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 |
|---|---|---|---|---|
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $94.46 – $461.50 | 19 |
| Ligation major artery neck CPT 37615 | not published | not published | $118.34 – $528.10 | 19 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $130.56 – $1,515.56 | 38 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $328.59 – $1,206.30 | 19 |
| Ligation of femoral vein CPT 37650 | not published | not published | $125.27 – $1,515.56 | 38 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $403.01 – $2,245.90 | 19 |
| Ligation of neck artery CPT 37606 | not published | not published | $138.21 – $600.30 | 19 |
| Ligation of salivary duct CPT 42665 | not published | not published | $47.58 – $1,291.25 | 38 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $187.16 – $1,515.56 | 38 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $64.63 – $1,515.56 | 38 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $93.03 – $1,515.56 | 38 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $164.04 – $1,515.56 | 38 |
| Limb exercise test CPT 95875 | not published | not published | $19.66 – $41.72 | 20 |
| Limited visual field xm CPT 92081 | not published | not published | $5.63 – $18.20 | 19 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $130.49 | $217.48 | $3.30 – $21.21 | 21 |
| Lipase CPT 83690 | $160.20 | $267.00 | $3.23 – $15.71 | 24 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $81.24 – $1,291.25 | 38 |
| Lipoprotein blood high res frac & quant CPT 83701 | $58.80 | $98.00 | $12.45 – $77.20 | 24 |
| Lipoprotein blood quant CPT 83704 | $223.20 | $372.00 | $15.58 – $77.95 | 22 |
| Lipoprotein direct measurement hdl CPT 83718 | $159.00 | $265.00 | $3.87 – $18.67 | 24 |
| Lipoprotein direct measurement ldl CPT 83721 | $150.00 | $250.00 | $3.97 – $23.94 | 24 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $14.02 – $77.95 | 22 |
| Lip surgery procedure CPT 40799 | not published | not published | $0.01 – $87.15 | 17 |
| Listeria monocytogenes CPT 86723 | not published | not published | $5.29 – $30.07 | 24 |
| Lithium therapeutic drug level CPT 80178 | $168.60 | $281.00 | $3.13 – $15.07 | 24 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $133.22 – $133.22 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $265.13 – $840.00 | 19 |
| Liver elastography 91200 CPT 91200 | not published | not published | $5.22 – $495.69 | 20 |
| Liver Function Test CPT 80076 | $265.20 | $442.00 | $2.99 – $18.63 | 24 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $314.26 – $998.37 | 19 |
| Liver imaging CPT 78201 | not published | not published | $15.23 – $338.34 | 41 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $17.05 – $366.36 | 41 |
| Liver/spleen imag static only CPT 78215 | $1,794.60 | $2,991.00 | $17.33 – $348.41 | 41 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $18.25 – $249.61 | 41 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $8.36 – $51.12 | 19 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $91.66 – $1,487.08 | 38 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $394.52 | $657.53 | $190.00 – $464.36 | 37 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $261.04 | $435.07 | $0.69 – $3.29 | 22 |
| Loudness balance test CPT 92562 | not published | not published | $3.99 – $30.91 | 19 |
| Low back disk surgery CPT 63030 | not published | not published | $196.26 – $3,321.81 | 38 |
| Low cost skin substitute app HCPCS C5271 | $1,449.00 | $2,415.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5273 | $4,850.40 | $8,084.00 | $926.15 – $926.15 | 19 |
| Low cost skin substitute app HCPCS C5275 | $1,449.00 | $2,415.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5277 | $1,449.00 | $2,415.00 | $318.97 – $318.97 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $542.40 | $904.00 | $45.27 – $448.02 | 41 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $542.40 | $904.00 | $43.10 – $650.00 | 42 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $542.40 | $904.00 | $35.75 – $650.00 | 42 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $582.60 | $971.00 | $59.65 – $700.00 | 42 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $582.60 | $971.00 | $50.49 – $485.37 | 41 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $582.60 | $971.00 | $35.16 – $700.00 | 42 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $240.00 | $400.00 | $4.83 – $250.00 | 23 |
| Lower jaw bone graft CPT 21215 | not published | not published | $178.70 – $3,692.26 | 38 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $2.21 – $700.25 | 19 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $141.40 – $4,445.47 | 38 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $163.58 – $4,445.47 | 38 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $161.62 – $4,445.47 | 38 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $178.04 – $4,445.47 | 38 |
| L/s ratio fetal lung CPT 83661 | $78.60 | $131.00 | $3.97 – $50.14 | 24 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $18.75 – $1,298.32 | 22 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $309.95 – $13,239.40 | 38 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $3.99 – $12.50 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $426.00 | $710.00 | $5.93 – $20.10 | 19 |
| Lung perfusion imaging CPT 78580 | $2,010.00 | $3,350.00 | $24.71 – $415.22 | 41 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $355.87 – $1,901.30 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $298.13 | $496.88 | $189.26 – $458.10 | 39 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $237.20 | $395.34 | $38.35 – $91.40 | 40 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $365.28 | $608.80 | $223.13 – $535.12 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $6.43 – $51.33 | 13 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $131.92 – $851.20 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $37.21 – $609.90 | 41 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.06 – $83.36 | 24 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $18.52 – $111.79 | 24 |
| Lymphocytotoxicity assay CPT 86805 | $780.00 | $1,300.00 | $19.84 – $432.08 | 24 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $30.81 – $390.80 | 22 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $34.08 – $722.38 | 41 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $29.44 – $1,806.01 | 41 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $37.36 – $439.41 | 22 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $31.07 – $279.43 | 38 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $27.26 – $1,553.00 | 38 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $43.15 – $910.38 | 38 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $2.59 – $17.44 | 22 |
| Macroscopic exam arthropod CPT 87168 | $84.60 | $141.00 | $2.11 – $9.74 | 22 |
| Macroscopic exam parasite CPT 87169 | $52.80 | $88.00 | $2.02 – $9.83 | 22 |
| Magnesium CPT 83735 | $125.40 | $209.00 | $2.73 – $15.28 | 24 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $118.81 | $198.01 | $0.05 – $1.51 | 21 |
| Magnetic image bone marrow CPT 77084 | $582.60 | $971.00 | $57.47 – $632.63 | 41 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 24 |
| Male sling procedure CPT 53440 | not published | not published | $161.59 – $9,871.23 | 38 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 19 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $64.42 – $801.87 | 38 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $80.33 – $801.87 | 38 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $142.20 | $237.00 | $3.64 – $23.70 | 19 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $178.80 | $298.00 | $4.20 – $29.50 | 19 |
| Manipulation of hip joint CPT 27275 | not published | not published | $35.40 – $801.87 | 38 |
| Manipulation of spine CPT 22505 | not published | not published | $25.01 – $801.87 | 38 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $14.54 – $80.84 | 38 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.12 | $66.86 | $2.20 – $5.87 | 15 |
| Manual diff wbc count b-coat CPT 85009 | $88.80 | $148.00 | $1.76 – $11.56 | 24 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $43.90 – $71.30 | 19 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $25.92 – $165.04 | 19 |
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.