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 |
|---|---|---|---|---|
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $60.77 – $1,994.37 | 38 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $147.50 – $683.84 | 19 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $543.70 – $2,103.90 | 19 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $43.03 – $319.05 | 38 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $181.16 – $181.16 | 11 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $64.47 – $5,460.11 | 38 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $48.55 – $149.13 | 13 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $189.60 – $1,930.53 | 31 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $505.09 – $1,930.53 | 31 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $305.41 – $2,446.87 | 31 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $110.03 – $12,588.75 | 38 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $101.26 – $6,161.09 | 38 |
| Rmvl pq iabp CPT 33968 | not published | not published | $8.95 – $54.40 | 19 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $62.86 – $264.55 | 19 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $152.69 – $1,487.08 | 38 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $105.99 – $499.73 | 19 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $25.74 – $357.32 | 32 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $50.00 – $1,132.89 | 38 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $26.33 – $202.35 | 38 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $167.41 – $1,994.37 | 38 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $128.86 – $2,632.02 | 38 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $201.06 – $1,567.95 | 31 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $557.13 – $1,567.95 | 31 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $216.98 – $1,567.95 | 31 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $48.91 – $357.85 | 19 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $448.96 – $10,824.23 | 31 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $340.94 – $25,090.42 | 31 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $765.59 – $765.59 | 11 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $7.27 – $37.24 | 13 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $42.10 | $70.17 | $0.04 – $0.17 | 21 |
| Rotavirus antibody CPT 86759 | not published | not published | $5.29 – $41.56 | 24 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $256.78 – $10,495.15 | 31 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $210.49 – $5,279.10 | 38 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $645.93 – $9,272.85 | 31 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $18.07 – $606.20 | 38 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $27.96 – $432.45 | 41 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $66.03 – $1,160.48 | 39 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $96.47 – $2,275.14 | 39 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $18.59 – $606.20 | 38 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $76.66 – $1,515.56 | 38 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $77.28 – $4,890.92 | 38 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $51.94 – $1,902.18 | 38 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $932.72 – $932.72 | 11 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $701.95 – $3,148.63 | 31 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $678.87 – $2,840.01 | 31 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $521.89 – $3,148.63 | 31 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $311.44 – $1,673.21 | 31 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $432.85 – $2,840.01 | 31 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,129.74 – $1,129.74 | 11 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $806.88 – $806.88 | 11 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $781.66 – $781.66 | 11 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $582.35 – $3,148.63 | 31 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $520.63 – $2,840.01 | 31 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $384.28 – $1,673.21 | 31 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $259.16 – $1,009.80 | 19 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $250.81 – $1,104.00 | 19 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $156.27 – $2,702.95 | 38 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $221.21 – $2,702.95 | 38 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $222.86 – $1,396.70 | 19 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $176.43 – $1,256.50 | 19 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $160.68 – $1,154.20 | 19 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $139.17 – $1,587.82 | 38 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $167.77 – $833.90 | 19 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $231.77 – $2,419.37 | 38 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $128.77 – $1,592.02 | 38 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $132.60 – $1,587.82 | 38 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $88.98 – $1,587.82 | 38 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $131.42 – $1,587.82 | 38 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $88.40 – $3,644.37 | 38 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $209.43 – $1,024.80 | 19 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $48.03 – $3,965.31 | 32 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $140.49 – $3,794.60 | 31 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $680.59 – $680.59 | 11 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $840.28 – $840.28 | 11 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $12.20 – $14.61 | 13 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $127.27 – $1,587.82 | 38 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $94.48 – $3,321.81 | 38 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $0.01 – $174.00 | 32 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $218.87 – $4,450.23 | 38 |
| Rsv assay w/optic CPT 87807 | $206.40 | $344.00 | $9.61 – $29.87 | 22 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $18.69 – $18.69 | 11 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $55.37 – $55.37 | 11 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $55.37 – $55.37 | 11 |
| Rubella antibody igg CPT 86762 | $140.40 | $234.00 | $5.29 – $32.81 | 24 |
| Rubeola antibody igg CPT 86765 | $143.40 | $239.00 | $3.97 – $29.37 | 24 |
| Russell viper venom diluted CPT 85613 | $165.60 | $276.00 | $2.65 – $21.84 | 24 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $699.20 – $699.20 | 11 |
| Salivary gland function exam CPT 78232 | not published | not published | $14.65 – $249.61 | 41 |
| Salivary gland imaging CPT 78230 | not published | not published | $13.89 – $249.61 | 41 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $17.42 – $249.61 | 41 |
| Salmonella antibody CPT 86768 | not published | not published | $5.29 – $30.07 | 24 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $197.25 – $1,106.24 | 19 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $22.91 – $135.60 | 19 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $6.00 – $96.06 | 15 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $14.13 – $103.12 | 21 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $19.78 – $70.54 | 21 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $103.65 – $2,521.33 | 38 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $21.00 – $126.25 | 19 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $10.70 – $64.64 | 19 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $14.29 – $85.46 | 19 |
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.