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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $513.60 | $856.00 | $17.13 – $97.68 | 24 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $865.80 | $1,443.00 | $20.26 – $97.68 | 24 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $645.60 | $1,076.00 | $40.25 – $194.03 | 24 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $70.54 – $325.20 | 22 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $23.58 | $39.30 | $32.16 – $37.59 | 30 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $20.66 | $34.44 | $14.29 – $30.65 | 31 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $11.69 – $66.62 | 22 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $39.39 – $187.85 | 21 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $24.69 – $64.96 | 14 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $641.40 – $3,720.60 | 19 |
| Infuse radioactive materials CPT 77750 | not published | not published | $19.40 – $254.01 | 41 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $12.36 – $69.61 | 19 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $13.45 – $81.46 | 19 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $14.02 – $56.08 | 19 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $101.47 – $442.71 | 19 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $19.76 – $121.58 | 19 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $25.34 – $155.83 | 19 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $14.17 – $84.06 | 19 |
| Initiation & management bipap/cpap initial day CPT 94660 | $679.20 | $1,132.00 | $7.51 – $43.68 | 19 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $104.18 | $173.63 | $1.04 – $2.21 | 12 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $12.59 – $39.25 | 13 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $34.91 – $223.93 | 19 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $18.57 – $62.34 | 38 |
| Inj dx for sinogram CPT 20501 | not published | not published | $10.53 – $80.52 | 19 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $20.76 – $592.10 | 39 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $18.82 – $159.18 | 20 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $15.09 – $54.61 | 38 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $16.27 – $96.73 | 19 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $23.67 – $351.21 | 38 |
| Injection eye drug CPT 67028 | not published | not published | $39.75 – $143.69 | 38 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $20.27 – $139.64 | 19 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $10.09 – $123.94 | 19 |
| Injection for hip x-ray CPT 27095 | not published | not published | $21.25 – $209.70 | 20 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $720.60 | $1,201.00 | $13.88 – $954.45 | 21 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $39.98 – $192.30 | 19 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $14.66 – $76.37 | 19 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $11.00 – $75.58 | 19 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $15.85 – $115.14 | 19 |
| Injection into brain canal CPT 61026 | not published | not published | $26.94 – $351.21 | 38 |
| Injection into brain canal CPT 61055 | not published | not published | $29.42 – $179.60 | 38 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $26.92 – $240.54 | 38 |
| Injection into spinal artery CPT 62294 | not published | not published | $162.00 – $874.70 | 38 |
| Injection into vocal cord CPT 31513 | not published | not published | $31.89 – $207.37 | 38 |
| Injection jugular CPT 36299 | not published | not published | $0.01 – $0.01 | 11 |
| Injection of sinus tract CPT 20500 | not published | not published | $25.32 – $182.40 | 38 |
| Injection px peyronie ds CPT 54200 | not published | not published | $18.54 – $81.06 | 38 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $10.98 – $76.98 | 19 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $15.35 – $82.66 | 38 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $15.21 – $81.77 | 38 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $22.67 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $13.84 – $74.02 | 19 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $21.58 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $10.36 – $63.19 | 19 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $17.07 – $462.90 | 38 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $27.72 – $1,470.85 | 39 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $25.32 – $1,470.85 | 39 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $10.85 – $40.53 | 38 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $9.20 – $38.27 | 38 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $10.22 – $44.21 | 38 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $144.00 | $240.00 | $4.97 – $27.76 | 19 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $148.80 | $248.00 | $20.40 – $27.76 | 13 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $160.80 | $268.00 | $11.27 – $64.09 | 19 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $125.40 | $209.00 | $4.12 – $17.08 | 19 |
| Injection treatment of eye CPT 66020 | not published | not published | $30.33 – $1,158.89 | 38 |
| Injection treatment of eye CPT 66030 | not published | not published | $25.25 – $1,158.89 | 38 |
| Injection treatment of nerve CPT 64605 | not published | not published | $69.58 – $878.95 | 38 |
| Injection treatment of nerve CPT 64610 | not published | not published | $98.55 – $878.95 | 38 |
| Injection treatment of nerve CPT 64681 | not published | not published | $46.40 – $462.90 | 38 |
| Injection treatment of nose CPT 30200 | not published | not published | $13.97 – $79.54 | 38 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $17.95 – $112.82 | 19 |
| Inject/treat eye socket CPT 67500 | not published | not published | $18.63 – $55.63 | 38 |
| Inject/treat eye socket CPT 67505 | not published | not published | $17.30 – $97.14 | 38 |
| Inject/treat eye socket CPT 67515 | not published | not published | $19.27 – $70.53 | 38 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $25.70 – $351.21 | 32 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $22.13 – $462.90 | 32 |
| Inj for ext venography CPT 36005 | not published | not published | $12.87 – $220.03 | 19 |
| Inj for mammo ductogram CPT 19030 | $610.80 | $1,018.00 | $14.51 – $954.45 | 21 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $14.78 – $104.71 | 19 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $18.75 – $76.76 | 19 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $19.08 – $78.01 | 19 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $14.43 – $59.05 | 19 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $14.43 – $230.31 | 19 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $28.48 – $462.90 | 38 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $5.23 – $37.50 | 19 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $8.09 – $54.72 | 19 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $262.28 | $437.14 | $9.43 – $33.55 | 21 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $16.73 – $1,520.99 | 20 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $45.23 – $1,553.30 | 32 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $35.54 – $926.15 | 32 |
| Inj, pedmark, 100 mg HCPCS J0208 | $64.75 | $107.91 | $95.90 – $95.90 | 5 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $11.42 – $62.40 | 13 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $13.71 – $111.60 | 19 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $18.21 – $109.91 | 19 |
| Inj proc for lymphang CPT 38790 | not published | not published | $22.96 – $71.88 | 19 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $36.33 – $232.29 | 19 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $19.20 – $209.20 | 19 |
| Inj proc sialogram CPT 42550 | not published | not published | $15.82 – $92.96 | 19 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $14.28 – $101.56 | 19 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $25.22 – $136.57 | 38 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $17.95 – $104.12 | 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.