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 |
|---|---|---|---|---|
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $103.17 – $476.34 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $251.40 | $419.00 | $12.04 – $58.07 | 24 |
| Mayo tgrp testosterone total CPT 84403 | $255.60 | $426.00 | $9.64 – $58.85 | 24 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $8.87 | 11 |
| Mayo thyroglobulin CPT 84432 | $64.80 | $108.00 | $5.29 – $36.62 | 24 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $205.80 | $343.00 | $4.81 – $23.21 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $151.20 | $252.00 | $3.97 – $28.25 | 24 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $21.68 – $116.92 | 22 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $3.97 – $32.28 | 24 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $6.69 – $30.87 | 22 |
| Mayo vasoactive intestinal peptide CPT 84586 | $385.20 | $642.00 | $6.61 – $80.55 | 24 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $250.20 | $417.00 | $9.26 – $46.15 | 24 |
| Mayo vitamin b3 (niacin) CPT 84591 | $188.40 | $314.00 | $5.85 – $38.90 | 22 |
| Mayo vitamin k CPT 84597 | $241.80 | $403.00 | $6.61 – $31.28 | 24 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $204.60 | $341.00 | $6.54 – $30.21 | 22 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $223.83 – $1,340.53 | 19 |
| Mcoln1 gene CPT 81290 | not published | not published | $15.72 – $89.63 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $117.25 – $1,487.08 | 38 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $129.48 – $1,487.08 | 38 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $135.21 – $801.87 | 38 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $189.84 – $1,822.02 | 32 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $7.14 – $37.66 | 19 |
| Measure kidney pressure CPT 50396 | not published | not published | $26.72 – $306.66 | 38 |
| Measurement post void urine by ultrasound CPT 51798 | $187.20 | $312.00 | $4.32 – $283.42 | 20 |
| Measure ureter pressure CPT 50686 | not published | not published | $19.74 – $144.07 | 38 |
| #mec-opiates CPT 80356 | not published | not published | $6.34 – $51.87 | 15 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $60.00 – $342.00 | 22 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $211.15 – $1,203.54 | 22 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $8.91 – $273.60 | 22 |
| Medial canthopexy CPT 21280 | not published | not published | $129.73 – $1,291.25 | 38 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $93.76 – $786.50 | 19 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $71.67 – $602.82 | 19 |
| Medical testimony CPT 99075 | not published | not published | $190.00 – $190.00 | 11 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $115.62 – $755.23 | 32 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $388.26 | $647.10 | $0.02 – $1.37 | 15 |
| Meg evoked single CPT 95966 | not published | not published | $36.90 – $3,450.36 | 20 |
| Meg spontaneous CPT 95965 | not published | not published | $36.90 – $12,457.27 | 20 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $437.26 – $3,321.81 | 38 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $43.57 | $72.61 | $1.40 – $14.67 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $93.19 | $155.31 | $0.45 – $1.82 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $62.89 – $367.12 | 19 |
| Metabolic Blood Panel (Basic) CPT 80048 | $232.20 | $387.00 | $3.47 – $19.29 | 24 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $268.80 | $448.00 | $5.00 – $24.08 | 24 |
| Metabolic panel ionized ca CPT 80047 | $202.80 | $338.00 | $8.24 – $31.30 | 22 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $18.64 | $31.07 | $0.23 – $7.16 | 21 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $177.84 | $296.40 | $2.36 – $13.72 | 23 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $15.43 – $87.94 | 21 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $51.15 | $85.25 | $0.24 – $33.60 | 32 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $45.56 | $75.93 | $4.79 – $50.49 | 20 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.32 | $3.87 | $0.23 – $1.16 | 21 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $52.82 | $88.03 | $0.27 – $0.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $259.96 | $433.27 | $0.60 – $0.68 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $39.02 | $65.04 | $0.81 – $2.59 | 21 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $62.66 | $104.43 | $0.02 – $0.07 | 31 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $45.24 – $284.18 | 15 |
| Microalbumin urine screen CPT 82044 | not published | not published | $1.32 – $14.20 | 24 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $2.65 – $91.59 | 24 |
| Microdissection laser CPT 88380 | not published | not published | $20.02 – $122.60 | 21 |
| Microdissection manual CPT 88381 | $417.00 | $695.00 | $20.29 – $54.06 | 21 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $51.25 | 22 |
| Microsatellite instability CPT 81301 | not published | not published | $142.99 – $794.72 | 22 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $41.59 – $279.10 | 19 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $26.51 – $296.10 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $74.10 | $123.50 | $0.12 – $0.29 | 21 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $19.75 – $118.29 | 22 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $56.94 | $94.90 | $27.23 – $63.35 | 39 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $29.86 | $49.77 | $33.42 – $44.63 | 20 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $698.50 – $3,081.30 | 19 |
| Mlh1 gene CPT 81288 | $614.40 | $1,024.00 | $76.93 – $438.49 | 22 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $80.96 – $461.47 | 22 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $270.16 – $1,539.91 | 22 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $70.22 – $754.68 | 22 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $268.12 – $6,364.19 | 38 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $4.44 – $105.92 | 22 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $25.99 – $77.91 | 13 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $49.30 – $801.87 | 38 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $97.59 – $801.87 | 38 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $59.72 – $325.46 | 38 |
| Mnt subs tx for change dx HCPCS G0270 | $24.00 | $40.00 | $4.93 – $13.30 | 13 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $28.45 – $164.60 | 19 |
| Modification of contact lens CPT 92325 | not published | not published | $2.87 – $27.79 | 19 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $346.06 – $2,732.40 | 19 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $151.27 – $903.01 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $37.73 | 19 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $25.00 – $145.83 | 15 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $60.13 – $342.75 | 15 |
| Mopath procedure level 5 CPT 81404 | $462.60 | $771.00 | $109.93 – $626.61 | 21 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $120.54 – $687.08 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $113.15 – $644.97 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $507.76 – $1,929.50 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $964.59 – $4,560.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $47.98 | $79.97 | $0.65 – $10.89 | 21 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $75.59 | $125.99 | $0.29 – $27.62 | 20 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $417.00 | $695.00 | $18.43 – $532.50 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $360.00 | $600.00 | $19.53 – $163.62 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $461.40 | $769.00 | $14.54 – $532.70 | 22 |
| Motion analysis video/3d CPT 96000 | not published | not published | $17.78 – $1,063.53 | 20 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $21.23 – $1,063.53 | 20 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1.94 – $304.62 | 20 |
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.