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 |
|---|---|---|---|---|
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $110.13 – $445.66 | 19 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $8.98 – $132.65 | 22 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $52.38 – $215.50 | 19 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $101.82 – $3,153.72 | 32 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $127.81 – $5,975.24 | 32 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $149.15 – $11,044.85 | 32 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $280.92 – $1,583.80 | 19 |
| Thrombin time CPT 85670 | $116.40 | $194.00 | $2.26 – $13.16 | 24 |
| Thrombin time titer CPT 85675 | not published | not published | $2.65 – $15.62 | 24 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $221.74 – $1,072.10 | 19 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $239.12 – $1,098.90 | 19 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $344.47 – $1,657.40 | 19 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $294.03 – $2,282.83 | 19 |
| Thrombomodulin CPT 85337 | not published | not published | $3.97 – $39.38 | 24 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $2.65 – $21.96 | 24 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $145.80 | $243.00 | $3.19 – $14.75 | 24 |
| Thromboxane urine CPT 84431 | not published | not published | $4.46 – $80.05 | 22 |
| Thumb fusion with graft CPT 26820 | not published | not published | $203.59 – $3,321.81 | 38 |
| Thumb fusion with graft CPT 26842 | not published | not published | $204.98 – $3,321.81 | 38 |
| Thumb tendon transfer CPT 26510 | not published | not published | $154.72 – $1,487.08 | 38 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $370.18 – $1,940.30 | 19 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $268.96 – $1,497.50 | 19 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $307.00 – $1,695.40 | 19 |
| Thyroglobulin antibody CPT 86800 | $195.60 | $326.00 | $5.29 – $36.27 | 24 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $353.52 – $1,565.10 | 19 |
| Thyroid imaging CPT 78013 | $900.00 | $1,500.00 | $12.93 – $359.19 | 39 |
| Thyroid met imaging CPT 78015 | not published | not published | $22.70 – $377.87 | 41 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $25.21 – $502.86 | 41 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $29.54 – $556.02 | 41 |
| Thyroid met uptake CPT 78020 | not published | not published | $11.16 – $112.55 | 20 |
| Thyroid (TSH) Test CPT 84443 | $236.40 | $394.00 | $5.29 – $38.30 | 24 |
| Thyroid Ultrasound CPT 76536 | $505.20 | $842.00 | $20.12 – $400.00 | 23 |
| Thyroid uptake measurement CPT 78012 | $583.80 | $973.00 | $6.56 – $249.61 | 39 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $15.87 – $114.93 | 24 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $3.97 – $33.70 | 24 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $200.91 – $4,744.74 | 38 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $257.25 – $10,279.25 | 38 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $239.36 – $11,721.59 | 32 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $124.27 – $634.13 | 13 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $104.83 – $534.60 | 13 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $286.62 – $651.22 | 12 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $320.34 – $651.22 | 12 |
| Tilt table study CPT 93660 | not published | not published | $20.00 – $48.50 | 19 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $321.92 – $989.48 | 13 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $127.05 – $393.11 | 13 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $28.23 – $182.26 | 19 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $30.78 – $198.66 | 19 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $20.41 – $130.79 | 19 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $25.52 – $163.38 | 19 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $3.30 – $31.51 | 22 |
| Tissue culture placenta CPT 88235 | $230.40 | $384.00 | $71.46 – $342.68 | 24 |
| Tissue culture skin/biopsy CPT 88233 | $991.20 | $1,652.00 | $62.73 – $320.86 | 24 |
| Tissue culture tumor CPT 88239 | not published | not published | $77.77 – $336.35 | 24 |
| Tissue exam koh skin/hair/nails CPT 87220 | $43.20 | $72.00 | $2.65 – $9.74 | 24 |
| Tissue transglutaminase iga CPT 86364 | $26.40 | $44.00 | $11.53 – $28.83 | 19 |
| Tl-201 thallium diag per mci HCPCS A9505 | $24.60 | $41.00 | $25.39 – $25.39 | 11 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $208.29 – $4,445.47 | 38 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $258.98 – $4,445.47 | 38 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $228.37 – $4,445.47 | 38 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $292.47 – $4,445.47 | 38 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $610.93 – $2,991.30 | 19 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $644.75 – $3,225.80 | 19 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $119.31 – $1,487.08 | 38 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $39.35 | $65.58 | $1.06 – $11.04 | 20 |
| Tobramycin peak therapeutic drug level CPT 80200 | $232.20 | $387.00 | $7.87 – $36.78 | 24 |
| Toe joint transfer CPT 26556 | not published | not published | $770.24 – $4,269.30 | 19 |
| Tomosynthesis breast screen bilateral CPT 77063 | $53.40 | $89.00 | $17.22 – $53.74 | 20 |
| Tone decay hearing test CPT 92563 | not published | not published | $3.62 – $20.34 | 19 |
| Tongue and neck surgery CPT 41135 | not published | not published | $488.91 – $1,992.30 | 19 |
| Tongue base vol reduction CPT 41530 | not published | not published | $97.61 – $2,238.28 | 38 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $25.45 – $130.70 | 38 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $663.40 – $2,609.50 | 19 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $498.51 – $2,022.30 | 19 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $538.74 – $2,228.70 | 19 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $628.81 – $2,564.50 | 19 |
| Tongue suspension CPT 41512 | not published | not published | $149.10 – $3,404.27 | 38 |
| Tongue to lip surgery CPT 41510 | not published | not published | $97.43 – $1,291.25 | 38 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $58.69 – $1,291.25 | 38 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $60.66 – $2,702.95 | 38 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $300.19 – $1,670.14 | 19 |
| Total hip arthroplasty CPT 27132 | not published | not published | $433.21 – $2,268.60 | 19 |
| Total Hip Replacement CPT 27130 | not published | not published | $369.98 – $9,045.08 | 38 |
| Total hysterectomy CPT 58150 | not published | not published | $226.26 – $1,202.18 | 19 |
| Total Knee Replacement CPT 27447 | not published | not published | $397.12 – $8,859.71 | 38 |
| Total lung lavage CPT 32997 | not published | not published | $88.03 – $415.50 | 19 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $364.48 – $2,324.44 | 13 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $454.36 – $12,912.49 | 32 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $446.11 – $1,866.72 | 13 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $541.16 – $541.16 | 11 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $152.76 – $541.16 | 13 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $597.57 – $2,477.70 | 19 |
| Tot estradiol response panel CPT 80415 | not published | not published | $17.19 – $127.43 | 24 |
| Toxoplasma antibody igg CPT 86777 | $165.00 | $275.00 | $5.29 – $32.81 | 24 |
| Toxoplasma antibody igm CPT 86778 | $36.00 | $60.00 | $5.29 – $32.85 | 24 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $256.74 – $1,463.42 | 15 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $123.20 – $702.24 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $131.80 – $751.28 | 15 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $69.92 – $398.57 | 22 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $0.01 – $129.77 | 31 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $596.60 – $10,844.31 | 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.