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 |
|---|---|---|---|---|
| Drug test prsmv instrmnt CPT 80306 | $142.80 | $238.00 | $7.18 – $39.08 | 22 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $214.20 | $357.00 | $31.70 – $141.68 | 22 |
| Drvvt confirm - quest CPT 85597 | $214.20 | $357.00 | $6.61 – $40.99 | 24 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $129.83 – $630.05 | 38 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $36.93 – $1,130.49 | 39 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $35.19 – $221.38 | 38 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $29.74 – $179.60 | 38 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $35.48 – $223.45 | 38 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $48.35 – $301.07 | 38 |
| Ductogram sgl duct CPT 77053 | $514.20 | $857.00 | $12.67 – $178.54 | 22 |
| Duodenal motility study CPT 91022 | not published | not published | $39.16 – $141.65 | 19 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $36.29 – $897.51 | 38 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $22.50 – $424.98 | 38 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $8.84 – $190.01 | 20 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,006.80 | $1,678.00 | $17.52 – $201.43 | 20 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,402.80 | $2,338.00 | $16.24 – $549.90 | 20 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $5.95 – $86.01 | 20 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $61.94 – $61.94 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $36.07 – $741.27 | 38 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $35.62 – $741.27 | 38 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $8.05 – $12.00 | 19 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $14.73 – $460.37 | 38 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $21.48 – $460.37 | 38 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $8.91 – $62.11 | 19 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $16.46 – $94.98 | 38 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $37.26 – $207.37 | 38 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $38.33 – $741.27 | 38 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $26.40 – $150.27 | 38 |
| Dynamic surface emg CPT 96002 | not published | not published | $4.15 – $531.65 | 20 |
| Ear and throat examination CPT 92502 | not published | not published | $19.05 – $98.50 | 19 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $11.88 – $110.17 | 38 |
| Ear cartilage graft CPT 21235 | not published | not published | $140.34 – $2,702.95 | 38 |
| Ear irrigation 69209 CPT 69209 | $186.00 | $310.00 | $2.54 – $283.42 | 20 |
| Ear protector evaluation CPT 92596 | not published | not published | $6.24 – $28.52 | 19 |
| Ecg 12 lead tracing only CPT 93005 | $273.60 | $456.00 | $2.76 – $15.78 | 19 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $2.28 – $11.60 | 19 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $1.63 – $7.20 | 19 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $59.72 – $172.93 | 19 |
| Ecg external < 48 hours recording CPT 93225 | $643.20 | $1,072.00 | $11.52 – $25.96 | 19 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $912.00 | $1,520.00 | $18.64 – $36.64 | 19 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $298.80 | $498.00 | $4.61 – $13.67 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $595.80 | $993.00 | $4.61 – $13.67 | 13 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,909.40 | $4,849.00 | $45.57 – $262.23 | 19 |
| Echocardiography doppler color flow mapping CPT 93325 | $795.00 | $1,325.00 | $2.46 – $60.88 | 19 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $888.60 | $1,481.00 | $18.29 – $93.40 | 19 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $588.60 | $981.00 | $5.27 – $54.10 | 19 |
| Echo exam of eye CPT 76516 | not published | not published | $14.01 – $95.29 | 22 |
| Echo exam of eye CPT 76519 | not published | not published | $14.80 – $106.08 | 22 |
| Echo exam of eye CPT 76529 | not published | not published | $13.94 – $93.87 | 22 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $2.47 – $14.30 | 22 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $38.58 – $436.44 | 41 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $20.23 – $312.41 | 41 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $16.02 – $94.60 | 22 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $11.90 – $50.05 | 22 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $22.38 – $177.19 | 41 |
| Echograp trans r pros study CPT 76873 | not published | not published | $34.71 – $188.70 | 41 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $15.78 – $48.00 | 20 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $8.81 – $43.61 | 20 |
| Echo guide for artery repair CPT 76936 | not published | not published | $65.02 – $189.97 | 40 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $18.51 – $250.00 | 21 |
| Echo guide for transfusion CPT 76941 | not published | not published | $25.33 – $121.89 | 20 |
| Echo guide villus sampling CPT 76945 | not published | not published | $18.30 – $121.89 | 20 |
| Echo stress CPT 93350 | not published | not published | $51.11 – $85.40 | 19 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $13.10 – $98.80 | 19 |
| Echo tee guidance CPT 93355 | not published | not published | $73.71 – $216.99 | 19 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,094.20 | $5,157.00 | $75.04 – $183.70 | 19 |
| Echo transesophageal CPT 93313 | not published | not published | $12.37 – $80.42 | 19 |
| Echo transesophageal CPT 93314 | not published | not published | $42.83 – $183.70 | 19 |
| Echo transesophageal CPT 93315 | $2,796.00 | $4,660.00 | $98.09 – $183.70 | 19 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $74.00 – $160.80 | 19 |
| Echo transthoracic CPT 93303 | not published | not published | $45.57 – $185.10 | 19 |
| Echo transthoracic CPT 93304 | not published | not published | $26.28 – $93.40 | 19 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $32.39 – $185.10 | 19 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $71.00 – $331.23 | 19 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $72.96 – $340.38 | 19 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $101.98 – $474.96 | 19 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $92.32 – $430.02 | 19 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $264.11 – $1,228.96 | 19 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $250.99 – $1,163.03 | 19 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $146.60 – $680.69 | 19 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $131.38 – $609.91 | 19 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $143.10 – $663.58 | 19 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $128.08 – $594.05 | 19 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $162.87 – $758.41 | 19 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $155.52 – $720.72 | 19 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $86.45 – $402.86 | 19 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $58.61 – $272.99 | 19 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $85.26 – $395.35 | 19 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $70.75 – $327.88 | 19 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $152.72 – $708.97 | 19 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $148.82 – $692.65 | 19 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $74.46 – $346.75 | 19 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $58.61 – $272.99 | 19 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $70.24 – $325.55 | 19 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $56.83 – $264.04 | 19 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $25.09 – $103.55 | 13 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.67 – $28.86 | 24 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $143.00 – $1,158.89 | 38 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $21.30 – $30.75 | 13 |
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.