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 |
|---|---|---|---|---|
| Drainage of prostate abscess CPT 52700 | not published | not published | $94.50 – $1,592.02 | 38 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $104.46 – $1,592.02 | 38 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $129.32 – $1,592.02 | 38 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $34.34 – $599.32 | 38 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $116.30 – $1,320.79 | 38 |
| Drainage of salivary gland CPT 42305 | not published | not published | $99.93 – $1,291.25 | 38 |
| Drainage of salivary gland CPT 42320 | not published | not published | $41.11 – $279.43 | 38 |
| Drainage of throat abscess CPT 42725 | not published | not published | $187.70 – $2,702.95 | 38 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $84.03 – $1,592.02 | 38 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $35.09 – $252.12 | 38 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $89.94 – $604.10 | 38 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $143.26 – $910.38 | 38 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $11.23 – $113.10 | 38 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $5.12 – $33.91 | 19 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $64.72 – $4,822.82 | 39 |
| Drain cath image guided visceral pq CPT 49405 | $3,505.80 | $5,843.00 | $60.73 – $4,631.00 | 21 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $17.65 – $351.21 | 38 |
| Drain chest lesion CPT 21502 | not published | not published | $103.66 – $1,487.08 | 38 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $26.77 – $179.20 | 38 |
| Drain lower leg bursa CPT 27604 | not published | not published | $67.90 – $1,487.08 | 38 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $75.96 – $1,132.89 | 38 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $62.88 – $1,132.89 | 38 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $263.38 – $1,206.70 | 19 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $79.41 – $1,553.00 | 38 |
| Drain ovary abscess open CPT 58820 | not published | not published | $61.24 – $1,553.00 | 38 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $237.53 – $999.90 | 19 |
| Drain penis lesion CPT 54015 | not published | not published | $69.47 – $668.59 | 38 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $132.00 – $931.40 | 38 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $42.78 – $1,132.89 | 38 |
| Drain shoulder lesion CPT 23030 | not published | not published | $49.92 – $1,132.89 | 38 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $97.64 – $1,132.89 | 38 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $28.87 – $652.86 | 38 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $168.80 – $950.70 | 19 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $468.00 | $780.00 | $17.52 – $776.94 | 40 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $349.20 | $582.00 | $8.51 – $481.98 | 21 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $468.00 | $780.00 | $21.02 – $776.94 | 40 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $7.41 – $61.97 | 19 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $6,026.40 | $10,044.00 | $18.29 – $108.92 | 20 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $175.17 – $1,022.00 | 19 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $67.47 – $491.00 | 19 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $167.59 – $686.10 | 19 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $84.19 – $1,487.08 | 38 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $21.78 – $183.70 | 38 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $35.98 – $668.59 | 38 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $18.77 – $82.01 | 38 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $49.63 – $279.43 | 38 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $58.58 – $1,553.00 | 38 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $95.70 – $1,487.08 | 38 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $82.04 – $1,487.08 | 38 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $89.99 – $599.32 | 38 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $51.83 – $1,291.25 | 38 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $35.52 – $668.59 | 38 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $247.78 – $881.30 | 19 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $221.23 – $813.20 | 19 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $146.09 – $807.66 | 19 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $354.08 – $1,165.00 | 19 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $35.00 – $652.86 | 38 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $28.48 – $279.43 | 38 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $40.32 | $67.20 | $2.14 – $21.78 | 20 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $2,589.60 | $4,316.00 | $1.97 – $108.92 | 20 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $755.40 | $1,259.00 | $10.92 – $108.92 | 20 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $2,425.20 | $4,042.00 | $9.28 – $108.92 | 20 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $19,358.40 | $32,264.00 | $14.33 – $108.92 | 20 |
| Drug admin & hemodynmic meas CPT 93463 | $304.80 | $508.00 | $20.89 – $144.29 | 19 |
| Drug assay caffeine CPT 80155 | $279.60 | $466.00 | $7.72 – $87.94 | 22 |
| Drug assay posaconazole CPT 80187 | not published | not published | $10.84 – $61.81 | 22 |
| Drug assay rufinamide CPT 80210 | not published | not published | $10.84 – $61.81 | 21 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $15.43 – $87.94 | 22 |
| Drug assay voriconazole CPT 80285 | not published | not published | $10.84 – $61.81 | 22 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $46.60 | 20 |
| Drug of abuse screen urine CPT 80305 | $274.80 | $458.00 | $5.94 – $28.73 | 22 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $9.85 – $61.81 | 22 |
| Drug test def 1-7 classes HCPCS G0480 | $346.20 | $577.00 | $31.98 – $114.43 | 20 |
| Drug test def 8-14 classes HCPCS G0481 | $346.20 | $577.00 | $45.77 – $156.59 | 19 |
| Drug test prsmv instrmnt CPT 80306 | $274.80 | $458.00 | $7.18 – $39.08 | 22 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $274.80 | $458.00 | $31.70 – $141.68 | 22 |
| Drvvt confirm - quest CPT 85597 | $139.20 | $232.00 | $5.00 – $40.99 | 24 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $48.26 – $630.05 | 38 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $36.93 – $1,130.49 | 39 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $33.45 – $221.38 | 38 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $28.36 – $179.60 | 38 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $33.10 – $223.45 | 38 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $44.40 – $301.07 | 38 |
| Ductogram sgl duct CPT 77053 | $481.80 | $803.00 | $12.67 – $178.54 | 22 |
| Duodenal motility study CPT 91022 | not published | not published | $27.79 – $141.65 | 19 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,201.20 | $2,002.00 | $36.29 – $897.51 | 38 |
| Duplex scan unilateral study 93986 CPT 93986 | $600.60 | $1,001.00 | $22.50 – $424.98 | 38 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $924.60 | $1,541.00 | $8.84 – $190.01 | 20 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $17.52 – $201.43 | 20 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,575.00 | $2,625.00 | $16.24 – $549.90 | 20 |
| Dxa bone density axl vrt fx CPT 77085 | $466.80 | $778.00 | $5.95 – $86.01 | 20 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $61.94 – $61.94 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $35.62 – $741.27 | 38 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $8.05 – $12.00 | 19 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $14.73 – $460.37 | 38 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $21.48 – $460.37 | 38 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $8.91 – $62.11 | 19 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $16.46 – $94.98 | 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.