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 |
|---|---|---|---|---|
| Replace eye fluid CPT 67025 | not published | not published | $142.48 – $1,158.89 | 38 |
| Replace g/c tube perc CPT 49450 | not published | not published | $17.02 – $460.37 | 38 |
| Replace g-j tube perc CPT 49452 | not published | not published | $36.52 – $618.14 | 38 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $75.44 – $878.95 | 38 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $98.29 – $2,949.63 | 38 |
| Replacement of contact lens CPT 92326 | not published | not published | $5.63 – $25.90 | 19 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $590.06 – $2,842.10 | 19 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $666.58 – $2,840.70 | 19 |
| Replace picvad cath CPT 36585 | not published | not published | $72.08 – $1,515.56 | 38 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $167.07 – $2,949.63 | 38 |
| Replace skull plate/flap CPT 62143 | not published | not published | $206.23 – $1,167.80 | 19 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $101.07 – $3,321.81 | 38 |
| Replace tunneled cv cath CPT 36578 | not published | not published | $55.48 – $1,942.65 | 38 |
| Replantation digit complete CPT 20822 | not published | not published | $544.49 – $2,676.10 | 38 |
| Replantation thumb complete CPT 20827 | not published | not published | $555.86 – $2,814.90 | 19 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | not published | not published | $330.39 – $1,930.53 | 31 |
| Reposition intraocular lens CPT 66825 | not published | not published | $175.26 – $1,158.89 | 38 |
| Reposition pm/icd lead CPT 33215 | not published | not published | $81.36 – $1,515.56 | 38 |
| Reposition vad w/image rt/lt sep session CPT 33993 | not published | not published | $55.20 – $232.31 | 19 |
| Repos lv lead pm/icd CPT 33226 | not published | not published | $128.47 – $1,908.78 | 38 |
| Repos sq defib eltrd CPT 33273 | not published | not published | $117.34 – $1,994.37 | 38 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $247.62 – $933.30 | 19 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $176.70 – $1,487.08 | 38 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $175.91 – $3,321.81 | 38 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $36.45 – $1,320.79 | 38 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $20.34 – $119.28 | 19 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $16.27 – $74.65 | 19 |
| Reptilase test CPT 85635 | not published | not published | $4.31 – $22.46 | 24 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $97.68 – $801.87 | 38 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $160.92 – $1,587.82 | 38 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $171.13 – $3,644.37 | 38 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $140.02 – $1,587.82 | 38 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $507.63 – $2,358.69 | 19 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $444.82 – $2,061.86 | 19 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $294.48 – $1,363.90 | 38 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $415.09 – $1,687.64 | 38 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $68.64 – $1,487.08 | 38 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $636.76 – $1,970.02 | 19 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $150.79 – $1,032.30 | 19 |
| Resect distal finger tumor CPT 26262 | not published | not published | $114.37 – $801.87 | 38 |
| Resect enlarged toe CPT 28341 | not published | not published | $140.25 – $1,487.08 | 38 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $118.66 – $1,487.08 | 38 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $326.65 – $1,633.10 | 19 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $107.74 – $1,132.89 | 38 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $299.23 – $1,221.91 | 38 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $276.69 – $1,132.89 | 38 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $325.43 – $1,323.62 | 38 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $201.10 – $1,132.89 | 38 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $251.23 – $1,304.80 | 19 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $251.67 – $1,238.60 | 38 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $527.84 – $2,141.26 | 38 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $510.05 – $2,731.50 | 19 |
| Resect inferior turbinate CPT 30140 | not published | not published | $93.82 – $1,291.25 | 38 |
| Resection of elbow joint CPT 24155 | not published | not published | $214.23 – $1,487.08 | 38 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $218.37 – $2,702.95 | 38 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $227.36 – $1,179.10 | 38 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $369.36 – $1,504.55 | 38 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $176.25 – $1,331.50 | 19 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $225.60 – $1,643.40 | 19 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $148.60 – $1,487.08 | 38 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $398.60 – $1,620.12 | 38 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $243.67 – $1,339.24 | 19 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $314.96 – $1,735.24 | 19 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $67.26 – $1,487.08 | 38 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $104.13 – $801.87 | 38 |
| Resect prox finger tumor CPT 26260 | not published | not published | $136.90 – $1,487.08 | 38 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $239.42 – $1,157.00 | 19 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $213.55 – $1,487.08 | 38 |
| Resect tarsal tumor CPT 28171 | not published | not published | $162.60 – $1,487.08 | 38 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $261.65 – $1,331.50 | 38 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $453.34 – $1,843.47 | 38 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $60.02 – $713.11 | 20 |
| #resp virpnl dfa-adenovirus CPT 87260 | $136.20 | $227.00 | $5.75 – $32.90 | 24 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $6.05 – $37.46 | 22 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $105.40 – $497.18 | 22 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $746.10 – $2,618.47 | 19 |
| Resuscitation cardiopulmonary CPT 92950 | $797.40 | $1,329.00 | $51.55 – $210.37 | 19 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $42.05 – $264.50 | 19 |
| Reteplase injection HCPCS J2993 | $5,624.40 | $9,374.00 | $2,211.78 – $7,568.07 | 40 |
| Reticulated platelet assay CPT 85055 | not published | not published | $8.26 – $81.49 | 22 |
| Reticulocyte automated CPT 85045 | $93.00 | $155.00 | $1.32 – $9.10 | 24 |
| Reticulocyte direct measurement automated CPT 85046 | $17.40 | $29.00 | $2.67 – $12.70 | 24 |
| Retrieval of oocyte CPT 58970 | not published | not published | $46.18 – $408.28 | 32 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $9.58 – $44.67 | 15 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $146.18 – $1,587.82 | 38 |
| Revise additional leg tendon CPT 27692 | not published | not published | $29.60 – $169.30 | 19 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $168.64 – $1,158.89 | 38 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $94.12 – $878.95 | 38 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $129.54 – $2,482.82 | 38 |
| Revise circulation to head CPT 61708 | not published | not published | $442.35 – $2,714.10 | 19 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $302.70 – $1,344.20 | 19 |
| Revise eye CPT 65091 | not published | not published | $148.84 – $1,456.12 | 38 |
| Revise eyelashes CPT 67825 | not published | not published | $27.77 – $116.82 | 38 |
| Revise eyelashes CPT 67835 | not published | not published | $101.99 – $958.01 | 38 |
| Revise eyelid defect CPT 67909 | not published | not published | $102.62 – $958.01 | 38 |
| Revise eyelid defect CPT 67911 | not published | not published | $125.44 – $958.01 | 38 |
| Revise eyelid lining CPT 68330 | not published | not published | $103.94 – $1,158.89 | 38 |
| Revise eyelid lining CPT 68360 | not published | not published | $92.79 – $1,456.12 | 38 |
| Revise eyelid lining CPT 68362 | not published | not published | $148.88 – $958.01 | 38 |
| Revise eye muscle CPT 67311 | not published | not published | $136.37 – $958.01 | 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.