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 |
|---|---|---|---|---|
| Revise vag graft open abd CPT 57296 | not published | not published | $215.26 – $1,132.25 | 19 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $111.84 – $1,553.00 | 38 |
| Revise windpipe scar CPT 31830 | not published | not published | $78.64 – $1,291.25 | 38 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $171.43 – $1,487.08 | 38 |
| Revise wrist joint CPT 25332 | not published | not published | $214.48 – $1,914.49 | 38 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $382.53 – $1,651.30 | 19 |
| Revision of amputation CPT 24935 | not published | not published | $272.62 – $1,415.00 | 19 |
| Revision of ankle joint CPT 27700 | not published | not published | $160.33 – $5,078.09 | 38 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $232.89 – $2,498.07 | 38 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $153.29 – $924.40 | 38 |
| Revision of big toe CPT 28310 | not published | not published | $95.27 – $4,214.55 | 38 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $308.66 – $1,969.30 | 19 |
| Revision of bladder neck CPT 52500 | not published | not published | $121.77 – $1,592.02 | 38 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $232.35 – $1,378.90 | 19 |
| Revision of calf tendon CPT 27687 | not published | not published | $119.85 – $1,487.08 | 38 |
| Revision of cervix CPT 57720 | not published | not published | $69.65 – $1,553.00 | 38 |
| Revision of cervix CPT 59320 | not published | not published | $28.29 – $1,553.00 | 38 |
| Revision of circulation CPT 37140 | not published | not published | $349.40 – $1,775.60 | 19 |
| Revision of circulation CPT 37145 | not published | not published | $378.25 – $1,855.80 | 19 |
| Revision of circulation CPT 37160 | not published | not published | $326.47 – $1,792.00 | 19 |
| Revision of circulation CPT 37180 | not published | not published | $370.84 – $1,885.80 | 19 |
| Revision of collar bone CPT 23480 | not published | not published | $210.19 – $3,321.81 | 38 |
| Revision of collar bone CPT 23485 | not published | not published | $247.16 – $8,395.76 | 38 |
| Revision of colostomy CPT 44340 | not published | not published | $132.25 – $1,822.02 | 38 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $233.10 – $870.00 | 19 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $261.50 – $983.50 | 19 |
| Revision of cornea CPT 65600 | not published | not published | $75.62 – $342.50 | 38 |
| Revision of cranial nerve CPT 64716 | not published | not published | $106.54 – $1,107.01 | 38 |
| Revision of eyelid CPT 67880 | not published | not published | $83.06 – $958.01 | 38 |
| Revision of eyelid CPT 67882 | not published | not published | $106.92 – $958.01 | 38 |
| Revision of eyelid CPT 67950 | not published | not published | $109.66 – $958.01 | 38 |
| Revision of eyelid CPT 67961 | not published | not published | $106.74 – $958.01 | 38 |
| Revision of eyelid CPT 67966 | not published | not published | $148.00 – $958.01 | 38 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $187.11 – $720.40 | 19 |
| Revision of foot CPT 28116 | not published | not published | $150.10 – $1,487.08 | 38 |
| Revision of foot and ankle CPT 28262 | not published | not published | $294.32 – $3,321.81 | 38 |
| Revision of foot bones CPT 28737 | not published | not published | $184.49 – $9,534.60 | 38 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $106.00 – $1,487.08 | 38 |
| Revision of foot tendon CPT 28238 | not published | not published | $133.44 – $3,321.81 | 38 |
| Revision of foot tendon CPT 28261 | not published | not published | $209.94 – $1,009.91 | 38 |
| Revision of heart chamber CPT 33476 | not published | not published | $378.84 – $2,419.10 | 19 |
| Revision of heart chamber CPT 33735 | not published | not published | $321.67 – $2,170.50 | 19 |
| Revision of heart chamber CPT 33736 | not published | not published | $370.12 – $2,439.30 | 19 |
| Revision of heart chamber CPT 33737 | not published | not published | $335.76 – $2,107.20 | 19 |
| Revision of heart chamber CPT 92992 | not published | not published | $2,520.00 – $2,520.00 | 11 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $405.78 – $2,506.80 | 19 |
| Revision of hip bone CPT 27147 | not published | not published | $374.18 – $1,859.10 | 19 |
| Revision of hip bones CPT 27156 | not published | not published | $443.56 – $2,149.90 | 19 |
| Revision of hip tendon CPT 27097 | not published | not published | $167.99 – $1,487.08 | 38 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $257.46 – $1,564.60 | 19 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $225.27 – $950.70 | 19 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $131.18 – $1,822.02 | 38 |
| Revision of infusion pump CPT 36261 | not published | not published | $90.70 – $2,761.22 | 38 |
| Revision of iris CPT 66761 | not published | not published | $92.67 – $417.90 | 38 |
| Revision of iris CPT 66762 | not published | not published | $96.02 – $407.82 | 38 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $42.91 – $652.86 | 38 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $100.38 – $1,291.25 | 38 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $258.52 – $1,535.50 | 19 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $311.30 – $1,921.00 | 19 |
| Revision of knee joint CPT 27440 | not published | not published | $189.45 – $8,270.59 | 38 |
| Revision of knee joint CPT 27441 | not published | not published | $199.90 – $6,364.19 | 38 |
| Revision of knee joint CPT 27442 | not published | not published | $222.16 – $8,517.21 | 38 |
| Revision of knee joint CPT 27443 | not published | not published | $208.48 – $8,528.94 | 38 |
| Revision of knee joint CPT 27446 | not published | not published | $288.11 – $8,719.62 | 38 |
| Revision of knee joint CPT 27445 | not published | not published | $324.08 – $1,725.00 | 19 |
| Revision of larynx CPT 31400 | not published | not published | $228.72 – $2,702.95 | 38 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $66.19 – $1,515.56 | 38 |
| Revision of lung CPT 32940 | not published | not published | $297.10 – $1,657.00 | 19 |
| Revision of mitral valve CPT 33420 | not published | not published | $351.43 – $1,914.00 | 19 |
| Revision of mitral valve CPT 33422 | not published | not published | $434.64 – $2,591.70 | 19 |
| Revision of neck muscle CPT 21700 | not published | not published | $108.62 – $3,321.81 | 38 |
| Revision of neck muscle CPT 21720 | not published | not published | $97.51 – $1,487.08 | 38 |
| Revision of neck muscle CPT 21725 | not published | not published | $133.56 – $441.81 | 38 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $159.72 – $795.40 | 19 |
| Revision of nose CPT 30120 | not published | not published | $102.19 – $1,291.25 | 38 |
| Revision of nose CPT 30430 | not published | not published | $209.38 – $2,702.95 | 38 |
| Revision of nose CPT 30435 | not published | not published | $278.57 – $2,702.95 | 38 |
| Revision of nose CPT 30450 | not published | not published | $365.81 – $2,702.95 | 38 |
| Revision of nose CPT 30460 | not published | not published | $179.57 – $2,702.95 | 38 |
| Revision of nose CPT 30462 | not published | not published | $359.75 – $2,702.95 | 38 |
| Revision of pelvis CPT 27158 | not published | not published | $347.25 – $1,692.60 | 19 |
| Revision of penis CPT 54300 | not published | not published | $145.43 – $1,592.02 | 38 |
| Revision of penis CPT 54304 | not published | not published | $170.71 – $1,592.02 | 38 |
| Revision of penis CPT 54420 | not published | not published | $158.30 – $1,592.02 | 38 |
| Revision of penis CPT 54430 | not published | not published | $143.06 – $781.22 | 19 |
| Revision of penis CPT 54435 | not published | not published | $92.56 – $1,592.02 | 38 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $408.14 – $2,702.95 | 38 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $525.51 – $1,944.90 | 19 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $390.28 – $2,438.30 | 19 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $516.20 – $2,316.40 | 19 |
| Revision of radius CPT 25350 | not published | not published | $202.16 – $4,747.80 | 38 |
| Revision of radius CPT 25355 | not published | not published | $224.05 – $1,487.08 | 38 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $109.63 – $878.95 | 38 |
| Revision of scrotum CPT 55175 | not published | not published | $79.36 – $1,592.02 | 38 |
| Revision of scrotum CPT 55180 | not published | not published | $152.43 – $2,419.37 | 38 |
| Revision of spinal shunt CPT 63744 | not published | not published | $130.22 – $4,111.67 | 38 |
| Revision of testis CPT 54660 | not published | not published | $78.82 – $3,411.18 | 38 |
| Revision of thigh muscles CPT 27430 | not published | not published | $188.06 – $3,321.81 | 38 |
| Revision of toe CPT 28312 | not published | not published | $85.18 – $1,487.08 | 38 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $484.81 – $3,147.00 | 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.