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 |
|---|---|---|---|---|
| Map tachycard site(s) CPT 93609 | not published | not published | $66.00 – $130.10 | 19 |
| Marker biop eviva buckle ss HCPCS A4648 | $385.80 | $643.00 | $200.00 – $200.00 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 19 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 38 |
| Mast mod rad CPT 19307 | not published | not published | $186.23 – $2,482.82 | 38 |
| Mastoidectomy CPT 69501 | not published | not published | $111.76 – $2,702.95 | 38 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $148.20 – $2,702.95 | 38 |
| Mastoids complete CPT 70130 | $390.00 | $650.00 | $6.67 – $83.81 | 22 |
| Mastoid surgery revision CPT 69603 | not published | not published | $193.42 – $2,702.95 | 38 |
| Mastopexy CPT 19316 | not published | not published | $120.38 – $2,482.82 | 38 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 38 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $19,172.40 | $31,954.00 | $18.55 – $108.92 | 20 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 24 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 24 |
| Maxillofacial fixation CPT 21100 | not published | not published | $96.71 – $2,702.95 | 38 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $179.40 | $299.00 | $5.29 – $32.97 | 24 |
| Mayo aathr protein s free CPT 85306 | $159.60 | $266.00 | $6.61 – $34.93 | 24 |
| Mayo activated protein c resistance assay CPT 85307 | $226.80 | $378.00 | $6.61 – $34.93 | 24 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $109.20 | $182.00 | $6.61 – $33.70 | 24 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $240.00 | $400.00 | $5.29 – $30.64 | 24 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $198.60 | $331.00 | $7.44 – $34.38 | 24 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $646.20 | $1,077.00 | $60.06 – $277.32 | 22 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $615.60 | $1,026.00 | $43.83 – $208.98 | 22 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,942.80 | $3,238.00 | $540.00 – $2,644.80 | 22 |
| Mayo androstenedione CPT 82157 | $366.60 | $611.00 | $10.58 – $66.76 | 24 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $291.00 | $485.00 | $6.61 – $33.29 | 24 |
| Mayo antithrombin iii antigen CPT 85301 | $237.60 | $396.00 | $5.34 – $24.65 | 24 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $128.40 | $214.00 | $5.29 – $34.31 | 24 |
| Mayo avwpr vw factor activity CPT 85397 | $300.00 | $500.00 | $9.42 – $70.36 | 22 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $115.20 | $192.00 | $5.02 – $23.21 | 24 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $404.40 | $674.00 | $60.88 – $330.24 | 21 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 21 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $168.00 | $280.00 | $3.97 – $29.41 | 24 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $36.60 | $61.00 | $3.97 – $30.07 | 24 |
| Mayo brcmg brucella antibody igm CPT 86622 | $31.80 | $53.00 | $3.97 – $20.36 | 24 |
| Mayo c1 esterase inhibitor CPT 83883 | $165.00 | $275.00 | $2.65 – $31.01 | 24 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $237.60 | $396.00 | $1.70 – $38.46 | 24 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.09 – $61.06 | 22 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $191.40 | $319.00 | $60.36 – $278.66 | 15 |
| Mayo ceruloplasmin CPT 82390 | $214.80 | $358.00 | $5.08 – $24.49 | 24 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $214.20 | $357.00 | $5.29 – $32.19 | 24 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $364.80 | $608.00 | $5.29 – $29.37 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $69.60 | $116.00 | $3.97 – $26.95 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $70.80 | $118.00 | $3.97 – $28.91 | 24 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $199.20 | $332.00 | $59.26 – $265.60 | 24 |
| Mayo chromium CPT 82495 | $162.60 | $271.00 | $9.60 – $46.24 | 24 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo coccidioides antibody CPT 86635 | $162.60 | $271.00 | $3.97 – $26.15 | 24 |
| Mayo cocou cortisone urine CPT 82542 | $310.20 | $517.00 | $8.31 – $54.93 | 24 |
| Mayo cortisol free CPT 82530 | $295.20 | $492.00 | $7.91 – $38.10 | 24 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $80.40 | $134.00 | $16.85 – $102.60 | 25 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $115.20 | $192.00 | $3.97 – $27.63 | 24 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | $160.80 | $268.00 | $7.93 – $44.23 | 24 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $24.34 – $235.58 | 22 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $137.40 | $229.00 | $6.54 – $30.21 | 24 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $245.40 | $409.00 | $11.90 – $57.62 | 24 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 24 |
| Mayo efpo chloride stool CPT 82438 | $101.40 | $169.00 | $2.41 – $11.40 | 24 |
| Mayo estriol CPT 82677 | $159.00 | $265.00 | $10.58 – $55.13 | 24 |
| Mayo estrone CPT 82679 | $202.20 | $337.00 | $9.64 – $56.89 | 24 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $132.60 | $221.00 | $8.07 – $37.26 | 24 |
| Mayo everolimus therapeutic drug level CPT 80169 | $235.20 | $392.00 | $6.78 – $31.30 | 22 |
| Mayo factor ii CPT 85210 | $271.20 | $452.00 | $5.29 – $29.59 | 24 |
| Mayo factor v CPT 85220 | $300.60 | $501.00 | $5.95 – $40.24 | 24 |
| Mayo factor vii CPT 85230 | $305.40 | $509.00 | $5.95 – $40.81 | 24 |
| Mayo factor viii vw factor antigen CPT 85246 | $168.00 | $280.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $340.20 | $567.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $193.80 | $323.00 | $11.33 – $52.30 | 24 |
| Mayo factor x CPT 85260 | $295.80 | $493.00 | $5.95 – $40.81 | 24 |
| Mayo factor xi CPT 85270 | $300.00 | $500.00 | $5.95 – $40.81 | 24 |
| Mayo fat/lipids feces quantitative CPT 82710 | $207.60 | $346.00 | $7.64 – $38.30 | 24 |
| Mayo fbl culture fungi blood CPT 87103 | $220.20 | $367.00 | $4.62 – $46.65 | 24 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $148.20 | $247.00 | $2.65 – $183.45 | 24 |
| Mayo ffspg allergen clam igg CPT 86001 | $73.20 | $122.00 | $2.47 – $17.83 | 24 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.97 – $32.97 | 24 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $212.40 | $354.00 | $7.24 – $49.41 | 22 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $535.80 | $893.00 | $0.01 – $446.50 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | $82.20 | $137.00 | $2.15 – $10.83 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $405.60 | $676.00 | $16.60 – $80.01 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $122.40 | $204.00 | $17.13 – $80.01 | 24 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $203.40 | $339.00 | $3.97 – $31.44 | 24 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $471.00 | $785.00 | $12.74 – $58.85 | 24 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $28.80 | $48.00 | $2.65 – $20.27 | 24 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $48.60 | $81.00 | $5.29 – $30.83 | 24 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $352.20 | $587.00 | $12.85 – $61.95 | 24 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $304.80 | $508.00 | $3.97 – $39.38 | 24 |
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.