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 |
|---|---|---|---|---|
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $579.79 – $2,361.40 | 19 |
| Revision of ulna CPT 25360 | not published | not published | $197.12 – $4,284.88 | 38 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $190.14 – $3,321.81 | 38 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $189.50 – $3,321.81 | 38 |
| Revision of upper arm CPT 24940 | not published | not published | $488.64 – $1,420.00 | 19 |
| Revision of ureter CPT 50700 | not published | not published | $208.39 – $1,271.00 | 19 |
| Revision of urethra CPT 53450 | not published | not published | $89.95 – $1,592.02 | 38 |
| Revision of urethra CPT 53460 | not published | not published | $101.36 – $1,592.02 | 38 |
| Revision of urethra CPT 57220 | not published | not published | $72.25 – $2,090.81 | 38 |
| Revision of urinary tract CPT 51820 | not published | not published | $243.92 – $1,317.90 | 19 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $152.61 – $2,842.25 | 38 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $203.08 – $2,702.95 | 38 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $189.73 – $3,321.81 | 38 |
| Revision tips CPT 37183 | not published | not published | $109.40 – $4,005.59 | 19 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $507.10 – $2,149.54 | 19 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $548.08 – $2,321.76 | 19 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $348.40 – $2,727.13 | 19 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $328.04 – $2,568.29 | 19 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $190.72 – $2,702.95 | 38 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $203.37 – $2,702.95 | 38 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $431.64 – $1,913.10 | 19 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $329.73 – $2,419.37 | 38 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $141.58 – $1,930.53 | 31 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $198.41 – $2,702.95 | 38 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $84.68 – $1,858.37 | 38 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $213.48 – $341.75 | 19 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $36.16 – $1,858.37 | 38 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $32.10 – $1,858.37 | 38 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $558.60 – $2,664.65 | 13 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $529.36 – $2,247.13 | 13 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $552.39 – $552.39 | 11 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,769.50 – $1,769.50 | 11 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $807.36 – $10,583.65 | 31 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $87.56 – $446.81 | 13 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $48.92 – $1,383.45 | 39 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $2.65 – $14.00 | 24 |
| Rheumatoid factor quantitative CPT 86431 | $91.20 | $152.00 | $2.68 – $12.93 | 24 |
| Rh ig IV CPT 90386 | not published | not published | $15.38 – $620.42 | 21 |
| Rh ig minidose im CPT 90385 | not published | not published | $12.82 – $69.48 | 21 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $236.14 – $2,702.95 | 38 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $511.80 | $853.00 | $4.83 – $29.61 | 22 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $2,340.43 | $3,900.71 | $32.96 – $87.29 | 34 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $76.92 – $229.97 | 22 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $288.63 – $338.40 | 11 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $184.24 – $338.40 | 11 |
| Rhythm ecg with report CPT 93040 | not published | not published | $3.92 – $18.80 | 19 |
| Rib cartilage graft CPT 21230 | not published | not published | $195.88 – $2,702.95 | 38 |
| Right heart cath congenital CPT 93530 | not published | not published | $159.24 – $338.40 | 19 |
| Right ventric recording CPT 93603 | not published | not published | $40.85 – $80.90 | 19 |
| R & l heart cath congenital CPT 93531 | not published | not published | $313.72 – $655.67 | 19 |
| R & l heart cath congenital CPT 93532 | not published | not published | $376.11 – $770.60 | 19 |
| R & l heart cath congenital CPT 93533 | not published | not published | $251.98 – $613.26 | 19 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $420.26 – $464.00 | 11 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $316.55 – $770.60 | 11 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $281.00 – $1,271.50 | 19 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $17.32 – $99.81 | 38 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $182.31 – $2,648.76 | 32 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $85.29 – $801.87 | 38 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $91.15 – $1,132.89 | 38 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $49.61 – $599.32 | 38 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $34.20 – $147.00 | 38 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $680.36 – $2,949.63 | 30 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $37.09 – $112.12 | 13 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $227.31 – $1,177.20 | 19 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $114.54 – $18,713.62 | 38 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $118.92 – $24,482.97 | 38 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $110.16 – $18,730.46 | 38 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $60.77 – $1,994.37 | 38 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $31.03 – $93.75 | 13 |
| 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 rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $323.36 – $2,206.15 | 13 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $646.96 – $4,412.30 | 13 |
| 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 tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $513.84 – $2,433.56 | 13 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $515.49 – $2,189.10 | 13 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $230.66 – $1,202.00 | 19 |
| 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 |
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.