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 |
|---|---|---|---|---|
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $85.21 – $1,592.02 | 38 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $57.65 – $1,592.02 | 38 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $32.74 – $910.38 | 38 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $30.51 – $910.38 | 38 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $13.11 – $642.63 | 19 |
| Cystourethro w/implant CPT 52441 | not published | not published | $49.21 – $843.58 | 19 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $74.28 – $1,592.02 | 38 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $66.71 – $1,592.02 | 38 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $61.30 – $1,592.02 | 38 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $188.36 | $313.93 | $0.83 – $2.78 | 23 |
| Cytogenetics 25-99 CPT 88274 | $420.00 | $700.00 | $19.72 – $96.63 | 24 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $16.28 – $92.80 | 24 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $464.00 – $2,644.80 | 22 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,849.20 | $3,082.00 | $32.77 – $2,052.00 | 22 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $150.00 | $250.00 | $5.29 – $32.81 | 24 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $168.60 | $281.00 | $6.61 – $38.42 | 24 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $5.92 – $30.60 | 22 |
| Cyto/molecular report CPT 88291 | $220.80 | $368.00 | $3.54 – $75.92 | 24 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $12.10 – $57.84 | 24 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.86 – $33.40 | 24 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $8.21 – $85.93 | 24 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $246.00 | $410.00 | $10.24 – $112.72 | 22 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $181.20 | $302.00 | $14.32 – $60.67 | 24 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $130.80 | $218.00 | $11.48 – $46.19 | 24 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $435.00 | $725.00 | $8.90 – $100.09 | 24 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $409.20 | $682.00 | $7.43 – $85.93 | 24 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $3.17 – $32.02 | 22 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $435.00 | $725.00 | $6.51 – $87.00 | 24 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $409.20 | $682.00 | $16.66 – $213.17 | 24 |
| Cytopath smear other source CPT 88160 | $137.40 | $229.00 | $6.48 – $100.48 | 24 |
| Cytopath smear other source CPT 88162 | $195.00 | $325.00 | $9.71 – $119.39 | 24 |
| Cytopath smear oth prep screen & interp CPT 88161 | $223.80 | $373.00 | $7.08 – $113.98 | 24 |
| Cytopath tbs c/v manual CPT 88164 | $109.20 | $182.00 | $5.29 – $36.30 | 24 |
| Cytotoxic antibody screening CPT 86807 | $141.60 | $236.00 | $13.22 – $179.32 | 24 |
| Cytotoxic antibody screening CPT 86808 | $529.20 | $882.00 | $9.26 – $67.67 | 24 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $20.88 – $195.84 | 22 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $182.06 | $303.43 | $3.73 – $28.77 | 23 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,070.44 | $5,117.40 | $15.18 – $46.72 | 40 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2.18 | $3.64 | $0.04 – $0.52 | 19 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $15,683.37 | $26,138.95 | $48.70 – $115.67 | 40 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,500.25 | $9,167.08 | $2.93 – $23.58 | 43 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $40.29 – $281.34 | 13 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $31.24 – $1,553.00 | 38 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $43.14 – $1,553.00 | 38 |
| Dch glucoscan CPT 82948 | $55.20 | $92.00 | $1.32 – $11.49 | 24 |
| Dch pulmonary stress test CPT 94621 | $1,941.00 | $3,235.00 | $27.18 – $68.40 | 19 |
| Dch validity tests CPT 81002 | $46.80 | $78.00 | $1.32 – $7.93 | 24 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $116.48 – $878.95 | 38 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $324.11 – $1,950.60 | 38 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $60.81 – $878.95 | 38 |
| D&c of cervical stump CPT 57558 | not published | not published | $22.30 – $1,553.00 | 38 |
| Deamidated gliadin antibody iga CPT 86258 | $21.60 | $36.00 | $11.53 – $28.83 | 19 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $111.00 – $878.91 | 19 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $4.60 – $37.59 | 38 |
| Debridement (>20 cm) charge pt CPT 97598 | $217.20 | $362.00 | $1.52 – $23.43 | 19 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,072.80 | $6,788.00 | $36.55 – $4,344.32 | 40 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,798.80 | $2,998.00 | $8.15 – $1,918.72 | 21 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,693.40 | $4,489.00 | $14.17 – $2,872.96 | 21 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $2,699.40 | $4,499.00 | $8.48 – $2,879.36 | 40 |
| Debride nail1-5 11720 CPT 11720 | $471.00 | $785.00 | $2.37 – $776.94 | 21 |
| Debride nail6 or more 11721 CPT 11721 | $346.80 | $578.00 | $4.00 – $481.98 | 21 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $46.92 – $367.03 | 38 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $66.90 – $1,132.89 | 38 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $91.55 – $697.87 | 19 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $122.93 – $950.66 | 19 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,690.80 | $2,818.00 | $3.85 – $1,803.52 | 21 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $7.95 – $95.32 | 19 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $43.84 – $357.32 | 38 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $2.29 – $19.61 | 19 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $2,832.60 | $4,721.00 | $24.58 – $3,021.44 | 40 |
| Decalcification CPT 88311 | $117.00 | $195.00 | $2.25 – $35.70 | 24 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $41.80 | $69.67 | $1.69 – $33.46 | 23 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $865.80 | $1,443.00 | $7.30 – $1,416.85 | 39 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $96.73 – $1,487.08 | 38 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $111.37 – $801.87 | 38 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $235.98 – $1,430.50 | 38 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $110.45 – $1,487.08 | 38 |
| Decompress fingers/hand CPT 26035 | not published | not published | $166.84 – $1,487.08 | 38 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $214.07 – $1,487.08 | 38 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $150.63 – $1,487.08 | 38 |
| Decompression fasct forearm CPT 24495 | not published | not published | $126.66 – $3,321.81 | 38 |
| Decompression of leg CPT 27892 | not published | not published | $108.36 – $1,487.08 | 38 |
| Decompression of leg CPT 27893 | not published | not published | $117.73 – $3,321.81 | 38 |
| Decompression of leg CPT 27894 | not published | not published | $167.35 – $1,487.08 | 38 |
| Decompression of lower leg CPT 27600 | not published | not published | $80.66 – $1,487.08 | 38 |
| Decompression of lower leg CPT 27601 | not published | not published | $86.59 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $105.33 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $112.98 – $1,487.08 | 38 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $125.79 – $801.87 | 38 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $136.08 – $3,321.81 | 38 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $70.30 – $878.95 | 38 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $66.44 – $878.95 | 38 |
| Decompressive craniotomy CPT 61322 | not published | not published | $466.31 – $1,805.70 | 19 |
| Decompress optic nerve CPT 67570 | not published | not published | $216.10 – $1,456.12 | 38 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $331.99 – $3,321.81 | 38 |
| Decompress small bowel CPT 44021 | not published | not published | $217.25 – $946.40 | 19 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $307.89 – $3,321.81 | 38 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $365.03 – $2,345.50 | 19 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $70.17 – $448.40 | 19 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $30.26 – $1,132.89 | 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.