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 |
|---|---|---|---|---|
| Hpa-4 genotyping CPT 81108 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $60.36 – $278.66 | 15 |
| Hpv low-risk types CPT 87623 | not published | not published | $17.33 – $80.01 | 15 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $17.33 – $92.45 | 22 |
| H pylori ag ia CPT 87339 | not published | not published | $5.67 – $36.48 | 22 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $33.26 – $153.58 | 22 |
| H pylori (c-13) breath CPT 83013 | $376.20 | $627.00 | $31.86 – $153.58 | 24 |
| H pylori drug admin CPT 83014 | $71.40 | $119.00 | $3.72 – $17.92 | 24 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $288.84 – $1,333.57 | 22 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $288.84 – $1,333.57 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $974.12 – $974.12 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $54.80 – $312.36 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $3.02 – $47.45 | 22 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $203.80 | $339.67 | $0.49 – $1.25 | 19 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $180.48 | $300.80 | $0.36 – $1.13 | 22 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.01 | $76.69 | $2.46 – $9.09 | 20 |
| Hydration IV infusion each additional hour CPT 96361 | $337.80 | $563.00 | $3.57 – $19.25 | 19 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $443.40 | $739.00 | $11.75 – $66.15 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $43.68 | $72.80 | $2.04 – $43.65 | 20 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $47.18 | $78.63 | $0.20 – $0.20 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $119.06 | $198.44 | $3.06 – $27.92 | 21 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $200.40 | $334.00 | $6.61 – $40.81 | 24 |
| Hymenotomy CPT 56442 | not published | not published | $11.00 – $1,553.00 | 38 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $250.35 – $3,561.95 | 38 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $3.97 – $23.21 | 24 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $68.21 – $433.91 | 34 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $42.19 – $301.69 | 34 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $43.38 – $356.25 | 34 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $60.84 – $356.25 | 34 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $86.01 – $356.25 | 34 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $225.45 – $1,245.26 | 19 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $241.63 – $1,336.79 | 19 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $207.64 – $1,143.94 | 19 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $51.70 – $391.10 | 19 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $9.62 – $178.54 | 22 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $80.54 – $2,090.81 | 38 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $62.52 – $1,553.00 | 38 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $44.34 – $1,553.00 | 38 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $80.46 – $2,090.81 | 38 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $68.28 – $1,553.00 | 38 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $129.15 – $2,090.81 | 38 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $91.30 – $2,090.81 | 38 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $150.31 – $2,090.81 | 38 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $180.15 – $445.28 | 22 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $63.00 | $105.00 | $54.76 – $54.76 | 11 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $5.67 – $30.60 | 24 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $17.13 – $80.01 | 24 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $6.12 – $41.04 | 25 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $18.11 – $95.76 | 25 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $979.42 – $979.42 | 11 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $29.52 – $228.12 | 20 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $1.59 – $9.05 | 19 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.73 – $5.23 | 19 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $0.80 – $5.70 | 19 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $223.98 – $891.02 | 19 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $92.27 – $1,291.25 | 38 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $47.86 – $204.58 | 38 |
| Identify sperm tissue CPT 89264 | not published | not published | $108.00 – $111.75 | 12 |
| Idet 1 or more levels CPT 22527 | not published | not published | $42.30 – $1,332.36 | 19 |
| Idet single level CPT 22526 | not published | not published | $91.08 – $434.14 | 13 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $130.47 – $1,487.08 | 38 |
| Idh1 common variants CPT 81120 | not published | not published | $77.30 – $440.61 | 15 |
| Idh2 common variants CPT 81121 | not published | not published | $118.32 – $674.40 | 15 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $87.74 – $1,320.79 | 38 |
| I&d lacrimal gland CPT 68400 | not published | not published | $32.94 – $228.15 | 38 |
| I&d lacrimal sac CPT 68420 | not published | not published | $41.63 – $243.91 | 38 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $54.51 – $1,132.89 | 38 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $70.91 – $1,132.89 | 38 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $38.37 – $1,132.89 | 38 |
| Ifnl3 gene CPT 81283 | not published | not published | $30.18 – $167.28 | 15 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $82.92 – $472.67 | 21 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $27.42 – $156.29 | 15 |
| Igh gene rearrange amp meth CPT 81261 | $339.00 | $565.00 | $97.77 – $451.42 | 15 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $117.14 – $671.51 | 15 |
| Igk rearrangeabn clonal pop CPT 81264 | $652.20 | $1,087.00 | $73.74 – $393.82 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $145.80 | $243.00 | $8.95 – $63.09 | 21 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $456.00 | $760.00 | $15.52 – $624.75 | 22 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $304.20 | $507.00 | $7.77 – $151.76 | 24 |
| Ikbkap gene CPT 81260 | not published | not published | $15.72 – $89.63 | 15 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $234.09 – $1,012.60 | 19 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $59.59 – $303.92 | 13 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $174.32 – $1,174.80 | 19 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $1.55 – $124.02 | 20 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $4.24 – $27.46 | 20 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $82.25 – $217.07 | 17 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $24.60 | $41.00 | $8.34 – $8.34 | 8 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $69.33 – $3,154.85 | 38 |
| Immune complex assay CPT 86332 | $251.40 | $419.00 | $11.53 – $55.56 | 24 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $28.19 – $213.93 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $313.20 | $522.00 | $10.26 – $47.45 | 24 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $190.80 | $318.00 | $10.26 – $47.45 | 24 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $10.26 – $58.30 | 24 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $41.40 | $69.00 | $5.92 – $27.31 | 24 |
| Immunodiffusion nes CPT 86329 | not published | not published | $6.64 – $32.03 | 24 |
| Immunofixation electrophoresis serum CPT 86334 | $170.40 | $284.00 | $2.62 – $41.84 | 24 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $193.80 | $323.00 | $9.65 – $65.46 | 21 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $12.21 – $607.32 | 24 |
| Immunoglobulin assay CPT 86023 | not published | not published | $5.63 – $28.41 | 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.