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 |
|---|---|---|---|---|
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $4.90 – $51.87 | 15 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $5.29 – $35.27 | 24 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $171.60 | $286.00 | $3.59 – $18.63 | 24 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $39.01 | $65.02 | $0.26 – $1.53 | 21 |
| Kidney endoscopy CPT 50551 | not published | not published | $67.20 – $2,419.37 | 38 |
| Kidney endoscopy CPT 50553 | not published | not published | $71.11 – $2,419.37 | 38 |
| Kidney endoscopy CPT 50570 | not published | not published | $112.50 – $1,592.02 | 38 |
| Kidney endoscopy CPT 50575 | not published | not published | $163.95 – $2,419.37 | 38 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $78.16 – $4,450.23 | 38 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $129.98 – $1,592.02 | 38 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $79.05 – $4,450.23 | 38 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $90.27 – $2,419.37 | 38 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $129.38 – $4,450.23 | 38 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $139.39 – $2,419.37 | 38 |
| Kidney function study CPT 78725 | not published | not published | $12.18 – $249.61 | 41 |
| Kidney imaging morphology CPT 78700 | not published | not published | $15.81 – $310.33 | 41 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $39.75 – $609.17 | 41 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,961.40 | $3,269.00 | $29.40 – $378.60 | 41 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $614.40 | $1,024.00 | $24.92 – $400.00 | 42 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $49.95 – $284.70 | 15 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $155.14 – $1,487.08 | 38 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $129.60 – $1,487.08 | 38 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $102.96 – $1,487.08 | 38 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $161.62 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $140.64 – $801.87 | 38 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $239.78 – $1,211.40 | 38 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $129.66 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $135.43 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $125.79 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $164.06 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $166.06 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $173.58 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $174.83 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $214.68 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $154.53 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $158.02 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $186.66 – $3,321.81 | 38 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $253.25 – $4,403.04 | 38 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $309.06 – $8,015.45 | 38 |
| Knee MRI (with and without contrast) CPT 73723 | $4,604.40 | $7,674.00 | $76.78 – $762.67 | 42 |
| Knee MRI (with contrast) CPT 73722 | $4,411.20 | $7,352.00 | $58.40 – $700.00 | 42 |
| Knee MRI (without contrast) CPT 73721 | $3,898.80 | $6,498.00 | $49.04 – $700.00 | 42 |
| Knee X-ray CPT 73564 | $765.60 | $1,276.00 | $4.83 – $250.00 | 23 |
| Kras gene addl variants CPT 81276 | $279.00 | $465.00 | $77.30 – $440.61 | 22 |
| Kras gene variants exon 2 CPT 81275 | $234.60 | $391.00 | $77.30 – $440.61 | 15 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $4.70 – $25.30 | 19 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $3.95 – $29.62 | 19 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $50.65 | $84.42 | $0.19 – $0.61 | 31 |
| Labioplasty 56800 CPT 56800 | not published | not published | $55.58 – $1,553.00 | 38 |
| Lactate dehydrogenase (ldh) CPT 83615 | $61.80 | $103.00 | $2.86 – $13.77 | 24 |
| Lactated ringers intravenous solution HCPCS J7120 | $78.68 | $131.13 | $1.99 – $5.98 | 21 |
| Lactic acid CPT 83605 | $114.00 | $190.00 | $3.97 – $26.38 | 24 |
| Lactoferrin fecal qualitative CPT 83630 | $90.60 | $151.00 | $9.28 – $44.92 | 22 |
| Lactoferrin fecal quant CPT 83631 | $206.40 | $344.00 | $9.70 – $44.76 | 15 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $71.98 – $71.98 | 11 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $257.25 – $3,321.81 | 38 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $224.77 – $3,321.81 | 38 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $245.65 – $3,321.81 | 38 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $53.99 – $53.99 | 11 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $399.13 – $2,456.60 | 19 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $423.93 – $2,660.60 | 19 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $346.26 – $2,188.80 | 19 |
| Laminotomy single cervical CPT 63040 | not published | not published | $288.87 – $1,859.60 | 19 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $270.64 – $3,321.81 | 38 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $77.60 – $276.20 | 13 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $279.80 – $1,221.30 | 19 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $206.38 – $1,105.00 | 19 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $261.06 – $1,329.30 | 19 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $202.85 – $2,648.76 | 38 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $195.51 – $4,445.47 | 38 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $168.66 – $10,580.62 | 39 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $143.06 – $758.80 | 19 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $93.68 – $2,648.76 | 38 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $261.23 – $4,445.47 | 38 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $313.76 – $4,445.47 | 38 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $286.17 – $4,445.47 | 38 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $349.03 – $1,752.70 | 19 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $333.20 – $1,966.60 | 19 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $0.01 – $0.01 | 11 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $302.18 – $1,651.80 | 19 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $0.01 – $0.01 | 11 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $205.90 – $2,648.76 | 38 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $267.89 – $1,412.60 | 19 |
| Laparoscopic proc CPT 45400 | not published | not published | $259.15 – $1,178.14 | 19 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $186.61 – $4,445.47 | 38 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $309.95 – $1,232.00 | 19 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $85.20 – $2,648.76 | 38 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $78.05 – $2,648.76 | 38 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $0.01 – $0.01 | 11 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $162.74 – $2,648.76 | 38 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $244.70 – $1,400.90 | 19 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $123.15 – $2,648.76 | 38 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $233.69 – $4,445.47 | 38 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $267.04 – $4,445.47 | 38 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $152.02 – $2,648.76 | 38 |
| Laparoscopy lysis CPT 58660 | not published | not published | $154.35 – $2,648.76 | 38 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $144.51 – $2,648.76 | 38 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $173.11 – $2,648.76 | 38 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $282.13 – $1,522.40 | 19 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $148.96 – $2,648.76 | 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.