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 |
|---|---|---|---|---|
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $8.40 – $22.14 | 13 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $266.21 – $1,488.54 | 19 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $242.43 – $1,344.14 | 19 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $328.78 – $1,389.58 | 19 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $0.01 – $0.01 | 11 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $119.76 – $569.80 | 38 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $144.53 – $1,487.08 | 38 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $74.54 – $299.69 | 38 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $19.69 – $121.51 | 32 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $11.69 – $83.00 | 32 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $163.22 – $1,095.48 | 19 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $156.04 – $1,121.42 | 19 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $123.23 – $520.78 | 19 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $166.53 – $1,487.08 | 38 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $111.17 – $1,487.08 | 38 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $120.91 – $1,487.08 | 38 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $119.80 – $1,291.25 | 38 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $160.07 – $1,487.08 | 38 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $138.20 – $1,487.08 | 38 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $78.88 – $564.38 | 19 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $45.99 – $181.84 | 38 |
| Tympanic membrane repair CPT 69610 | not published | not published | $55.31 – $324.31 | 38 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $95.55 – $1,291.25 | 38 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $4.58 – $24.67 | 19 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $23.53 – $141.36 | 38 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $250.41 – $2,702.95 | 38 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $221.26 – $2,702.95 | 38 |
| Tyms gene com variants CPT 81346 | not published | not published | $69.92 – $398.57 | 22 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $10.83 – $240.01 | 21 |
| U2af1 gene common variants CPT 81357 | not published | not published | $77.30 – $440.61 | 15 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.41 – $9.17 | 24 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $52.78 – $533.52 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $381.60 | $636.00 | $22.40 – $439.65 | 21 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $1.94 – $35.89 | 41 |
| Ultrasound breast complete CPT 76641 | $1,176.00 | $1,960.00 | $22.92 – $400.00 | 21 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $592.80 | $988.00 | $18.96 – $400.00 | 21 |
| Ultrasound chest CPT 76604 | $386.40 | $644.00 | $16.60 – $400.00 | 23 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $13.18 – $48.33 | 22 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $19.96 – $79.49 | 22 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $12.63 – $31.46 | 13 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $22.62 – $438.79 | 40 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $21.48 – $400.00 | 23 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $14.43 – $149.90 | 20 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $26.97 – $400.00 | 42 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $517.20 | $862.00 | $19.26 – $400.00 | 42 |
| Ultrasound guidance for vascular access CPT 76937 | $239.40 | $399.00 | $6.99 – $400.00 | 21 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $434.40 | $724.00 | $23.87 – $400.00 | 21 |
| Ultrasound guide intraoperative CPT 76998 | $687.00 | $1,145.00 | $39.11 – $160.31 | 20 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $34.31 – $122.38 | 20 |
| Ultrasound hips infant dynamic CPT 76885 | $228.00 | $380.00 | $24.35 – $400.00 | 23 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $19.41 – $154.92 | 22 |
| Ultrasound joint complete left CPT 76881 | $477.60 | $796.00 | $22.58 – $175.77 | 41 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $286.80 | $478.00 | $6.89 – $400.00 | 23 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $416.83 – $416.83 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $462.60 | $771.00 | $19.87 – $96.74 | 22 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $298.20 | $497.00 | $15.54 – $51.48 | 22 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $43.65 – $400.00 | 42 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $476.40 | $794.00 | $20.67 – $149.18 | 22 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $506.40 | $844.00 | $17.92 – $400.00 | 23 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $369.60 | $616.00 | $19.78 – $400.00 | 23 |
| Ultrasound prostate/transrectal CPT 76872 | $670.20 | $1,117.00 | $24.39 – $118.29 | 41 |
| Ultrasound retroperitoneal limited CPT 76775 | $434.40 | $724.00 | $19.51 – $400.00 | 23 |
| Ultrasound scrotum and contents CPT 76870 | $554.40 | $924.00 | $22.01 – $400.00 | 23 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $23.91 – $166.43 | 22 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $36.85 – $243.28 | 22 |
| Ultrasound transvaginal non obstetric CPT 76830 | $421.20 | $702.00 | $22.28 – $400.00 | 42 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $68.14 – $786.79 | 39 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $41.58 – $166.26 | 13 |
| Ultraviolet therapy CPT 97028 | not published | not published | $0.78 – $9.81 | 20 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $18.53 – $91.90 | 19 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $82.12 – $601.09 | 32 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $61.63 – $578.88 | 19 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $0.01 – $11.10 | 17 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.01 – $533.29 | 18 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $0.01 – $1,270.80 | 17 |
| Unlisted CT procedure CPT 76497 | not published | not published | $0.01 – $202.80 | 20 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $0.01 – $111.75 | 19 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $0.01 – $111.75 | 19 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $0.01 – $161.77 | 20 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted hematology&coagj px CPT 85999 | $96.00 | $160.00 | $0.01 – $121.68 | 19 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px renal CPT 50549 | not published | not published | $0.01 – $0.01 | 11 |
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.