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 |
|---|---|---|---|---|
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $106.74 – $801.87 | 38 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $97.80 – $403.30 | 38 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $123.25 – $801.87 | 38 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $137.54 – $926.15 | 38 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $70.67 – $288.06 | 38 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $109.43 – $801.87 | 38 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $124.65 – $801.87 | 38 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $111.35 – $531.26 | 38 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $68.91 – $290.32 | 38 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $5.45 – $22.11 | 19 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $12.56 – $48.65 | 19 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $10.43 – $40.05 | 19 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $10.41 – $108.87 | 19 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $13.68 – $50.50 | 19 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $44.70 – $316.60 | 38 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $9.79 – $102.20 | 19 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $12.55 – $72.70 | 19 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $186.00 | $310.00 | $5.29 – $34.68 | 24 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $80.47 – $422.53 | 38 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $28.53 – $1,407.05 | 39 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $8.94 – $42.65 | 38 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $28.37 – $890.60 | 39 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $56.00 – $819.74 | 20 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $5.68 – $10.02 | 19 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $10.84 – $414.73 | 20 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $1.04 – $5.71 | 19 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $12.50 – $104.98 | 19 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $11.25 – $113.81 | 19 |
| Ghs eye exam CPT 92002 | not published | not published | $5.56 – $55.00 | 19 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $26.34 – $166.44 | 38 |
| Ghs fat & muscle CPT 89160 | not published | not published | $1.54 – $11.06 | 24 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $85.82 – $668.59 | 38 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $63.31 – $1,132.89 | 38 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $32.02 – $668.59 | 38 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $36.38 – $143.09 | 38 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $3.45 – $15.91 | 24 |
| Ghs fish cytogen CPT 88271 | $264.60 | $441.00 | $12.13 – $48.84 | 24 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $402.00 | $670.00 | $22.75 – $116.71 | 24 |
| Ghs flow volume loop CPT 94375 | not published | not published | $10.64 – $23.20 | 19 |
| Ghs gastric intub aspiration lavage CPT 43753 | $435.60 | $726.00 | $6.07 – $481.98 | 20 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $17.33 – $80.01 | 24 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $2.79 – $52.37 | 24 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $5.29 – $35.32 | 24 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $3.97 – $21.59 | 24 |
| Ghs histoplasma antigen CPT 87385 | $313.20 | $522.00 | $5.75 – $30.21 | 24 |
| Ghs HIV antibody CPT 86703 | $148.80 | $248.00 | $5.29 – $31.26 | 24 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $23.80 – $242.00 | 24 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $47.52 – $910.38 | 38 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $86.69 – $599.32 | 38 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $28.19 – $240.54 | 38 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $16.22 – $199.46 | 38 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $2.11 – $41.84 | 24 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $22.55 – $125.52 | 38 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $30.51 – $187.38 | 38 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $26.94 – $300.04 | 19 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $5.29 – $29.34 | 24 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $8.21 – $56.09 | 19 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $34.68 – $462.90 | 38 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $37.94 – $252.04 | 38 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $11.25 – $41.97 | 38 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $16.83 – $79.66 | 19 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $25.74 – $462.90 | 38 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $16.15 – $102.70 | 19 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $40.09 – $261.66 | 38 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $47.04 – $318.97 | 38 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $54.63 – $926.15 | 38 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $2.39 – $9.08 | 13 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $30.27 – $173.28 | 38 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $4.44 – $24.11 | 13 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $718.20 | $1,197.00 | $106.14 – $954.45 | 20 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $31.47 – $186.69 | 19 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $25.01 – $184.48 | 38 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $27.14 – $181.55 | 38 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $29.50 – $191.97 | 38 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $33.57 – $218.20 | 38 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $31.86 – $202.40 | 38 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $35.12 – $234.24 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $33.11 – $211.25 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $35.04 – $318.97 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $37.86 – $250.12 | 38 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $41.87 – $318.97 | 38 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $47.16 – $324.56 | 38 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $49.18 – $324.08 | 38 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $58.24 – $375.45 | 38 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $54.47 – $926.15 | 38 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $66.52 – $470.17 | 38 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $176.40 | $294.00 | $3.97 – $19.61 | 24 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $7.40 – $13.80 | 17 |
| Ghs mbp CPT 83873 | $190.20 | $317.00 | $8.50 – $39.22 | 24 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $309.60 | $516.00 | $22.80 – $39.04 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $89.72 – $152.85 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $73.45 – $125.73 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $254.40 | $424.00 | $10.08 – $16.13 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $55.74 – $95.33 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $19.88 – $244.15 | 20 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $12.40 – $244.15 | 20 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $17.61 – $128.64 | 20 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $3.88 – $11.53 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $22.95 – $158.22 | 38 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $18.74 – $462.90 | 38 |
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.