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 |
|---|---|---|---|---|
| Unlisted laps px spleen CPT 38129 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px testis CPT 54699 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted maaa CPT 81599 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted misc path test CPT 89240 | not published | not published | $0.01 – $111.75 | 12 |
| Unlisted mr procedure CPT 76498 | not published | not published | $0.01 – $823.76 | 39 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $0.01 – $153.80 | 17 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $0.01 – $40.35 | 17 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $0.01 – $664.72 | 39 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $0.01 – $14.53 | 17 |
| Unlisted orl service/px CPT 92700 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted procedure colon CPT 45399 | not published | not published | $237.30 – $237.30 | 11 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $0.01 – $120.48 | 17 |
| Unlisted procedure liver CPT 47399 | not published | not published | $0.01 – $51.26 | 17 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $0.01 – $121.68 | 18 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $0.01 – $47.44 | 17 |
| Unlisted procedure spine CPT 22899 | not published | not published | $0.01 – $1,500.52 | 17 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $208.97 – $1,176.73 | 13 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $0.01 – $491.44 | 18 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $0.01 – $192.25 | 17 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $0.01 – $128.18 | 17 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $0.01 – $31.44 | 17 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px external ear CPT 69399 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $0.01 – $106.81 | 17 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $0.01 – $206.21 | 17 |
| Unlisted px inner ear CPT 69949 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $0.01 – $166.89 | 17 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $0.01 – $709.67 | 17 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px middle ear CPT 69799 | not published | not published | $0.01 – $59.81 | 17 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $0.01 – $1,069.80 | 17 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $0.01 – $405.60 | 17 |
| Unlisted px small intestine CPT 44799 | not published | not published | $0.01 – $962.07 | 17 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $0.01 – $26.49 | 17 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $0.01 – $111.75 | 12 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $0.01 – $46.10 | 18 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | $0.01 – $28.58 | 17 |
| Unlisted surgical path px CPT 88399 | not published | not published | $0.01 – $173.12 | 19 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $0.01 – $121.68 | 19 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $0.01 – $48.33 | 13 |
| Unlisted urinalysis px CPT 81099 | $79.20 | $132.00 | $0.01 – $121.68 | 19 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $0.01 – $1,350.73 | 39 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $0.01 – $0.01 | 11 |
| Upgrade pm system CPT 33214 | not published | not published | $127.72 – $7,497.02 | 38 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,187.00 | $3,645.00 | $81.95 – $700.00 | 42 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,456.40 | $4,094.00 | $63.85 – $488.24 | 41 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,845.60 | $3,076.00 | $53.22 – $700.00 | 42 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $33.84 – $460.37 | 38 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $40.24 – $460.37 | 38 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $68.27 – $350.30 | 19 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $41.11 – $460.37 | 38 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $140.04 – $2,648.76 | 38 |
| Urea nitrogen CPT 84520 | $70.20 | $117.00 | $1.87 – $9.01 | 24 |
| Urea nitrogen 24 hour urine CPT 84540 | $78.60 | $131.00 | $2.25 – $12.68 | 24 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.26 – $16.42 | 24 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $1.32 – $11.70 | 24 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $51.63 – $1,166.44 | 19 |
| Ureteral reflux study CPT 78740 | not published | not published | $19.90 – $392.95 | 41 |
| Ureter endoscopy CPT 50970 | not published | not published | $85.05 – $1,592.02 | 38 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $83.36 – $2,419.37 | 38 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $107.32 – $2,419.37 | 38 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $82.07 – $1,592.02 | 38 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $81.16 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $72.44 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $106.50 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $81.54 – $2,419.37 | 38 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $244.13 – $1,482.50 | 19 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $244.79 – $1,480.20 | 19 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $9.30 – $136.74 | 22 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $166.51 – $905.20 | 19 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $11.11 – $250.00 | 23 |
| Uric acid blood CPT 84550 | $77.40 | $129.00 | $2.14 – $10.31 | 24 |
| Uric acid urine CPT 84560 | $79.20 | $132.00 | $2.25 – $11.58 | 24 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.88 – $10.72 | 24 |
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.