $192.40 – $281.39 | 21 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $484.80 | $808.00 | $10.39 – $250.00 | 23 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $430.20 | $717.00 | $9.11 – $158.11 | 39 |
| X-ray exam entire spi 6/> vw CPT 72084 | $559.20 | $932.00 | $10.88 – $185.17 | 39 |
| X-ray exam of arm infant CPT 73092 | $310.80 | $518.00 | $3.49 – $250.00 | 23 |
| X-ray exam of eye sockets CPT 70200 | $328.20 | $547.00 | $5.66 – $60.81 | 22 |
| X-ray exam of femur 1 CPT 73551 | $255.60 | $426.00 | $3.75 – $250.00 | 21 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $3.74 – $45.73 | 22 |
| X-ray exam of jaw joint CPT 70332 | $333.60 | $556.00 | $11.95 – $213.54 | 22 |
| X-ray exam of mastoids CPT 70120 | $310.80 | $518.00 | $4.29 – $55.07 | 22 |
| X-ray exam of middle ear CPT 70134 | $132.60 | $221.00 | $5.97 – $76.62 | 22 |
| X-ray exam of penis CPT 74445 | not published | not published | $12.96 – $136.74 | 22 |
| X-ray exam of perineum CPT 74775 | not published | not published | $11.23 – $148.30 | 41 |
| X-ray exam of salivary gland CPT 70380 | $172.20 | $287.00 | $4.66 – $59.39 | 22 |
| X-ray exam of sinuses CPT 70210 | $275.40 | $459.00 | $3.91 – $45.01 | 22 |
| X-ray exam of tear duct CPT 70170 | $485.40 | $809.00 | $6.60 – $178.54 | 22 |
| X-ray exam of teeth CPT 70300 | $113.40 | $189.00 | $1.87 – $23.66 | 22 |
| X-ray exam of teeth CPT 70310 | $142.20 | $237.00 | $3.91 – $61.54 | 22 |
| X-ray exam si joints CPT 72200 | $175.20 | $292.00 | $3.69 – $42.86 | 22 |
| X-ray exam thorac spine4/>vw CPT 72074 | $438.00 | $730.00 | $5.79 – $250.00 | 23 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $522.00 | $870.00 | $3.46 – $42.86 | 22 |
| X-ray facial bones complete > 3 views CPT 70150 | $351.00 | $585.00 | $5.46 – $250.00 | 23 |
| X-ray fallopian tube CPT 74742 | not published | not published | $19.37 – $226.78 | 20 |
| X-ray femur >=2 views (both sides) CPT 73552 | $510.00 | $850.00 | $4.37 – $250.00 | 21 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $398.40 | $664.00 | $3.38 – $250.00 | 23 |
| X-ray foot 2 views (both sides) CPT 73620 | $391.20 | $652.00 | $3.40 – $250.00 | 23 |
| X-ray forearm 2 views (both sides) CPT 73090 | $472.80 | $788.00 | $3.49 – $250.00 | 23 |
| X-ray hand 2 views (both sides) CPT 73120 | $409.20 | $682.00 | $3.45 – $250.00 | 23 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $2.76 – $34.97 | 22 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $482.40 | $804.00 | $3.35 – $250.00 | 23 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $370.80 | $618.00 | $6.95 – $74.47 | 20 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $270.00 | $450.00 | $5.33 – $250.00 | 21 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $370.80 | $618.00 | $6.59 – $250.00 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $471.60 | $786.00 | $7.64 – $80.94 | 20 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $170.40 | $284.00 | $4.00 – $250.00 | 21 |
| X-ray humerus >= 2 views left CPT 73060 | $471.60 | $786.00 | $3.82 – $250.00 | 23 |
| X-ray joint survey 1 view CPT 77077 | $250.20 | $417.00 | $6.13 – $47.18 | 22 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $235.20 | $392.00 | $3.64 – $250.00 | 23 |
| X-ray knee 3 views (both sides) CPT 73562 | $352.80 | $588.00 | $4.24 – $250.00 | 23 |
| X-ray knee ap standing bilateral CPT 73565 | $117.60 | $196.00 | $3.74 – $52.92 | 22 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $424.80 | $708.00 | $3.49 – $250.00 | 23 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $396.60 | $661.00 | $6.03 – $58.67 | 22 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $371.40 | $619.00 | $6.74 – $250.00 | 23 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $426.60 | $711.00 | $8.73 – $96.75 | 22 |
| X-ray male genital tract CPT 74440 | not published | not published | $9.95 – $136.74 | 22 |
| X-ray mandible complete > 4 views CPT 70110 | $376.20 | $627.00 | $4.90 – $55.80 | 22 |
| X-ray mandible ltd <4 views CPT 70100 | $203.40 | $339.00 | $3.84 – $52.20 | 22 |
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.