Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.)
1907 W Sycamore St, Kokomo, IN · Ascension · · NPI 1780625442
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 |
|---|---|---|---|---|
| Chemo intralesional over 7 CPT 96406 | not published | not published | $37.64 – $149.84 | 20 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $26.22 – $213.45 | 20 |
| Chemotaxis assay CPT 86155 | not published | not published | $5.29 – $36.46 | 24 |
| Chemotherapy injection 96542 CPT 96542 | $658.20 | $1,097.00 | $6.04 – $273.78 | 20 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $3.12 – $494.36 | 20 |
| Chest 2 vws w oblique CPT 71048 | $210.00 | $350.00 | $5.73 – $446.39 | 21 |
| Chest apical lordotic proj CPT 71047 | $195.60 | $326.00 | $5.33 – $242.27 | 20 |
| Chest CT scan (with and without contrast) CPT 71270 | $542.40 | $904.00 | $49.10 – $650.00 | 42 |
| Chest CT scan (with contrast) CPT 71260 | $542.40 | $904.00 | $43.30 – $650.00 | 42 |
| Chest CT scan (without contrast) CPT 71250 | $542.40 | $904.00 | $36.28 – $650.00 | 42 |
| Chest X-ray CPT 71046 | $185.40 | $309.00 | $4.17 – $250.00 | 40 |
| Chest X-ray (single view) CPT 71045 | $162.60 | $271.00 | $2.74 – $250.00 | 40 |
| Chg pr pul rehab for copd patients CPT 94626 | $416.40 | $694.00 | $6.58 – $6.58 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $520.80 | $868.00 | $14.79 – $199.64 | 20 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $102.45 – $473.01 | 15 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $128.78 – $594.60 | 15 |
| Chlamydia culture CPT 87110 | $41.40 | $69.00 | $6.61 – $44.69 | 24 |
| Chlamydia trachomatis ag if CPT 87270 | $189.00 | $315.00 | $5.67 – $27.31 | 24 |
| Chlamydia type CPT 87140 | $78.60 | $131.00 | $2.64 – $12.70 | 24 |
| Chlnggrphy intraop addl s&i CPT 74301 | $258.00 | $430.00 | $5.92 – $175.57 | 20 |
| Chloride CPT 82435 | $82.80 | $138.00 | $1.32 – $10.49 | 24 |
| Chloride 24 hour urine CPT 82436 | $88.20 | $147.00 | $2.38 – $13.11 | 24 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $51.16 | $85.27 | $22.41 – $62.35 | 19 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $1,308.00 | $2,180.00 | $16.85 – $573.97 | 20 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $61.72 – $7,256.67 | 20 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $258.00 | $430.00 | $8.46 – $250.00 | 21 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $282.27 – $1,360.10 | 19 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $218.24 – $997.50 | 19 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $250.96 – $1,108.20 | 19 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,195.20 | $6,992.00 | $125.48 – $4,631.00 | 21 |
| Cholesterol CPT 82465 | $99.60 | $166.00 | $1.32 – $9.92 | 24 |
| Cholesterol body fluid CPT 84999 | $494.40 | $824.00 | $0.01 – $412.00 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $289.80 | $483.00 | $6.02 – $30.53 | 24 |
| Cholinesterase CPT 82480 | $118.20 | $197.00 | $3.89 – $17.94 | 24 |
| Cholinesterase challenge CPT 95857 | not published | not published | $5.03 – $257.28 | 20 |
| Chorion biopsy CPT 59015 | not published | not published | $23.88 – $144.37 | 38 |
| Chrom analysis CPT 88273 | $115.20 | $192.00 | $18.20 – $79.37 | 24 |
| Chromatogram assay sugars CPT 84375 | $70.20 | $117.00 | $6.61 – $88.92 | 24 |
| Chromatography CPT 83021 | $249.00 | $415.00 | $8.92 – $41.18 | 24 |
| Chromogenic substrate assay CPT 85130 | $309.00 | $515.00 | $3.97 – $27.11 | 24 |
| Chromo high res and frag x - sendout CPT 81243 | $559.80 | $933.00 | $22.82 – $130.05 | 22 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $94.23 – $395.94 | 24 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $79.62 – $394.83 | 24 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,086.00 | $1,810.00 | $70.62 – $286.12 | 24 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $85.52 – $394.83 | 24 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $85.14 – $342.66 | 24 |
| Chromosome analysis 5 CPT 88261 | $1,126.20 | $1,877.00 | $105.74 – $602.70 | 24 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $98.11 – $394.83 | 24 |
| Chromosome analys placenta CPT 88267 | $642.00 | $1,070.00 | $101.85 – $429.94 | 24 |
| Chromosome banding study CPT 88283 | not published | not published | $38.86 – $156.41 | 24 |
| Chromosome count additional CPT 88285 | $205.80 | $343.00 | $10.76 – $61.35 | 24 |
| Chromosome karyotype study CPT 88280 | $273.60 | $456.00 | $14.22 – $76.31 | 24 |
| Chromosome study additional CPT 88289 | $123.00 | $205.00 | $19.51 – $78.50 | 24 |
| Chronic urticaria - sendout CPT 86343 | $210.60 | $351.00 | $6.15 – $28.41 | 24 |
| Chylomicron screen, bf - sendout CPT 82664 | $192.00 | $320.00 | $7.93 – $140.22 | 24 |
| Cidofovir injection HCPCS J0740 | $1,099.26 | $1,832.10 | $554.19 – $1,416.70 | 40 |
| Cilastatin sodium injection HCPCS J0743 | $119.57 | $199.28 | $4.81 – $16.87 | 21 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $73.69 – $958.01 | 38 |
| Cine/video x-rays CPT 76120 | not published | not published | $9.26 – $148.45 | 22 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $5.61 – $56.98 | 20 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $62.97 | $104.95 | $1.05 – $4.19 | 15 |
| Circum 28 days or older CPT 54161 | not published | not published | $43.71 – $910.38 | 38 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $32.10 – $306.66 | 38 |
| Circumcision (newborn) CPT 54150 | not published | not published | $22.55 – $910.38 | 38 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $1.98 | $3.30 | $1.90 – $1.90 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $921.60 | $1,536.00 | $131.80 – $751.28 | 15 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $88.00 | $146.66 | $15.77 – $106.58 | 42 |
| Claviculectomy partial CPT 23120 | not published | not published | $113.73 – $1,487.08 | 38 |
| Claviculectomy total CPT 23125 | not published | not published | $138.20 – $1,487.08 | 38 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $20.78 – $158.73 | 38 |
| Clearance of airways CPT 31720 | $234.60 | $391.00 | $12.89 – $283.42 | 21 |
| Clearance of tear duct CPT 68530 | not published | not published | $48.50 – $339.65 | 38 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $5.77 – $68.03 | 19 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $2.81 – $50.33 | 19 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $4.47 – $63.06 | 19 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $2.77 – $52.01 | 19 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $66.73 | $111.22 | $1.90 – $5.56 | 31 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $229.09 – $1,553.00 | 38 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $613.45 – $2,043.40 | 19 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $65.16 – $378.03 | 38 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $75.00 – $801.87 | 38 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $147.45 – $976.00 | 19 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $102.33 – $581.39 | 38 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $82.34 – $801.87 | 38 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $59.40 – $290.37 | 38 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $87.49 – $801.87 | 38 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $21.71 – $120.07 | 38 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $129.06 – $654.38 | 38 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $30.53 – $279.43 | 38 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $56.34 – $823.62 | 38 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $113.29 – $801.87 | 38 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $57.94 – $1,291.25 | 38 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $20.17 – $109.88 | 38 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $41.12 – $199.11 | 38 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $150.00 – $1,487.08 | 38 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $36.08 – $186.80 | 38 |
| Close mastoid fistula CPT 69700 | not published | not published | $104.42 – $748.10 | 38 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $134.05 – $1,075.40 | 19 |
| Close tear duct opening CPT 68760 | not published | not published | $27.35 – $147.95 | 38 |
| Close tear duct opening CPT 68761 | not published | not published | $22.28 – $113.65 | 38 |
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.