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 |
|---|---|---|---|---|
| Hemagglutination inhibition CPT 86280 | not published | not published | $2.65 – $18.67 | 24 |
| Hematocrit CPT 85014 | $55.20 | $92.00 | $1.12 – $5.40 | 24 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $30.28 – $253.86 | 41 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $166.70 – $1,487.08 | 38 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $13.77 – $79.30 | 19 |
| Hemoglobin CPT 85018 | $75.00 | $125.00 | $1.32 – $5.40 | 24 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $1.24 – $9.14 | 24 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $2.65 – $18.24 | 24 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $3.59 – $24.49 | 24 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $93.00 | $155.00 | $3.62 – $18.70 | 24 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $3.97 – $30.42 | 24 |
| Hemoglobin plasma CPT 83051 | not published | not published | $3.46 – $16.67 | 24 |
| Hemoglobin urine CPT 83069 | not published | not published | $1.95 – $9.01 | 24 |
| Hemolysin acid CPT 85475 | not published | not published | $2.65 – $20.22 | 24 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $3.97 – $20.00 | 24 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $5.29 – $27.61 | 24 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $5.29 – $36.12 | 24 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $120.37 – $1,320.79 | 32 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $39.57 – $189.69 | 38 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $82.03 – $1,320.79 | 38 |
| Heparin assay CPT 85520 | $237.00 | $395.00 | $3.97 – $29.85 | 24 |
| Heparin bolus from bag HCPCS J1644 | $99.09 | $165.15 | $0.18 – $0.77 | 21 |
| Heparin neutralization CPT 85525 | not published | not published | $3.97 – $27.00 | 24 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $38.80 | $64.66 | $0.01 – $0.05 | 18 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $522.12 – $1,900.52 | 19 |
| Hepatitis a antibody igm CPT 86709 | $195.60 | $326.00 | $5.33 – $25.67 | 24 |
| Hepatitis b core antibody igm CPT 86705 | $156.60 | $261.00 | $5.57 – $26.84 | 24 |
| Hepatitis b core antibody total CPT 86704 | $151.20 | $252.00 | $5.70 – $27.47 | 24 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $131.10 – $391.94 | 41 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $6.02 – $58.70 | 16 |
| Hepatitis b surface antibody CPT 86706 | $182.40 | $304.00 | $5.08 – $24.49 | 24 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $105.42 – $354.44 | 22 |
| Hepatitis c antibody CPT 86803 | $251.40 | $419.00 | $5.29 – $32.54 | 24 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $10.98 – $71.18 | 24 |
| Hepatobiliary system imaging CPT 78226 | $1,856.40 | $3,094.00 | $26.17 – $603.43 | 39 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $288.84 – $1,333.57 | 15 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $114.19 – $1,587.82 | 38 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $5.67 – $27.31 | 24 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $5.92 – $27.31 | 22 |
| Herpes simplex type 1 antibody igg CPT 86695 | $117.00 | $195.00 | $5.29 – $30.07 | 24 |
| Herpes simplex type 2 antibody igg CPT 86696 | $145.80 | $243.00 | $9.16 – $44.12 | 24 |
| Herpes simplex virus isolation CPT 87255 | $251.40 | $419.00 | $16.02 – $77.20 | 24 |
| Heterophile antibodies screening CPT 86308 | $138.60 | $231.00 | $2.45 – $11.81 | 24 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $2.65 – $14.75 | 24 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $3.64 – $16.80 | 24 |
| Hexa gene CPT 81255 | not published | not published | $30.87 – $117.31 | 22 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $17.13 – $95.21 | 24 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $58.23 – $242.94 | 32 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $203.08 – $3,321.81 | 38 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $200.68 – $1,487.08 | 38 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $323.08 – $3,321.81 | 38 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $165.13 – $3,321.81 | 38 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $180.82 – $3,321.81 | 38 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $317.02 – $3,321.81 | 38 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $323.08 – $3,321.81 | 38 |
| Hip X-ray CPT 73502 | $265.20 | $442.00 | $5.57 – $250.00 | 21 |
| Histamine CPT 83088 | $311.40 | $519.00 | $11.90 – $67.33 | 24 |
| Histochemical stains add-on CPT 88314 | not published | not published | $9.50 – $87.42 | 24 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $1.09 – $20.55 | 24 |
| Hiv-1 ag ia CPT 87390 | $54.00 | $90.00 | $8.62 – $54.86 | 24 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $9.64 – $49.98 | 24 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | $104.33 | $173.89 | $146.82 – $165.17 | 9 |
| Hla class i high defin qual CPT 86832 | not published | not published | $69.76 – $738.15 | 22 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $63.42 – $742.82 | 22 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $21.76 – $146.35 | 22 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $16.32 – $146.35 | 22 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $34.18 – $186.69 | 22 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $159.49 – $736.35 | 22 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $39.87 – $217.79 | 22 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $176.57 – $815.24 | 22 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $161.81 – $922.31 | 15 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $107.17 – $787.90 | 15 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $198.58 – $916.83 | 15 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $61.08 – $281.99 | 15 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $109.01 – $503.29 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $35.92 – $169.47 | 15 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $87.53 – $404.13 | 15 |
| Hla i typing complete hr CPT 81379 | not published | not published | $107.17 – $764.67 | 15 |
| Hla i typing complete lr CPT 81372 | not published | not published | $161.44 – $920.19 | 15 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $304.80 | $508.00 | $67.96 – $387.37 | 15 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $54.99 – $290.54 | 15 |
| Hla typing a b or c CPT 86813 | not published | not published | $18.52 – $132.24 | 24 |
| Hla typing dr/dq CPT 86816 | not published | not published | $11.90 – $68.79 | 24 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $14.61 – $83.29 | 22 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $30.54 – $249.64 | 22 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $20.83 – $83.53 | 13 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $15.22 – $61.18 | 13 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $2.07 – $8.43 | 13 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $14.23 – $57.37 | 13 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.90 | $1.50 | $0.20 – $0.50 | 15 |
| Home sleep test/type 2 porta HCPCS G0398 | $781.20 | $1,302.00 | $75.00 – $225.00 | 13 |
| Home sleep test/type 3 porta HCPCS G0399 | $807.00 | $1,345.00 | $75.00 – $225.00 | 13 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $14.11 – $78.79 | 19 |
| Homocysteine CPT 83090 | $435.60 | $726.00 | $8.33 – $40.86 | 24 |
| Homogenization tissue CPT 87176 | $83.40 | $139.00 | $2.90 – $13.41 | 24 |
| Homovanillic acid (hva) CPT 83150 | $66.60 | $111.00 | $9.16 – $51.09 | 24 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $60.36 – $278.66 | 15 |
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.