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 |
|---|---|---|---|---|
| X-ray measurement of pelvis CPT 74710 | not published | not published | $6.15 – $58.90 | 22 |
| X-ray nasal bones complete > 3 views CPT 70160 | $268.80 | $448.00 | $3.92 – $250.00 | 23 |
| X-ray neck soft tissue CPT 70360 | $221.40 | $369.00 | $3.36 – $250.00 | 23 |
| X-ray nose to rectum for foreign body child CPT 76010 | $241.80 | $403.00 | $3.60 – $250.00 | 23 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $16.30 – $178.54 | 22 |
| X-ray optic foramina CPT 70190 | $206.40 | $344.00 | $4.49 – $52.20 | 22 |
| X-ray pelvis 1-2 views CPT 72170 | $224.40 | $374.00 | $3.46 – $250.00 | 23 |
| X-ray pelvis complete > 3 views CPT 72190 | $274.20 | $457.00 | $4.87 – $250.00 | 23 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $125.02 – $192.40 | 21 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $141.49 – $208.18 | 21 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $842.40 | $1,404.00 | $12.99 – $250.00 | 42 |
| X-ray ribs 2 views left CPT 71100 | $270.00 | $450.00 | $4.17 – $250.00 | 23 |
| X-ray ribs 3 views bilateral CPT 71110 | $350.40 | $584.00 | $5.37 – $250.00 | 23 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $299.40 | $499.00 | $5.05 – $250.00 | 23 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $370.20 | $617.00 | $6.61 – $250.00 | 23 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $265.20 | $442.00 | $4.44 – $250.00 | 23 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $261.00 | $435.00 | $3.86 – $250.00 | 23 |
| X-ray scapula complete (both sides) CPT 73010 | $498.00 | $830.00 | $3.64 – $250.00 | 23 |
| X-ray sella turcica CPT 70240 | not published | not published | $3.56 – $42.86 | 22 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $409.20 | $682.00 | $3.07 – $34.97 | 22 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $404.40 | $674.00 | $5.17 – $250.00 | 23 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $423.00 | $705.00 | $8.35 – $250.00 | 23 |
| X-ray skull < 4 views CPT 70250 | $291.60 | $486.00 | $4.56 – $50.78 | 22 |
| X-ray skull > 4 views complete CPT 70260 | $384.00 | $640.00 | $6.34 – $250.00 | 23 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $510.00 | $850.00 | $14.84 – $140.56 | 22 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $509.40 | $849.00 | $11.78 – $250.00 | 42 |
| X-ray small intestine follow-through study CPT 74248 | $382.20 | $637.00 | $11.34 – $128.50 | 20 |
| X-ray spine single view CPT 72020 | $282.00 | $470.00 | $3.02 – $250.00 | 23 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $264.60 | $441.00 | $4.78 – $53.65 | 22 |
| X-ray sternum > 2 views CPT 71120 | $255.00 | $425.00 | $4.35 – $44.31 | 22 |
| X-ray surgical specimen CPT 76098 | $682.80 | $1,138.00 | $2.70 – $316.07 | 23 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $406.20 | $677.00 | $10.94 – $250.00 | 42 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $351.00 | $585.00 | $5.86 – $74.47 | 22 |
| X-ray thoracic spine 2 views CPT 72070 | $287.40 | $479.00 | $4.41 – $250.00 | 23 |
| X-ray thoracic spine 3 views CPT 72072 | $342.00 | $570.00 | $4.92 – $250.00 | 23 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $250.80 | $418.00 | $4.55 – $250.00 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $319.20 | $532.00 | $5.27 – $250.00 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $417.00 | $695.00 | $8.38 – $250.00 | 21 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $495.60 | $826.00 | $3.55 – $250.00 | 23 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $398.40 | $664.00 | $3.28 – $250.00 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $704.40 | $1,174.00 | $14.76 – $194.44 | 41 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $659.40 | $1,099.00 | $13.09 – $164.26 | 41 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $24.47 – $250.00 | 20 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $32.45 – $110.23 | 19 |
| X-ray wrist 2 views (both sides) CPT 73100 | $382.80 | $638.00 | $3.54 – $250.00 | 23 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $9.25 – $124.76 | 22 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $93.07 – $170.06 | 13 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $38.23 – $87.72 | 19 |
| Xylose absorption test blood &/or urine CPT 84620 | $212.40 | $354.00 | $4.51 – $29.43 | 24 |
| Yersinia antibody CPT 86793 | not published | not published | $5.29 – $30.07 | 24 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $25.34 – $116.99 | 22 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.32 – $38.42 | 22 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $130.33 | $217.21 | $9.76 – $75.63 | 22 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $69.19 | $115.32 | $7.21 – $63.20 | 22 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.02 – $510.41 | 22 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $77.30 – $440.61 | 15 |
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.