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 |
|---|---|---|---|---|
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $40.80 – $108.80 | 19 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $10.09 – $14.29 | 19 |
| Eeg during surgery CPT 95955 | not published | not published | $27.58 – $109.80 | 19 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $71.30 – $159.52 | 19 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $51.09 – $87.47 | 19 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $40.96 – $109.30 | 19 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $56.44 – $210.91 | 19 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $40.80 – $95.40 | 19 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $40.80 – $202.64 | 19 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $401.07 – $832.00 | 13 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $120.00 – $185.92 | 13 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $847.00 – $1,664.00 | 13 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $673.12 – $832.00 | 13 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $343.37 – $416.00 | 13 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $120.00 – $273.35 | 13 |
| E equine encephalitis igg CPT 86652 | not published | not published | $5.29 – $30.07 | 24 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $65.47 – $814.39 | 38 |
| Egd control bleeding any CPT 43255 | not published | not published | $66.53 – $814.39 | 38 |
| Egd dilate stricture CPT 43245 | not published | not published | $44.16 – $814.39 | 38 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $78.85 – $814.39 | 38 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $65.26 – $3,880.57 | 38 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $120.96 – $5,780.83 | 32 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $164.64 – $1,262.64 | 31 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $148.53 – $499.82 | 31 |
| Egd guide wire insertion CPT 43248 | not published | not published | $44.33 – $460.37 | 38 |
| Egd injection varices CPT 43243 | not published | not published | $62.92 – $814.39 | 38 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $36.49 – $814.39 | 38 |
| Egd lesion ablation CPT 43270 | not published | not published | $68.53 – $1,051.79 | 38 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $50.35 – $814.39 | 32 |
| Egd remove foreign body CPT 43247 | not published | not published | $47.18 – $460.37 | 38 |
| Egd remove lesion snare CPT 43251 | not published | not published | $51.21 – $814.39 | 38 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $44.37 – $814.39 | 38 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $71.11 – $814.39 | 38 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $69.56 – $814.39 | 38 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $99.62 – $814.39 | 38 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $75.93 – $814.39 | 38 |
| Egd varices ligation CPT 43244 | not published | not published | $69.65 – $814.39 | 38 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $72.48 – $2,383.80 | 38 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $93.38 – $3,940.71 | 38 |
| Egfr gene com variants CPT 81235 | $665.40 | $1,109.00 | $129.83 – $740.04 | 22 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $14.04 – $136.85 | 16 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $4.54 – $24.45 | 19 |
| Elbow arthroscopy CPT 29830 | not published | not published | $114.94 – $1,487.08 | 38 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $125.17 – $1,487.08 | 38 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $128.44 – $1,487.08 | 38 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $147.29 – $3,321.81 | 38 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $134.49 – $1,487.08 | 38 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $150.65 – $1,487.08 | 38 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $7.94 – $100.00 | 38 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $5.01 – $22.04 | 38 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $9.09 – $82.50 | 38 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $12.21 – $65.05 | 19 |
| Electrical stimulation/unattended 97014 CPT 97014 | $79.20 | $132.00 | $10.00 – $14.22 | 20 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $7.56 – $14.61 | 19 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $40.00 – $76.14 | 19 |
| Electrocochleography CPT 92584 | not published | not published | $15.39 – $96.70 | 19 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $18.00 – $132.12 | 19 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $113.90 – $253.79 | 19 |
| Electrode stimulation brain CPT 95961 | not published | not published | $46.66 – $85.94 | 19 |
| Electroejaculation CPT 55870 | not published | not published | $32.46 – $131.13 | 32 |
| Electrogastrography CPT 91132 | not published | not published | $3.20 – $19.80 | 19 |
| Electrogastrography w/test CPT 91133 | not published | not published | $10.67 – $25.29 | 19 |
| Electrolyte panel CPT 80051 | $174.60 | $291.00 | $2.14 – $15.98 | 24 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $10.12 – $42.51 | 13 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $11.55 – $144.92 | 20 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $31.97 – $554.46 | 24 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $10.48 – $29.52 | 19 |
| Electrophysiologic study CPT 93624 | not published | not published | $48.14 – $97.99 | 19 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $187.10 – $369.20 | 19 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $217.14 – $428.70 | 19 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $20.00 – $355.12 | 19 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $20.00 – $505.26 | 19 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $167.79 – $343.30 | 19 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $100.43 – $343.30 | 19 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $71.21 – $106.10 | 19 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $111.55 – $493.00 | 19 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $41.63 – $814.39 | 38 |
| Embolization s&i CPT 75894 | not published | not published | $46.88 – $1,740.90 | 20 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $149.84 – $11,042.29 | 38 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $208.43 – $4,642.95 | 19 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $178.65 – $6,622.33 | 38 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $134.20 – $5,977.23 | 38 |
| Embryo hatching CPT 89253 | not published | not published | $322.95 – $468.00 | 12 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $28.44 – $408.28 | 32 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $254.56 – $827.80 | 19 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $257.72 – $1,011.20 | 19 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $9.73 – $49.30 | 19 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $20.48 – $76.56 | 38 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $23.63 – $58.75 | 20 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $28.35 – $74.01 | 20 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $19.39 – $55.80 | 20 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $17.13 – $46.89 | 20 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $33.83 – $141.35 | 20 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $8.19 – $16.47 | 20 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $5.29 – $30.07 | 24 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $5.29 – $30.07 | 24 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $5.29 – $30.07 | 24 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $89.21 – $1,515.56 | 38 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $88.46 – $1,515.56 | 38 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $19.99 – $250.00 | 21 |
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.