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 |
|---|---|---|---|---|
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $42.43 | $70.71 | $8.04 – $18.96 | 20 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,395.76 | $2,326.26 | $3.51 – $18.59 | 41 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $144.35 – $2,942.05 | 38 |
| Delay flap arms/legs CPT 15610 | not published | not published | $37.52 – $926.15 | 38 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $54.22 – $926.15 | 38 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $50.97 – $926.15 | 38 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $32.17 – $1,822.02 | 38 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $16.61 – $1,553.00 | 38 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $150.93 – $1,072.59 | 19 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $207.26 – $1,266.40 | 13 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $168.11 – $632.70 | 13 |
| Demonstrate use home inr mon HCPCS G0248 | $403.80 | $673.00 | $18.06 – $132.87 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $100.20 | $167.00 | $2.52 – $23.70 | 19 |
| Denervation of hip joint CPT 27035 | not published | not published | $225.18 – $1,506.40 | 38 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,681.80 | $7,803.00 | $13.64 – $60.66 | 43 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $27.22 – $187.84 | 19 |
| Dermabrasion other than face CPT 15782 | not published | not published | $69.60 – $432.41 | 38 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $67.75 – $436.26 | 38 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $56.48 – $362.50 | 38 |
| Dermabrasion total face CPT 15780 | not published | not published | $99.60 – $574.66 | 38 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $105.24 – $1,822.02 | 38 |
| Dermagraft HCPCS Q4106 | $3,307.80 | $5,513.00 | $33.62 – $108.92 | 19 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $116.20 – $1,822.02 | 38 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $88.15 – $926.15 | 38 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $445.93 – $2,099.84 | 19 |
| Design custom breast implant CPT 19396 | not published | not published | $22.06 – $1,438.67 | 32 |
| Design mlc device for imrt CPT 77338 | $1,154.40 | $1,924.00 | $67.58 – $719.51 | 41 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $20.43 | $34.05 | $2.18 – $25.37 | 39 |
| Desoxycorticosterone CPT 82633 | not published | not published | $14.55 – $70.63 | 24 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $101.49 – $493.47 | 19 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $383.00 – $1,803.17 | 19 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $277.52 – $1,323.17 | 19 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $14.23 – $95.07 | 19 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $19.62 – $120.30 | 38 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $22.69 – $144.11 | 38 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $15.66 – $101.46 | 38 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $17.43 – $110.46 | 38 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $20.16 – $127.75 | 19 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $11.01 – $69.90 | 19 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $14.34 – $96.75 | 19 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $18.30 – $118.09 | 19 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $20.33 – $129.09 | 19 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $60.15 – $878.95 | 38 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $18.21 – $135.88 | 19 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $36.10 – $152.53 | 38 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $8.30 – $53.76 | 19 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $39.62 – $926.15 | 38 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $22.55 – $130.37 | 38 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $13.16 – $88.08 | 19 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $54.48 – $608.23 | 38 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $43.28 – $263.49 | 38 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $82.55 – $503.82 | 38 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $0.38 – $6.73 | 19 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $28.82 – $187.09 | 38 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $40.26 – $1,320.79 | 38 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $30.29 – $165.68 | 38 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $10.16 – $74.07 | 19 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $39.32 – $462.90 | 38 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $15.86 – $122.74 | 19 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $58.96 – $878.95 | 38 |
| Destruction ciliary body CPT 66700 | not published | not published | $73.75 – $1,158.89 | 38 |
| Destruction ciliary body CPT 66720 | not published | not published | $79.19 – $958.01 | 38 |
| Destruction ciliary body CPT 66740 | not published | not published | $73.75 – $958.01 | 38 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $31.31 – $196.77 | 38 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $29.33 – $1,320.79 | 38 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $28.29 – $181.02 | 38 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $22.76 – $144.57 | 38 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $27.82 – $176.27 | 38 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $21.71 – $138.77 | 38 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $25.41 – $160.76 | 38 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $20.60 – $101.47 | 19 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $33.85 – $926.15 | 38 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $15.66 – $114.73 | 38 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $148.24 – $1,320.79 | 38 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $34.29 – $1,553.00 | 38 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $19.27 – $115.71 | 38 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $18.80 – $90.28 | 38 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $9.49 – $68.47 | 24 |
| Detect agnt mult dna direc CPT 87800 | $237.60 | $396.00 | $18.97 – $99.57 | 24 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $5.44 – $22.80 | 19 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $21.81 – $530.21 | 20 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $9.95 – $56.67 | 13 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $145.20 | $242.00 | $3.38 – $250.00 | 42 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $319.80 | $533.00 | $0.12 – $233.33 | 22 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $4,745.71 | $7,909.51 | $76.13 – $715.20 | 41 |
| Dextran 40 infusion HCPCS J7100 | $173.97 | $289.95 | $17.77 – $87.84 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $78.83 | $131.39 | $0.99 – $2.90 | 21 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.67 | $131.12 | $1.00 – $17.96 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $79.76 | $132.93 | $0.99 – $4.75 | 21 |
| Dextrose 5 % IV bolus HCPCS J7070 | $78.86 | $131.44 | $1.99 – $9.43 | 21 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $414.00 | $690.00 | $7.93 – $50.68 | 24 |
| Diabetes (HbA1c) Test CPT 83036 | $191.40 | $319.00 | $3.97 – $22.14 | 24 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $43.56 – $741.27 | 38 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $74.31 – $2,648.76 | 38 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $26.31 – $124.37 | 19 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $35.48 – $599.32 | 38 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $8.59 – $60.55 | 19 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $53.40 | $89.00 | $18.60 – $43.17 | 13 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $53.40 | $89.00 | $15.12 – $54.02 | 13 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $11.35 – $65.51 | 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.