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 |
|---|---|---|---|---|
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $0.01 – $106.81 | 17 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $0.01 – $206.21 | 17 |
| Unlisted px inner ear CPT 69949 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $0.01 – $166.89 | 17 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $0.01 – $709.67 | 17 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px middle ear CPT 69799 | not published | not published | $0.01 – $59.81 | 17 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $0.01 – $1,069.80 | 17 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $0.01 – $405.60 | 17 |
| Unlisted px small intestine CPT 44799 | not published | not published | $0.01 – $962.07 | 17 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $0.01 – $26.49 | 17 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $0.01 – $111.75 | 12 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $0.01 – $46.10 | 18 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | $0.01 – $28.58 | 17 |
| Unlisted surgical path px CPT 88399 | not published | not published | $0.01 – $173.12 | 19 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $0.01 – $121.68 | 19 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $0.01 – $48.33 | 13 |
| Unlisted urinalysis px CPT 81099 | $60.00 | $100.00 | $0.01 – $90.48 | 19 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $0.01 – $1,350.73 | 39 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $0.01 – $0.01 | 11 |
| Upgrade pm system CPT 33214 | not published | not published | $119.31 – $7,497.02 | 38 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $582.60 | $971.00 | $59.87 – $700.00 | 42 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $582.60 | $971.00 | $50.56 – $488.24 | 41 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $582.60 | $971.00 | $35.32 – $700.00 | 42 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $33.84 – $460.37 | 38 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $40.24 – $460.37 | 38 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $62.80 – $350.30 | 19 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $41.11 – $460.37 | 38 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $136.82 – $2,648.76 | 38 |
| Urea nitrogen CPT 84520 | $87.60 | $146.00 | $1.87 – $9.01 | 24 |
| Urea nitrogen 24 hour urine CPT 84540 | $94.80 | $158.00 | $2.25 – $12.68 | 24 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.26 – $16.42 | 24 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $1.32 – $11.70 | 24 |
| Ureteral embolization/occl CPT 50705 | $1,817.40 | $3,029.00 | $43.74 – $1,416.85 | 20 |
| Ureteral reflux study CPT 78740 | $603.60 | $1,006.00 | $19.90 – $392.95 | 41 |
| Ureter endoscopy CPT 50970 | not published | not published | $80.38 – $1,592.02 | 38 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $76.09 – $2,419.37 | 38 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $102.20 – $2,419.37 | 38 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $77.95 – $1,592.02 | 38 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $76.55 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $68.52 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $100.62 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $76.52 – $2,419.37 | 38 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $237.43 – $1,482.50 | 19 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $241.38 – $1,480.20 | 19 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $258.00 | $430.00 | $9.30 – $136.74 | 22 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $160.38 – $905.20 | 19 |
| Urethrocystography void s&i CPT 74455 | $258.00 | $430.00 | $11.11 – $250.00 | 23 |
| Uric acid blood CPT 84550 | $115.20 | $192.00 | $2.14 – $10.31 | 24 |
| Uric acid urine CPT 84560 | $87.60 | $146.00 | $2.25 – $11.58 | 24 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.88 – $10.72 | 24 |
| Urinalysis microscopic only CPT 81015 | $63.60 | $106.00 | $1.32 – $6.95 | 24 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.07 – $4.95 | 24 |
| Urinalysis (with microscopy) CPT 81001 | $115.20 | $192.00 | $2.35 – $7.23 | 24 |
| Urinalysis (without microscopy) CPT 81003 | $79.80 | $133.00 | $1.32 – $5.13 | 24 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $5.51 – $139.11 | 22 |
| Urinary reflex study CPT 51792 | not published | not published | $39.64 – $115.54 | 20 |
| Urine Culture Test CPT 87086 | $203.40 | $339.00 | $2.65 – $18.40 | 24 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $3.25 – $26.54 | 20 |
| Urine pregnancy test CPT 81025 | $138.60 | $231.00 | $1.32 – $19.63 | 24 |
| Urine screen for bacteria CPT 81007 | not published | not published | $1.32 – $68.35 | 24 |
| Urine shunt to intestine CPT 50815 | not published | not published | $263.17 – $1,751.20 | 19 |
| Urography, antegrade CPT 74425 | $351.00 | $585.00 | $8.78 – $136.74 | 22 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $14.06 – $177.91 | 41 |
| Urokinase 250,000 iu inj HCPCS J3365 | $905.51 | $1,509.18 | $0.02 – $549.27 | 19 |
| Urokinase 5000 iu injection HCPCS J3364 | $199.82 | $333.03 | $0.02 – $10.98 | 19 |
| Use 1st target lesion CPT 76982 | not published | not published | $17.99 – $438.79 | 39 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,183.44 | $5,305.74 | $12.33 – $37.47 | 38 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $134.40 – $363.71 | 17 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $134.40 – $330.89 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $120.75 – $350.78 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $80.85 – $197.51 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $60.37 – $147.49 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $49.35 | $82.25 | $20.00 – $64.80 | 21 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $70.26 – $229.59 | 22 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $47.21 – $137.43 | 21 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $149.52 – $339.41 | 14 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $107.55 – $281.33 | 22 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $24.96 – $68.81 | 21 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $17.37 – $30.00 | 21 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $63.51 – $158.58 | 21 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $15.38 – $294.15 | 22 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $29.93 – $85.52 | 21 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $24.28 – $36.00 | 19 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $59.42 – $169.09 | 21 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $175.91 | $293.18 | $52.71 – $167.16 | 21 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $446.88 | $744.80 | $59.42 – $378.68 | 21 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $45.91 | $76.51 | $28.76 – $69.23 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $441.38 | $735.64 | $196.44 – $692.12 | 22 |
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.