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 |
|---|---|---|---|---|
| Cefepime 1 gram solution for injection HCPCS J0692 | $67.10 | $111.84 | $1.26 – $4.34 | 21 |
| Cefotaxime sodium injection HCPCS J0698 | $40.63 | $67.71 | $2.24 – $22.05 | 21 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $99.38 | $165.64 | $3.27 – $16.30 | 21 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $102.39 | $170.65 | $1.69 – $6.72 | 21 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $153.25 | $255.41 | $0.49 – $1.34 | 21 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $45.34 – $216.01 | 15 |
| #celiac hla-dq8 CPT 81383 | $302.40 | $504.00 | $53.89 – $248.82 | 15 |
| Cell count body fluid CPT 89050 | not published | not published | $1.80 – $10.76 | 24 |
| Cell count w differential body fluid CPT 89051 | $126.60 | $211.00 | $2.61 – $12.77 | 24 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $4.62 – $29.80 | 24 |
| Cell enumeration & id CPT 86152 | not published | not published | $54.82 – $571.78 | 15 |
| Cell function assay w/stim CPT 86352 | $370.20 | $617.00 | $28.63 – $309.76 | 22 |
| Cell marker study CPT 88182 | not published | not published | $13.00 – $171.06 | 24 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $247.07 – $1,487.08 | 38 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $44.78 – $334.81 | 19 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $67.80 – $1,553.00 | 38 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $19.66 – $604.88 | 41 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $346.88 – $1,415.40 | 19 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $163.74 – $987.53 | 19 |
| #cf-97variants CPT 81220 | $864.60 | $1,441.00 | $222.64 – $1,269.05 | 22 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $98.35 – $991.96 | 15 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $55.53 – $384.75 | 15 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $38.89 – $221.66 | 15 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $20.85 – $306.66 | 38 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $14.82 – $62.58 | 38 |
| Change gastric port open CPT 43888 | not published | not published | $98.17 – $1,822.02 | 38 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $41.92 – $3,871.01 | 39 |
| Change nephroureteral cath CPT 50387 | not published | not published | $22.87 – $4,769.51 | 39 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $18.27 – $910.38 | 38 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $8.55 – $124.05 | 38 |
| Change stent via transureth CPT 50385 | not published | not published | $54.78 – $4,769.51 | 39 |
| Change ureter stent percut CPT 50382 | not published | not published | $63.23 – $4,769.51 | 39 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $4.71 – $598.96 | 22 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $16.51 – $102.61 | 13 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $38.99 – $204.76 | 13 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $58.23 – $274.80 | 13 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $43.69 – $168.40 | 13 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $12.40 – $284.82 | 20 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $28.38 – $1,380.56 | 39 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $17.81 – $64.00 | 19 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $20.40 – $77.15 | 19 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $28.82 – $109.43 | 38 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $26.37 – $95.79 | 38 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $48.69 – $599.32 | 38 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $27.65 – $110.55 | 38 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $49.68 – $258.11 | 38 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $10.07 – $67.46 | 38 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $8.05 – $60.31 | 38 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $32.36 – $112.10 | 38 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $26.18 – $94.31 | 38 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $22.45 – $95.58 | 38 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $28.55 – $103.32 | 38 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $33.00 – $119.47 | 38 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $9.75 – $135.99 | 20 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $22.42 – $344.60 | 20 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $13.55 – $182.85 | 20 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $37.64 – $149.84 | 20 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $26.22 – $213.45 | 20 |
| Chemotaxis assay CPT 86155 | not published | not published | $5.29 – $36.46 | 24 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $6.04 – $273.78 | 20 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $3.12 – $494.36 | 20 |
| Chest 2 vws w oblique CPT 71048 | $271.20 | $452.00 | $5.73 – $446.39 | 21 |
| Chest apical lordotic proj CPT 71047 | $249.60 | $416.00 | $5.33 – $242.27 | 20 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,617.00 | $2,695.00 | $49.10 – $650.00 | 42 |
| Chest CT scan (with contrast) CPT 71260 | $1,460.40 | $2,434.00 | $43.30 – $650.00 | 42 |
| Chest CT scan (without contrast) CPT 71250 | $1,186.80 | $1,978.00 | $36.28 – $650.00 | 42 |
| Chest X-ray CPT 71046 | $246.00 | $410.00 | $4.17 – $250.00 | 40 |
| Chest X-ray (single view) CPT 71045 | $130.80 | $218.00 | $2.74 – $250.00 | 40 |
| Chg pr pul rehab for copd patients CPT 94626 | $231.00 | $385.00 | $6.58 – $6.58 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $14.79 – $199.64 | 20 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $102.45 – $473.01 | 15 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $128.78 – $594.60 | 15 |
| Chlamydia culture CPT 87110 | $40.80 | $68.00 | $6.61 – $44.69 | 24 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $5.67 – $27.31 | 24 |
| Chlamydia type CPT 87140 | $19.80 | $33.00 | $2.64 – $12.70 | 24 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $5.92 – $175.57 | 20 |
| Chloride CPT 82435 | $49.80 | $83.00 | $1.32 – $10.49 | 24 |
| Chloride 24 hour urine CPT 82436 | $96.00 | $160.00 | $2.38 – $13.11 | 24 |
| Chloroprocaine hcl injection HCPCS J2401 | $44.39 | $73.98 | $0.04 – $0.12 | 32 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $220.01 | $366.68 | $69.64 – $125.83 | 21 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $53.03 | $88.38 | $22.41 – $86.14 | 21 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $16.85 – $573.97 | 20 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $61.72 – $7,256.67 | 20 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $8.46 – $250.00 | 21 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $282.27 – $1,360.10 | 19 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $218.24 – $997.50 | 19 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $250.96 – $1,108.20 | 19 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $125.48 – $591.90 | 19 |
| Cholesterol CPT 82465 | $83.40 | $139.00 | $1.32 – $9.92 | 24 |
| Cholesterol body fluid CPT 84999 | $159.00 | $265.00 | $0.01 – $155.02 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $282.60 | $471.00 | $6.02 – $30.53 | 24 |
| Cholinesterase CPT 82480 | $186.60 | $311.00 | $3.89 – $17.94 | 24 |
| Cholinesterase challenge CPT 95857 | not published | not published | $5.53 – $257.28 | 20 |
| Chorion biopsy CPT 59015 | not published | not published | $24.63 – $144.37 | 38 |
| Chrom analysis CPT 88273 | $204.60 | $341.00 | $18.20 – $79.37 | 24 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $6.61 – $88.92 | 24 |
| Chromatography CPT 83021 | $84.60 | $141.00 | $8.92 – $41.18 | 24 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $3.97 – $27.11 | 24 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $22.82 – $130.05 | 22 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $94.23 – $395.94 | 24 |
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.