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 |
|---|---|---|---|---|
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $79.80 | $133.00 | $5.32 – $21.47 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.80 | $153.00 | $5.49 – $22.48 | 13 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $93.60 | $156.00 | $5.66 – $23.55 | 20 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $89.40 | $149.00 | $5.89 – $25.16 | 20 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $67.20 | $112.00 | $6.04 – $26.15 | 20 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $408.40 – $2,711.30 | 19 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $166.52 – $903.11 | 19 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $39.23 | $65.39 | $0.53 – $3.15 | 21 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $29.18 | $48.64 | $9.34 – $41.96 | 42 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $113.15 – $1,542.42 | 22 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $120.54 – $687.08 | 22 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,307.36 – $4,096.49 | 15 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $129.80 | $216.33 | $8.87 – $78.88 | 22 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $698.10 – $3,303.20 | 19 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $347.82 – $1,647.60 | 19 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $65.80 | $109.67 | $9.10 – $10.24 | 9 |
| Parathormone (pth) intact CPT 83970 | $316.80 | $528.00 | $18.52 – $94.12 | 24 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $357.25 – $1,738.60 | 19 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $50.28 – $733.47 | 39 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $63.85 – $330.60 | 19 |
| Parathyroid planar imaging CPT 78070 | $1,156.80 | $1,928.00 | $23.04 – $529.45 | 41 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,531.80 | $2,553.00 | $41.85 – $596.24 | 39 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $192.91 – $1,040.16 | 19 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $147.33 – $2,482.82 | 38 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $4.19 – $32.50 | 19 |
| Parotid duct diversion CPT 42507 | not published | not published | $117.58 – $2,702.95 | 38 |
| Parotid duct diversion CPT 42509 | not published | not published | $199.16 – $2,702.95 | 38 |
| Parotid duct diversion CPT 42510 | not published | not published | $146.26 – $1,291.25 | 38 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $203.39 – $918.80 | 19 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $42.39 – $1,553.00 | 38 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $281.25 – $1,613.40 | 19 |
| Partial exc bone humerus CPT 24140 | not published | not published | $184.37 – $1,487.08 | 38 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $133.52 – $1,487.08 | 38 |
| Partial excision of lip CPT 40500 | not published | not published | $81.56 – $1,291.25 | 38 |
| Partial hip replacement CPT 27125 | not published | not published | $286.15 – $1,461.90 | 19 |
| Partial hysterectomy CPT 58180 | not published | not published | $217.24 – $1,193.37 | 19 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $247.32 – $1,200.20 | 19 |
| Partial removal finger bone CPT 26235 | not published | not published | $123.43 – $801.87 | 38 |
| Partial removal finger bone CPT 26236 | not published | not published | $109.35 – $801.87 | 38 |
| Partial removal foot fascia CPT 28060 | not published | not published | $95.48 – $1,487.08 | 38 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $215.98 – $1,487.08 | 38 |
| Partial removal of bladder CPT 51550 | not published | not published | $211.48 – $1,248.00 | 19 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $583.67 – $2,631.60 | 19 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $592.21 – $2,437.90 | 19 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $107.03 – $1,158.89 | 38 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $124.17 – $1,158.89 | 38 |
| Partial removal of fibula CPT 27641 | not published | not published | $180.96 – $1,487.08 | 38 |
| Partial removal of foot bone CPT 28288 | not published | not published | $110.86 – $1,487.08 | 38 |
| Partial removal of hand bone CPT 26230 | not published | not published | $125.92 – $1,487.08 | 38 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $325.17 – $1,903.70 | 19 |
| Partial removal of lip CPT 40530 | not published | not published | $93.61 – $1,291.25 | 38 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $362.02 – $1,728.70 | 19 |
| Partial removal of nose CPT 30150 | not published | not published | $183.07 – $2,702.95 | 38 |
| Partial removal of penis CPT 54120 | not published | not published | $139.76 – $1,592.02 | 38 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $312.54 – $2,702.95 | 38 |
| Partial removal of radius CPT 25151 | not published | not published | $176.13 – $1,487.08 | 38 |
| Partial removal of radius CPT 25230 | not published | not published | $111.88 – $1,487.08 | 38 |
| Partial removal of rib CPT 21600 | not published | not published | $137.50 – $3,321.81 | 38 |
| Partial removal of sternum CPT 21620 | not published | not published | $132.95 – $734.50 | 19 |
| Partial removal of thyroid CPT 60220 | not published | not published | $195.32 – $2,648.76 | 38 |
| Partial removal of thyroid CPT 60225 | not published | not published | $234.80 – $2,648.76 | 38 |
| Partial removal of tibia CPT 27640 | not published | not published | $224.84 – $1,487.08 | 38 |
| Partial removal of toe CPT 28160 | not published | not published | $72.94 – $1,487.08 | 38 |
| Partial removal of tongue CPT 41120 | not published | not published | $238.26 – $2,702.95 | 38 |
| Partial removal of ulna CPT 25119 | not published | not published | $131.44 – $1,487.08 | 38 |
| Partial removal of ulna CPT 25150 | not published | not published | $150.02 – $1,487.08 | 38 |
| Partial removal of ulna CPT 25240 | not published | not published | $115.30 – $1,487.08 | 38 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $106.72 – $551.65 | 19 |
| Partial removal tear gland CPT 68505 | not published | not published | $226.24 – $1,456.12 | 38 |
| Partial thyroid excision CPT 60210 | not published | not published | $178.20 – $2,648.76 | 38 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $255.77 – $2,648.76 | 38 |
| Part removal of metatarsal CPT 28110 | not published | not published | $76.89 – $1,487.08 | 38 |
| Part removal of metatarsal CPT 28113 | not published | not published | $108.14 – $1,487.08 | 38 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $84.24 – $1,487.08 | 38 |
| Passy muir valve metal trach HCPCS L8501 | $261.00 | $435.00 | $8.79 – $236.67 | 19 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $90.67 – $594.05 | 20 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $48.10 – $594.05 | 20 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $22.49 – $197.93 | 20 |
| Patient recorded spirometry CPT 94014 | not published | not published | $9.82 – $50.00 | 19 |
| Patient recorded spirometry CPT 94015 | not published | not published | $4.67 – $19.20 | 19 |
| Pdgfra gene CPT 81314 | not published | not published | $131.80 – $751.28 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $39.82 – $177.94 | 13 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $128.64 – $926.15 | 38 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $84.35 – $145.03 | 13 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $145.03 – $400.08 | 13 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $113.18 – $926.15 | 38 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,651.80 | $2,753.00 | $43.49 – $433.67 | 41 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,433.40 | $2,389.00 | $41.27 – $650.00 | 42 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,160.40 | $1,934.00 | $35.02 – $650.00 | 42 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,596.20 | $4,327.00 | $80.61 – $818.70 | 42 |
| Pelvic MRI (with contrast) CPT 72196 | $2,311.80 | $3,853.00 | $62.07 – $681.50 | 41 |
| Pelvic MRI (without contrast) CPT 72195 | $1,878.00 | $3,130.00 | $52.62 – $700.00 | 42 |
| Pelvic Ultrasound (complete) CPT 76856 | $608.40 | $1,014.00 | $22.35 – $400.00 | 42 |
| Pelvic Ultrasound (limited) CPT 76857 | $242.40 | $404.00 | $13.51 – $70.15 | 41 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $48.74 | $81.23 | $16.14 – $54.83 | 34 |
| Penile injection CPT 54235 | not published | not published | $16.20 – $70.83 | 38 |
| Penile vascular study CPT 93980 | not published | not published | $35.19 – $282.55 | 20 |
| Penile vascular study CPT 93981 | not published | not published | $15.55 – $260.45 | 20 |
| Penile venous occlusion CPT 37790 | not published | not published | $130.01 – $1,592.02 | 38 |
| Penis plastic surgery CPT 54360 | not published | not published | $163.76 – $1,592.02 | 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.