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 |
|---|---|---|---|---|
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.02 – $485.43 | 21 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $179.55 | $299.25 | $37.53 – $187.85 | 21 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $48.00 – $187.85 | 15 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $13.91 – $49.19 | 21 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.88 | $79.80 | $15.19 – $50.29 | 21 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $15.30 – $46.01 | 21 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $66.43 – $152.96 | 15 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $47.65 | $79.42 | $21.64 – $50.71 | 21 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $49.02 | $81.70 | $16.36 – $46.99 | 21 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $8.08 – $22.99 | 21 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $26.88 – $64.51 | 15 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $53.06 | $88.44 | $65.26 – $261.11 | 22 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $19.27 – $82.91 | 20 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.34 – $24.59 | 20 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $322.90 | $538.17 | $210.57 – $503.44 | 22 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $175.77 – $428.09 | 22 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $155.36 – $678.86 | 21 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $99.42 – $354.04 | 22 |
| Vaccine mmr live subcutaneous CPT 90707 | $417.25 | $695.41 | $65.98 – $208.10 | 21 |
| Vaccine mmrv live subcutaneous CPT 90710 | $424.32 | $707.20 | $267.62 – $625.86 | 22 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $166.40 | $277.33 | $73.72 – $310.94 | 22 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $429.30 | $715.50 | $161.77 – $580.48 | 22 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $226.10 – $570.51 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $260.66 – $670.59 | 18 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $7.76 – $95.94 | 21 |
| Vaccine rabies im CPT 90675 | $659.39 | $1,098.99 | $259.48 – $1,026.16 | 41 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $300.90 – $663.75 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $495.00 – $1,169.44 | 12 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $495.00 – $1,169.44 | 12 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $285.60 – $661.50 | 12 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $111.01 – $312.17 | 21 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $95.00 – $255.11 | 22 |
| Vaccine tdap >=7 years im CPT 90715 | $131.34 | $218.90 | $35.96 – $86.67 | 21 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $120.13 | $200.21 | $17.04 – $98.24 | 21 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $94.59 – $314.08 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $114.27 – $411.75 | 22 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $109.15 – $462.31 | 21 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 12 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $195.11 – $1,266.80 | 19 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $245.18 – $1,624.12 | 19 |
| Vag hyst including t/o CPT 58262 | not published | not published | $181.82 – $2,090.81 | 38 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $258.90 – $1,718.60 | 19 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $240.57 – $1,577.13 | 19 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $173.80 – $1,128.27 | 19 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $972.90 – $1,786.14 | 17 |
| Vaginal bx CPT 58999 | not published | not published | $0.01 – $0.01 | 11 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $146.82 – $1,072.59 | 19 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $307.69 – $2,263.19 | 13 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $162.85 – $2,090.81 | 38 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $339.42 – $2,028.44 | 19 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $318.41 – $2,094.03 | 19 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $176.43 – $1,140.02 | 19 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $26.37 – $152.00 | 19 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $264.67 – $1,213.30 | 19 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $260.67 – $1,192.70 | 19 |
| Valproic acid total therapeutic drug level CPT 80164 | $265.80 | $443.00 | $4.54 – $30.87 | 24 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $276.78 – $9,845.53 | 20 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $467.70 – $1,817.96 | 13 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $554.22 – $2,154.28 | 13 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $285.68 – $15,990.66 | 20 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $225.13 – $1,283.80 | 19 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $733.06 – $2,554.20 | 19 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $598.31 – $2,715.00 | 19 |
| Vancomycin peak therapeutic drug level CPT 80202 | $292.80 | $488.00 | $6.05 – $30.87 | 24 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $17.16 – $80.01 | 22 |
| Varicella zoster antibody igg CPT 86787 | $195.60 | $326.00 | $3.97 – $29.37 | 24 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $138.00 – $4,910.78 | 41 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $142.39 – $1,487.08 | 38 |
| Vasectomy CPT 55250 | not published | not published | $50.12 – $910.38 | 38 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $543.52 | $905.86 | $1.21 – $3.65 | 36 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $323.85 – $2,324.44 | 13 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $173.10 – $1,164.12 | 13 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $46.29 | $77.15 | $17.01 – $65.66 | 41 |
| Veeg cont 2-12 hrs CPT 95713 | $1,206.60 | $2,011.00 | $522.64 – $1,000.00 | 13 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,257.80 | $3,763.00 | $1,055.49 – $1,804.86 | 13 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $625.20 | $1,042.00 | $401.07 – $500.00 | 13 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $120.00 – $291.70 | 13 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $120.00 – $197.77 | 13 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $361.21 – $1,964.20 | 19 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $419.00 – $2,427.10 | 19 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $340.79 – $1,810.30 | 19 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $417.11 – $2,303.30 | 19 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $28.34 – $1,573.41 | 22 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $34.44 – $1,573.41 | 22 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $14.00 – $557.99 | 22 |
| Vein x-ray kidney CPT 75831 | $1,419.60 | $2,366.00 | $26.86 – $1,573.41 | 22 |
| Vein x-ray liver CPT 75891 | not published | not published | $27.72 – $1,573.41 | 22 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $30.30 – $1,573.41 | 22 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $27.52 – $1,573.41 | 22 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $30.52 – $557.99 | 41 |
| Vein x-ray skull CPT 75870 | not published | not published | $28.20 – $557.99 | 41 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $26.77 – $557.99 | 22 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $41.40 – $1,806.01 | 41 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $7.54 – $41.75 | 13 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $7.54 – $41.75 | 13 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $11.28 – $62.78 | 13 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $292.80 | $488.00 | $2.30 – $481.98 | 20 |
| Venipuncture <3 yrs other vein CPT 36406 | $129.60 | $216.00 | $2.08 – $212.57 | 20 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $17.25 – $557.99 | 41 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $607.20 | $1,012.00 | $13.48 – $557.99 | 23 |
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.