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 |
|---|---|---|---|---|
| CT thoracic spine without contrast CPT 72128 | $542.40 | $904.00 | $35.75 – $650.00 | 42 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $542.40 | $904.00 | $21.01 – $315.51 | 19 |
| CT t-spine w /wo contrast CPT 72130 | $542.40 | $904.00 | $45.27 – $453.76 | 41 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,084.80 | $1,808.00 | $39.73 – $353.92 | 41 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,084.80 | $1,808.00 | $33.43 – $650.00 | 42 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,084.80 | $1,808.00 | $43.49 – $478.91 | 41 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $586.42 – $2,268.60 | 15 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $609.84 – $2,359.73 | 15 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $104.99 – $1,822.02 | 38 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $98.78 – $926.15 | 38 |
| Culture aerobic additional method definitive id each CPT 87077 | $117.00 | $195.00 | $3.82 – $18.70 | 24 |
| Culture afb any source CPT 87116 | $243.60 | $406.00 | $5.29 – $24.62 | 24 |
| Culture anaerobic additional method definitive id each CPT 87076 | $155.40 | $259.00 | $3.99 – $18.42 | 24 |
| Culture anaerobic except blood CPT 87075 | $267.60 | $446.00 | $3.97 – $21.59 | 24 |
| Culture bact stool aero addl path ea CPT 87046 | $185.40 | $309.00 | $3.12 – $21.52 | 22 |
| Culture body fluid CPT 87070 | $220.20 | $367.00 | $2.65 – $19.65 | 24 |
| Culture fungi definitive id mold CPT 87107 | $190.80 | $318.00 | $5.10 – $23.53 | 22 |
| Culture fungi definitive id yeast CPT 87106 | $183.60 | $306.00 | $4.88 – $23.53 | 24 |
| Culture fungi other (except blood) CPT 87102 | $267.60 | $446.00 | $3.97 – $19.17 | 24 |
| Culture fungi skin/hair/nail CPT 87101 | $192.00 | $320.00 | $3.65 – $17.58 | 24 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $117.00 | $195.00 | $5.29 – $33.31 | 24 |
| Culture mycoplasma any source CPT 87109 | $207.60 | $346.00 | $5.29 – $35.09 | 24 |
| Culture quantitative aerobic other source CPT 87071 | $191.40 | $319.00 | $4.07 – $22.55 | 22 |
| Culture screening strep group a CPT 87081 | $144.60 | $241.00 | $2.65 – $15.12 | 24 |
| Culture typing added method CPT 87158 | not published | not published | $1.32 – $17.65 | 24 |
| Culture typing immunologic CPT 87147 | $103.20 | $172.00 | $2.16 – $11.81 | 24 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $392.40 | $654.00 | $218.06 – $545.15 | 19 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $63.00 | $105.00 | $11.71 – $80.01 | 22 |
| Culture urine each isolate CPT 87088 | $160.80 | $268.00 | $3.97 – $18.45 | 24 |
| Culture virus isolation CPT 87250 | not published | not published | $7.93 – $44.60 | 24 |
| Curette/treat cornea CPT 65435 | not published | not published | $13.06 – $67.10 | 38 |
| Curette/treat cornea CPT 65436 | not published | not published | $69.76 – $493.47 | 38 |
| Cv line/pic reposition CPT 36597 | $2,772.00 | $4,620.00 | $15.41 – $1,416.85 | 39 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $3.07 – $24.60 | 19 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $4.71 – $34.00 | 19 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $157.80 | $263.00 | $6.77 – $32.65 | 24 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $42.47 | $70.79 | $1.44 – $4.42 | 21 |
| Cyclic citrullinated peptide antibody CPT 86200 | $144.60 | $241.00 | $6.39 – $29.53 | 24 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1.27 | $2.11 | $1.18 – $1.18 | 19 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $22.51 | $37.51 | $0.62 – $20.94 | 23 |
| Cyclosporine 2 hour CPT 80158 | $326.40 | $544.00 | $7.93 – $41.15 | 24 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.46 | $4.10 | $0.66 – $1.91 | 15 |
| Cyclosporine oral 100 mg HCPCS J7502 | $19.50 | $32.50 | $1.76 – $5.38 | 14 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $111.79 – $664.30 | 15 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $59.53 – $398.57 | 15 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $144.37 – $1,028.07 | 15 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $69.92 – $398.57 | 22 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $69.92 – $398.57 | 22 |
| Cystatin c CPT 82610 | $136.80 | $228.00 | $6.65 – $42.23 | 22 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $199.60 – $1,137.72 | 15 |
| Cystine urine quantitative CPT 82131 | $60.60 | $101.00 | $7.93 – $52.39 | 24 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $102.82 – $1,592.02 | 38 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $315.60 | $526.00 | $7.14 – $250.00 | 23 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $7,351.58 – $7,351.58 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $64.74 – $280.96 | 38 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $191.61 – $1,225.50 | 19 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $158.95 – $971.80 | 19 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $149.20 – $3,292.16 | 31 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $35.66 – $1,592.02 | 38 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $51.70 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $38.09 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $38.43 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $53.06 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $62.27 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $84.62 – $2,419.37 | 38 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $45.33 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $35.03 – $255.21 | 38 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $57.11 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $69.78 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $43.39 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $42.17 – $306.66 | 38 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $52.62 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $60.57 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $62.60 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $60.18 – $2,419.37 | 38 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $32.68 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $59.22 – $910.38 | 38 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $53.24 – $1,592.02 | 38 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $56.92 – $1,592.02 | 38 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $27.12 – $306.66 | 38 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $36.45 – $910.38 | 38 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $35.88 – $306.66 | 38 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $72.59 – $1,592.02 | 38 |
| Cystoscopy inject material CPT 52327 | not published | not published | $56.60 – $3,392.95 | 38 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $61.98 – $1,592.02 | 38 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $39.14 – $910.38 | 38 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $53.61 – $910.38 | 38 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $69.32 – $2,419.37 | 38 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $28.61 – $910.38 | 38 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $61.78 – $910.38 | 38 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $100.48 – $1,592.02 | 38 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $167.42 – $1,592.02 | 38 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $65.37 – $1,592.02 | 38 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $79.80 – $1,592.02 | 38 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $89.12 – $2,419.37 | 38 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $100.91 – $2,419.37 | 38 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $89.82 – $2,419.37 | 38 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $84.62 – $2,419.37 | 38 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $96.35 – $2,419.37 | 38 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $76.46 – $1,592.02 | 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.