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 |
|---|---|---|---|---|
| X-ray thoracolumbar spine >=2 views CPT 72080 | $327.60 | $546.00 | $4.55 – $250.00 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $235.20 | $392.00 | $5.27 – $250.00 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $391.20 | $652.00 | $8.38 – $250.00 | 21 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $554.40 | $924.00 | $3.55 – $250.00 | 23 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $350.40 | $584.00 | $3.28 – $250.00 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $14.76 – $194.44 | 41 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $13.09 – $164.26 | 41 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $24.47 – $250.00 | 20 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $32.45 – $110.23 | 19 |
| X-ray wrist 2 views (both sides) CPT 73100 | $396.00 | $660.00 | $3.54 – $250.00 | 23 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $9.25 – $124.76 | 22 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $93.07 – $170.06 | 13 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $38.23 – $87.72 | 19 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $4.51 – $29.43 | 24 |
| Yersinia antibody CPT 86793 | not published | not published | $5.29 – $30.07 | 24 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $25.34 – $116.99 | 22 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.32 – $38.42 | 22 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $130.33 | $217.21 | $9.76 – $75.63 | 21 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $69.19 | $115.32 | $7.21 – $63.20 | 22 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.02 – $510.41 | 22 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $77.30 – $440.61 | 15 |
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.