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 |
|---|---|---|---|---|
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $85.80 | $143.00 | $2.09 – $10.03 | 24 |
| T3 (triiodothyronine) free CPT 84481 | $402.00 | $670.00 | $8.01 – $38.62 | 24 |
| T3 (triiodothyronine) total CPT 84480 | $262.80 | $438.00 | $5.29 – $32.33 | 24 |
| T4 (thyroxine) free CPT 84439 | $237.60 | $396.00 | $2.65 – $20.57 | 24 |
| T4 (thyroxine) total CPT 84436 | $170.40 | $284.00 | $2.65 – $15.66 | 24 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.47 | $4.12 | $0.24 – $1.70 | 21 |
| Tacrolimus therapeutic drug level CPT 80197 | $501.60 | $836.00 | $6.78 – $31.77 | 24 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $433.66 – $2,685.83 | 19 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $399.14 – $2,465.07 | 19 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $246.40 – $1,611.40 | 19 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $22.65 – $147.35 | 19 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $18.50 – $105.69 | 19 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,939.20 | $3,232.00 | $48.96 – $1,731.73 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,797.80 | $4,663.00 | $1,167.84 – $6,656.69 | 15 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $48.96 – $1,363.23 | 15 |
| Tas congenital car anomal CPT 33741 | not published | not published | $188.21 – $695.52 | 13 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $21.09 – $144.11 | 38 |
| Tavr perq femoral CPT 33361 | not published | not published | $332.63 – $1,577.26 | 19 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $649.43 | $1,082.39 | $0.44 – $2.52 | 41 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $54.80 – $312.36 | 15 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $33.57 – $33.57 | 11 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $3.11 – $3.11 | 11 |
| Tbs techl calculation only CPT 77091 | $153.60 | $256.00 | $28.38 – $322.18 | 17 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.08 – $322.18 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $34.89 – $228.00 | 22 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $266.40 | $444.00 | $30.61 – $141.31 | 22 |
| Tc-99m bicisate HCPCS A9557 | $2,398.20 | $3,997.00 | $357.21 – $449.64 | 13 |
| Tc-99m disofenin HCPCS A9510 | $72.00 | $120.00 | $0.02 – $84.59 | 14 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,393.40 | $3,989.00 | $102.48 – $3,856.43 | 14 |
| Tc-99m labeled rbc HCPCS A9560 | $302.40 | $504.00 | $112.87 – $272.64 | 15 |
| Tc-99m maa HCPCS A9540 | $258.60 | $431.00 | $36.25 – $224.00 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $58.80 | $98.00 | $66.84 – $66.84 | 1 |
| Tc-99m medronate HCPCS A9503 | $69.00 | $115.00 | $15.71 – $35.53 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $465.60 | $776.00 | $2,723.76 – $2,723.76 | 6 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.00 | $10.00 | $0.67 – $0.67 | 11 |
| Tc-99m oxidronate HCPCS A9561 | $63.60 | $106.00 | $53.17 – $105.60 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $190.80 | $318.00 | $23.30 – $23.30 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $55.80 | $93.00 | $75.00 – $75.00 | 11 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,315.40 | $3,859.00 | $352.00 – $1,438.61 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $239.40 | $399.00 | $224.00 – $323.09 | 13 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,254.00 | $2,090.00 | $271.70 – $1,488.53 | 15 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $64.67 – $462.87 | 32 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $42.30 – $391.06 | 20 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $42.07 – $391.06 | 20 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $36.32 – $391.06 | 20 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $8.40 – $24.56 | 13 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $381.60 | $636.00 | $19.84 – $107.11 | 24 |
| T cells absolute cd 4 count CPT 86361 | $306.00 | $510.00 | $13.22 – $61.06 | 24 |
| T cells total count CPT 86359 | $267.00 | $445.00 | $10.58 – $86.02 | 24 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $40.61 – $531.65 | 20 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $176.26 – $970.44 | 20 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $118.98 – $531.65 | 20 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $89.05 – $516.80 | 19 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $258.11 – $1,423.90 | 19 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $41.81 – $42.91 | 13 |
| Team conf without pat by phys CPT 99367 | not published | not published | $64.69 – $66.46 | 13 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $48.69 – $50.76 | 13 |
| Telethx isodose plan cplx CPT 77307 | $1,236.60 | $2,061.00 | $40.85 – $281.24 | 39 |
| Telethx isodose plan simple CPT 77306 | $687.00 | $1,145.00 | $20.81 – $153.61 | 39 |
| Temperature gradient studies CPT 93740 | not published | not published | $3.28 – $15.20 | 13 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $203.16 – $1,406.50 | 19 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $151.94 | $253.24 | $30.99 – $174.55 | 42 |
| Tendon lengthening CPT 26476 | not published | not published | $110.53 – $1,487.08 | 38 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $112.45 – $1,487.08 | 38 |
| Tendon shortening CPT 26477 | not published | not published | $110.71 – $1,487.08 | 38 |
| Tendon transfer with graft CPT 26492 | not published | not published | $167.47 – $1,487.08 | 38 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $240.21 | $400.35 | $136.92 – $367.69 | 40 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $119.31 – $3,321.81 | 38 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $109.62 – $1,487.08 | 38 |
| Tenolysis triceps CPT 24332 | not published | not published | $119.01 – $1,487.08 | 38 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $152.34 – $3,321.81 | 38 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $99.42 – $801.87 | 38 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $141.22 – $795.90 | 19 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $57.87 – $1,487.08 | 38 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,238.60 | $3,731.00 | $48.37 – $2,387.84 | 40 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $39.33 | $65.55 | $2.10 – $12.36 | 21 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $74.08 – $422.26 | 15 |
| Test for chlorohydrocarbons CPT 82441 | $291.00 | $485.00 | $2.97 – $13.70 | 24 |
| Test for porphobilinogen CPT 84106 | not published | not published | $1.32 – $13.27 | 24 |
| Test for urine cystines CPT 82615 | not published | not published | $3.39 – $21.77 | 24 |
| Testicular imaging w/vasc flow CPT 78761 | $831.60 | $1,386.00 | $23.77 – $357.74 | 41 |
| Testosterone response panel CPT 80414 | not published | not published | $17.19 – $117.74 | 24 |
| Test stress cardiovascular tracing only CPT 93017 | $1,414.80 | $2,358.00 | $7.87 – $80.90 | 19 |
| Test urine for lactose CPT 83633 | not published | not published | $1.99 – $25.65 | 24 |
| Test urine for porphyrins CPT 84119 | not published | not published | $3.59 – $30.46 | 24 |
| Test urine urobilinogen CPT 84578 | not published | not published | $1.32 – $10.19 | 24 |
| Tetanus ig im CPT 90389 | not published | not published | $131.25 – $1,613.56 | 22 |
| Tetanus immune globulin inj HCPCS J1670 | $1,073.02 | $1,788.37 | $479.39 – $1,613.56 | 40 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $54.80 – $312.36 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $303.81 – $303.81 | 11 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,167.84 – $1,167.84 | 11 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $239.16 – $239.16 | 11 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $150.00 – $322.95 | 12 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $150.00 – $322.95 | 12 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $150.00 – $322.95 | 12 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $25.00 – $111.75 | 12 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $5.61 – $16.80 | 13 |
| Theophylline therapeutic drug level CPT 80198 | $214.80 | $358.00 | $3.97 – $32.24 | 24 |
| Therapy activation ipnss CPT 93150 | not published | not published | $39.35 – $39.35 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $49.20 | $82.00 | $5.53 – $24.86 | 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.