Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.)
911 N Shelby St, Salem, IN · Ascension · · NPI 1427388982
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 |
|---|---|---|---|---|
| C1 esterase inhibitor func - sendout CPT 86161 | $192.00 | $320.00 | $3.97 – $27.36 | 24 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $573.67 – $2,829.00 | 19 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $632.47 – $3,090.20 | 19 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $676.88 – $3,350.50 | 19 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $497.38 – $2,187.05 | 19 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $509.09 – $2,508.70 | 19 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $127.52 – $532.30 | 19 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $552.94 – $2,713.60 | 19 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $617.95 – $2,912.50 | 19 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $636.03 – $3,126.40 | 19 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $46.97 – $233.60 | 19 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $100.77 – $440.90 | 19 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $135.15 – $646.80 | 19 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $164.55 – $853.60 | 19 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $188.42 – $1,059.50 | 19 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $215.99 – $1,274.81 | 19 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $338.51 – $1,929.50 | 15 |
| Cadd pump refill CPT 96521 | not published | not published | $17.01 – $233.69 | 20 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $47.78 | $79.63 | $0.55 – $4.20 | 20 |
| Calcium 24 hour urine CPT 82340 | $14.40 | $24.00 | $2.65 – $13.75 | 24 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $83.14 | $138.57 | $0.05 – $0.09 | 28 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $62.87 | $104.79 | $0.11 – $0.20 | 28 |
| Calcium ionized CPT 82330 | $127.80 | $213.00 | $6.46 – $31.19 | 24 |
| Calcium total CPT 82310 | $70.20 | $117.00 | $2.44 – $11.76 | 24 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $5.51 – $29.34 | 24 |
| Calculus analysis qual CPT 82355 | not published | not published | $4.00 – $26.40 | 24 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $3.05 – $5.36 | 19 |
| Calprotectin fecal CPT 83993 | $378.00 | $630.00 | $9.60 – $44.76 | 22 |
| Campylobacter antibody CPT 86625 | not published | not published | $3.97 – $29.91 | 24 |
| Candida dna CPT 87480 | $69.60 | $116.00 | $9.49 – $45.71 | 24 |
| Candida skin test CPT 86485 | not published | not published | $2.65 – $40.99 | 17 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $39.14 – $3,993.85 | 38 |
| Canthotomy 67715 CPT 67715 | not published | not published | $25.00 – $958.01 | 38 |
| Capsular contracture release CPT 23020 | not published | not published | $174.78 – $1,487.08 | 38 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $69.42 – $293.65 | 38 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $88.82 – $1,487.08 | 38 |
| Carbamazepine free CPT 80157 | not published | not published | $4.92 – $30.21 | 22 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $7.46 – $42.50 | 21 |
| Carbamazepine total therapeutic drug level CPT 80156 | $204.00 | $340.00 | $6.61 – $33.22 | 24 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $3.59 – $41.18 | 22 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $2.57 – $12.54 | 24 |
| Carbon dioxide CPT 82374 | $67.80 | $113.00 | $2.31 – $11.13 | 24 |
| Carboxyhemoglobin quantitative CPT 82375 | $198.00 | $330.00 | $5.16 – $28.09 | 24 |
| Carcinoembryonic ag (cea) CPT 82378 | $288.60 | $481.00 | $5.29 – $43.23 | 24 |
| Cardiac drug stress test CPT 93024 | not published | not published | $33.80 – $54.50 | 19 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $97.60 – $606.80 | 41 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $4,064.40 | $6,774.00 | $28.31 – $859.35 | 41 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,372.00 | $5,620.00 | $21.63 – $859.35 | 41 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,173.00 | $6,955.00 | $48.06 – $859.35 | 41 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $288.60 | $481.00 | $3.08 – $19.90 | 19 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $2.01 – $16.13 | 19 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $22.36 – $296.70 | 41 |
| Cardiac Stress Test CPT 93015 | $1,184.40 | $1,974.00 | $29.13 – $139.50 | 19 |
| Cardioassist internal CPT 92970 | not published | not published | $51.47 – $272.70 | 19 |
| Cardiolipin antibody iga CPT 86147 | $70.20 | $117.00 | $8.61 – $58.03 | 24 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,262.60 | $3,771.00 | $37.86 – $146.85 | 19 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $172.01 – $530.93 | 19 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $8.84 – $700.00 | 23 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $43.18 – $43.18 | 11 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $23.27 – $23.27 | 11 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $288.84 – $1,333.57 | 15 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $288.84 – $1,333.57 | 15 |
| Carotene CPT 82380 | $127.20 | $212.00 | $3.97 – $21.02 | 24 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,141.20 | $1,902.00 | $21.32 – $282.55 | 20 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $67.10 – $67.10 | 11 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $84.95 – $878.95 | 38 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $15.15 – $40.03 | 19 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $5.28 – $13.96 | 19 |
| Cataract Surgery CPT 66984 | not published | not published | $176.01 – $1,158.89 | 38 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $166.15 – $1,158.89 | 38 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $7.93 – $62.24 | 24 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $235.27 – $1,598.24 | 38 |
| Catheter declot mechanical CPT 36596 | not published | not published | $12.03 – $606.20 | 38 |
| Catheter insert artery CPT 36625 | not published | not published | $27.34 – $141.20 | 19 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $83.40 | $139.00 | $1.20 – $8.57 | 20 |
| Catheter stripping venous CPT 36595 | not published | not published | $49.48 – $1,908.53 | 38 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $82.54 – $82.54 | 1 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $15.53 – $72.20 | 19 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $179.38 – $1,598.24 | 38 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $67.10 – $271.05 | 19 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $40.66 – $557.19 | 19 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $42.15 – $572.49 | 19 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $47.97 – $243.20 | 19 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $305.22 – $1,598.24 | 38 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $231.34 – $1,598.24 | 38 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $259.43 – $1,598.24 | 38 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $102.45 – $1,598.24 | 38 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $33.91 – $537.52 | 19 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | not published | not published | $13.64 – $80.68 | 19 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $46.00 – $597.36 | 19 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $17.09 – $310.10 | 20 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $6.18 – $53.80 | 19 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $26.81 – $108.38 | 38 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $7.93 – $41.04 | 24 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $82.92 – $472.67 | 21 |
| Cdna analysis for variants CPT 81403 | not published | not published | $74.08 – $422.26 | 21 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $18.48 – $414.73 | 20 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $14.19 – $436.61 | 19 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $119.46 – $551.53 | 22 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $63.49 | $105.82 | $0.34 – $1.97 | 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.