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 |
|---|---|---|---|---|
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $136.33 – $865.80 | 19 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $134.76 – $863.90 | 19 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $172.25 – $1,073.10 | 19 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $127.31 – $2,702.95 | 38 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $102.47 – $2,702.95 | 38 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $156.81 – $2,702.95 | 38 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $197.30 – $1,105.40 | 19 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $2.11 – $13.95 | 13 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $3.26 – $21.82 | 13 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $127.70 – $4,542.89 | 38 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $110.06 – $4,329.92 | 38 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $113.28 – $3,321.81 | 38 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $140.50 – $3,321.81 | 38 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $140.49 – $4,367.18 | 38 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $238.54 – $1,418.70 | 19 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $110.32 – $1,487.08 | 38 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $152.46 – $4,158.94 | 38 |
| Optx lunate dislocation CPT 25695 | not published | not published | $123.31 – $3,321.81 | 38 |
| Optx medial ankle fx CPT 27766 | not published | not published | $119.13 – $3,321.81 | 38 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $189.26 – $2,702.95 | 38 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $185.34 – $3,426.44 | 38 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $116.87 – $3,420.55 | 38 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $123.56 – $3,416.70 | 38 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $132.77 – $811.40 | 19 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $211.60 – $8,931.09 | 38 |
| Optx post ankle fx CPT 27769 | not published | not published | $142.57 – $3,321.81 | 38 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $172.72 – $8,677.54 | 38 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $243.09 – $12,868.40 | 38 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $130.29 – $4,328.81 | 38 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $122.08 – $3,321.81 | 38 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $118.08 – $3,321.81 | 38 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $152.91 – $4,387.75 | 38 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $185.61 – $3,321.81 | 38 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $175.67 – $4,466.43 | 38 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $130.89 – $4,183.68 | 38 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $191.82 – $4,394.98 | 38 |
| Optx sho dislc fx CPT 23670 | not published | not published | $171.02 – $4,189.24 | 38 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $181.35 – $8,392.04 | 38 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $121.00 – $3,321.81 | 38 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $107.44 – $3,321.81 | 38 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $180.78 – $1,291.25 | 38 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $142.74 – $3,321.81 | 38 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $121.20 – $4,169.22 | 38 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $121.41 – $4,183.68 | 38 |
| Orchiectomy partial CPT 54522 | not published | not published | $131.43 – $1,592.02 | 38 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $152.98 – $1,587.82 | 38 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $102.91 – $1,587.82 | 38 |
| Organic acids total quant ea spec CPT 83918 | $268.20 | $447.00 | $7.79 – $53.81 | 24 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $25.79 – $112.18 | 38 |
| Orthopantogram CPT 70355 | not published | not published | $3.37 – $250.00 | 23 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $23.62 – $23.62 | 11 |
| Oscillation chest wall mechanical per session CPT 94669 | $172.80 | $288.00 | $5.32 – $30.95 | 19 |
| Osmolality blood CPT 83930 | $128.40 | $214.00 | $3.13 – $15.07 | 24 |
| Osmolality urine CPT 83935 | $127.80 | $213.00 | $3.22 – $15.55 | 24 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $64.94 – $1,487.08 | 38 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $110.66 – $1,487.08 | 38 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $268.25 – $9,378.00 | 38 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $191.31 – $3,321.81 | 38 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $237.02 – $5,006.35 | 38 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $8.10 – $102.22 | 20 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $10.21 – $159.00 | 20 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $11.69 – $119.11 | 20 |
| Osteoplasty humerus CPT 24420 | not published | not published | $191.99 – $3,321.81 | 38 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $159.33 – $3,321.81 | 38 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $132.34 – $4,571.52 | 38 |
| Ot evaluation high complexity patient/family CPT 97167 | $216.60 | $361.00 | $10.58 – $56.92 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $140.40 | $234.00 | $10.58 – $56.92 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $178.80 | $298.00 | $10.58 – $56.92 | 13 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $2.62 – $41.84 | 24 |
| Oth resp proc, group HCPCS G0239 | $416.40 | $694.00 | $2.11 – $7.28 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $69.60 | $116.00 | $6.52 – $45.80 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $77.40 | $129.00 | $5.11 – $27.99 | 20 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $82.20 | $137.00 | $4.05 – $23.50 | 20 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $1.63 – $20.71 | 19 |
| Otoplasty 69300 CPT 69300 | not published | not published | $72.89 – $1,291.25 | 38 |
| Ot re-evaluation patient/family CPT 97168 | $109.20 | $182.00 | $6.98 – $37.58 | 13 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $67.80 | $113.00 | $4.71 – $25.71 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $79.80 | $133.00 | $3.18 – $21.47 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.80 | $153.00 | $3.28 – $22.48 | 13 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $71.40 | $119.00 | $4.37 – $23.55 | 20 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $60.60 | $101.00 | $4.56 – $25.16 | 20 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $67.80 | $113.00 | $4.74 – $26.15 | 20 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $386.25 – $2,711.30 | 19 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $146.87 – $903.11 | 19 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $45.01 | $75.01 | $1.05 – $2.93 | 21 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.82 | $6.36 | $0.06 – $2.70 | 23 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $67.25 | $112.09 | $0.53 – $3.15 | 21 |
| P-32 chromic phos ther per mci HCPCS A9564 | $12,150.00 | $20,250.00 | $274.87 – $2,764.80 | 20 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $185.40 | $309.00 | $151.74 – $151.74 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $189.24 | $315.40 | $0.11 – $1.35 | 22 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $29.18 | $48.64 | $9.34 – $41.96 | 42 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $113.15 – $1,542.42 | 22 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $120.54 – $687.08 | 22 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $4,898.66 | $8,164.43 | $12.83 – $34.80 | 41 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,730.99 | $4,551.65 | $1,307.36 – $4,096.49 | 15 |
| Palonosetron hcl HCPCS J2469 | $1,094.62 | $1,824.37 | $0.63 – $19.25 | 23 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $129.80 | $216.33 | $8.87 – $78.88 | 21 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $698.10 – $3,303.20 | 19 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $347.82 – $1,647.60 | 19 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $65.80 | $109.67 | $9.10 – $10.24 | 9 |
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.