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 |
|---|---|---|---|---|
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $5,437.20 | $9,062.00 | $37.56 – $1,152.46 | 20 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $315.53 – $3,321.81 | 38 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $43.57 | $72.61 | $1.40 – $14.67 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $123.09 | $205.15 | $0.45 – $1.82 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $50.94 – $367.12 | 19 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $182.32 | $303.87 | $1.37 – $6.70 | 23 |
| Metabolic Blood Panel (Basic) CPT 80048 | $205.20 | $342.00 | $3.47 – $19.29 | 24 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $276.00 | $460.00 | $5.00 – $24.08 | 24 |
| Metabolic panel ionized ca CPT 80047 | $219.60 | $366.00 | $5.42 – $31.30 | 22 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $188.70 | $314.50 | $0.41 – $3.49 | 20 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $18.64 | $31.07 | $0.23 – $7.16 | 21 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $190.42 | $317.37 | $2.36 – $13.72 | 23 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $15.43 – $87.94 | 21 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,689.24 | $2,815.40 | $0.24 – $33.60 | 33 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $45.56 | $75.93 | $4.79 – $50.49 | 21 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $308.40 | $514.00 | $0.41 – $3.02 | 40 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $18.42 | $30.70 | $0.23 – $1.16 | 20 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $45.76 | $76.27 | $0.27 – $0.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $259.96 | $433.27 | $0.60 – $0.68 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $39.32 | $65.54 | $0.81 – $2.59 | 21 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $62.66 | $104.43 | $0.02 – $0.07 | 31 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $45.24 – $284.18 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $439.70 | $732.83 | $0.50 – $5.68 | 22 |
| Microalbumin urine screen CPT 82044 | not published | not published | $1.32 – $14.20 | 24 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $2.65 – $91.59 | 24 |
| Microdissection laser CPT 88380 | $105.00 | $175.00 | $20.02 – $122.60 | 21 |
| Microdissection manual CPT 88381 | $399.00 | $665.00 | $16.56 – $54.06 | 21 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $51.25 | 22 |
| Microsatellite instability CPT 81301 | $580.20 | $967.00 | $142.99 – $794.72 | 22 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $32.66 – $279.10 | 19 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $26.51 – $296.10 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $74.10 | $123.50 | $0.12 – $0.29 | 21 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $17.49 – $118.29 | 22 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $104.42 | $174.04 | $1.56 – $4.20 | 21 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $97.31 | $162.18 | $65.31 – $150.21 | 36 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,666.11 | $2,776.85 | $27.23 – $130.18 | 42 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $29.86 | $49.77 | $33.42 – $44.63 | 20 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $685.12 – $3,081.30 | 19 |
| Mlh1 gene CPT 81288 | $589.80 | $983.00 | $76.93 – $438.49 | 22 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $80.96 – $461.47 | 22 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $270.16 – $1,539.91 | 22 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $70.22 – $754.68 | 22 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $206.50 – $6,364.19 | 38 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $4.44 – $105.92 | 22 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $16.67 – $77.91 | 13 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $38.26 – $801.87 | 38 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $80.92 – $801.87 | 38 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $50.13 – $325.46 | 38 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $28.45 – $164.60 | 19 |
| Modification of contact lens CPT 92325 | not published | not published | $2.87 – $27.79 | 19 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $335.00 – $2,732.40 | 19 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $142.28 – $903.01 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $37.73 | 19 |
| Mometasone sinus sinuva HCPCS J7402 | $10,361.40 | $17,269.00 | $10.87 – $25.54 | 39 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $25.00 – $145.83 | 15 |
| Mopath procedure level 3 CPT 81402 | $204.00 | $340.00 | $60.13 – $342.75 | 15 |
| Mopath procedure level 5 CPT 81404 | $404.40 | $674.00 | $109.93 – $626.61 | 21 |
| Mopath procedure level 6 CPT 81405 | $1,753.80 | $2,923.00 | $120.54 – $687.08 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $113.15 – $644.97 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $507.76 – $1,929.50 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $964.59 – $4,560.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $72.98 | $121.64 | $0.65 – $10.89 | 21 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $39.99 | $66.65 | $7.43 – $12.48 | 13 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $439.54 | $732.57 | $0.29 – $27.62 | 21 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $399.00 | $665.00 | $18.43 – $532.50 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $452.40 | $754.00 | $19.53 – $163.62 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $398.40 | $664.00 | $14.54 – $532.70 | 22 |
| Motion analysis video/3d CPT 96000 | not published | not published | $16.23 – $1,063.53 | 20 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $18.17 – $1,063.53 | 20 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1.94 – $304.62 | 20 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $68.60 – $1,291.25 | 38 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $8.04 – $58.00 | 21 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $606.00 | $1,010.00 | $26.78 – $532.50 | 22 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $9.81 – $72.66 | 21 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $22.70 – $285.52 | 24 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $60.13 – $342.75 | 20 |
| MRA abdomen post contrast CPT 74185 | $582.60 | $971.00 | $61.57 – $670.02 | 22 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $582.60 | $971.00 | $60.74 – $700.00 | 23 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,165.20 | $1,942.00 | $61.37 – $668.57 | 22 |
| MRA pelvis CPT 72198 | $582.60 | $971.00 | $61.25 – $668.57 | 22 |
| MRA spinal canal CPT 72159 | not published | not published | $63.67 – $693.71 | 22 |
| MRA upper extremity post contrast-bil CPT 73225 | $582.60 | $971.00 | $61.34 – $689.39 | 22 |
| Mr elastography CPT 76391 | not published | not published | $31.55 – $168.05 | 32 |
| MRI brain w/dye CPT 70558 | not published | not published | $57.80 – $648.38 | 41 |
| MRI brain without dye CPT 70557 | not published | not published | $51.98 – $582.20 | 41 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $57.76 – $838.94 | 41 |
| MRI breast c- unilateral CPT 77046 | $582.60 | $971.00 | $70.90 – $899.18 | 39 |
| MRI breast c-+ w/cad uni CPT 77048 | $641.40 | $1,069.00 | $79.04 – $625.37 | 19 |
| MRI breast without cont bi CPT 77047 | $582.60 | $971.00 | $75.56 – $899.18 | 40 |
| MRI breast w IV cont bi CPT 77049 | $627.60 | $1,046.00 | $79.03 – $700.00 | 20 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $50.34 – $428.62 | 41 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $66.71 – $700.00 | 42 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $79.11 – $734.66 | 42 |
| MRI chest without contrast CPT 71550 | $582.60 | $971.00 | $52.07 – $693.71 | 41 |
| MRI chest without & w/contrast CPT 71552 | $582.60 | $971.00 | $80.61 – $969.56 | 42 |
| MRI chest w IV cont CPT 71551 | not published | not published | $61.83 – $776.33 | 41 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $31.40 – $284.23 | 20 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $64.74 – $663.29 | 39 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $54.07 – $645.57 | 20 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $151.35 – $467.60 | 20 |
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.