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 |
|---|---|---|---|---|
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $158.60 – $9,031.56 | 31 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $103.24 – $24,746.75 | 38 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $143.27 – $12,885.32 | 32 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $102.11 – $7,423.75 | 38 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $89.63 – $6,179.45 | 38 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $119.55 – $7,067.36 | 38 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $40.17 – $18,593.32 | 38 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $97.03 – $24,175.89 | 32 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $121.25 – $18,957.22 | 38 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $28.31 – $166.87 | 19 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $124.48 – $789.30 | 19 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $19.70 – $86.57 | 19 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $17.70 – $77.48 | 19 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $844.80 | $1,408.00 | $18.98 – $1,285.51 | 39 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $22.49 – $92.03 | 38 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $94.12 – $3,644.14 | 38 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $77.03 – $2,842.25 | 38 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $74.09 – $1,515.56 | 38 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $87.54 – $1,587.82 | 38 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $27.57 – $167.57 | 19 |
| Insulin total CPT 83525 | $115.20 | $192.00 | $5.29 – $26.06 | 24 |
| Ins vag brachytx device CPT 57156 | not published | not published | $28.46 – $162.93 | 38 |
| Interdental fixation CPT 21110 | not published | not published | $153.01 – $686.91 | 38 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $132.15 – $652.86 | 38 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $38.81 – $357.32 | 38 |
| Interferon alfa-2b inj HCPCS J9214 | $51.21 | $85.35 | $20.49 – $81.58 | 41 |
| Intermediate visual field xm CPT 92082 | not published | not published | $7.96 – $18.20 | 19 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $39.57 – $278.10 | 19 |
| Interrogate subq defib CPT 93261 | not published | not published | $14.82 – $29.52 | 19 |
| Interrogation vad in person CPT 93750 | not published | not published | $10.30 – $54.97 | 19 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $6.17 – $14.11 | 19 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $8.89 – $22.68 | 19 |
| Interrog device eval heart CPT 93289 | not published | not published | $12.89 – $30.56 | 19 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $9.25 – $25.46 | 19 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $37.11 – $37.11 | 8 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $19.85 – $19.85 | 11 |
| Interstitial brachy inter CPT 77799 | not published | not published | $0.01 – $275.58 | 32 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $240.66 – $1,059.90 | 19 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $45.36 – $1,320.79 | 38 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $48.38 – $1,320.79 | 38 |
| Intra-atrial pacing CPT 93610 | not published | not published | $32.84 – $65.30 | 19 |
| Intra-atrial recording CPT 93602 | not published | not published | $27.00 – $53.60 | 19 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $89.79 – $161.60 | 19 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $297.02 – $1,290.00 | 13 |
| Intracranial angioplasty CPT 61630 | not published | not published | $271.25 – $954.80 | 13 |
| Intracranial complete study CPT 93886 | not published | not published | $34.51 – $549.90 | 20 |
| Intracranial limited study CPT 93888 | not published | not published | $22.33 – $391.06 | 20 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $16.13 – $103.32 | 38 |
| Intranasal reconstruction CPT 30620 | not published | not published | $137.84 – $2,702.95 | 38 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $153.87 – $304.00 | 19 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $25.21 – $114.56 | 38 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $12.86 – $76.29 | 13 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $88.82 – $511.20 | 19 |
| Intraventricular pacing CPT 93612 | not published | not published | $39.41 – $77.80 | 19 |
| Intrinsic factor antibody CPT 86340 | $210.00 | $350.00 | $7.44 – $34.38 | 24 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $5.77 – $55.00 | 19 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $43.32 – $551.48 | 32 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $64.58 – $2,473.13 | 32 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $88.44 – $6,781.19 | 32 |
| Intro catheter aorta CPT 36200 | not published | not published | $40.52 – $427.36 | 19 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $32.44 – $344.94 | 19 |
| Intro long gi tube CPT 44500 | $1,007.40 | $1,679.00 | $6.22 – $1,416.85 | 39 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $16.36 – $250.00 | 21 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $35.50 – $741.27 | 32 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $27.66 – $954.38 | 19 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $22.11 – $148.55 | 19 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $26.93 – $159.50 | 38 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $3.22 – $196.17 | 20 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $6.50 – $140.99 | 20 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $7.58 – $30.77 | 19 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $95.88 – $95.88 | 11 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.63 | $1.05 | $0.34 – $0.86 | 21 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.67 | $1.11 | $0.12 – $0.32 | 21 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $48.54 – $29,506.19 | 37 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $48.54 – $2,506.58 | 30 |
| Iron CPT 83540 | $96.00 | $160.00 | $2.65 – $14.75 | 24 |
| Iron binding capacity CPT 83550 | $75.60 | $126.00 | $3.97 – $19.93 | 24 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.18 – $15.69 | 22 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $660.70 | $1,101.17 | $0.22 – $1.10 | 22 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.61 – $238.33 | 24 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $171.60 | $286.00 | $3.32 – $166.37 | 20 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $45.32 – $652.86 | 38 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $6.89 – $40.63 | 19 |
| Island pedicle flap graft CPT 15740 | not published | not published | $142.00 – $926.15 | 38 |
| Ivc venogram s&i CPT 75825 | not published | not published | $39.40 – $1,573.41 | 22 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $160.80 | $268.00 | $7.48 – $40.82 | 19 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $281.40 | $469.00 | $4.39 – $24.20 | 19 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $107.40 | $179.00 | $4.69 – $25.95 | 19 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $627.60 | $1,046.00 | $14.34 – $80.70 | 19 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $5.79 – $135.01 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $19.71 – $160.90 | 19 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $15.87 – $232.52 | 41 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $673.20 | $1,122.00 | $13.22 – $181.51 | 41 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $74.08 – $422.26 | 21 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $132.90 – $1,487.08 | 38 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $164.52 – $1,487.08 | 38 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $60.18 – $814.39 | 38 |
| John cunningham antibody CPT 86711 | not published | not published | $7.11 – $38.51 | 22 |
| J-tube placement CPT 44015 | not published | not published | $33.71 – $230.70 | 19 |
| Keratoprosthesis CPT 65770 | not published | not published | $325.56 – $10,538.29 | 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.