Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)
412 N Monroe St, Williamsport, IN · Ascension · · NPI 1518913565
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 |
|---|---|---|---|---|
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $312.60 | $521.00 | $22.80 – $39.04 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $89.72 – $152.85 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $73.45 – $125.73 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $120.60 | $201.00 | $10.08 – $16.13 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $55.74 – $95.33 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $15.22 – $244.15 | 20 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $9.70 – $244.15 | 20 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $13.47 – $128.64 | 20 |
| Ghs myocardial strain img spckl track CPT 93356 | $573.00 | $955.00 | $2.52 – $11.53 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $18.37 – $158.22 | 38 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $18.74 – $462.90 | 38 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $13.71 – $351.21 | 38 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $15.82 – $462.90 | 38 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $15.80 – $462.90 | 38 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $18.87 – $462.90 | 38 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $14.24 – $462.90 | 38 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $15.91 – $462.90 | 38 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $16.83 – $107.78 | 38 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $15.16 – $98.64 | 38 |
| Ghs ng placement w fluoro guidance CPT 43752 | $426.60 | $711.00 | $9.86 – $481.98 | 39 |
| Ghs o2 saturation CPT 82810 | $28.80 | $48.00 | $4.31 – $22.28 | 40 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $9.10 – $25.50 | 19 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $2.71 – $25.50 | 19 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $0.01 – $0.01 | 11 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $8.76 – $319.05 | 38 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $48.52 – $606.20 | 38 |
| Ghs optokenetic CPT 92544 | not published | not published | $2.73 – $9.25 | 19 |
| Ghs oscillating trac CPT 92545 | not published | not published | $2.33 – $8.60 | 19 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $4.03 – $67.90 | 20 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $6.15 – $99.49 | 20 |
| Ghs ot dds rom CPT 95851 | not published | not published | $1.33 – $12.26 | 19 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $10.11 – $10.11 | 11 |
| Ghs ot prosthetic training/15 min CPT 97761 | $93.00 | $155.00 | $4.46 – $24.36 | 20 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $3.96 – $21.36 | 19 |
| Ghs ot work hardening-additional hours CPT 97546 | $235.20 | $392.00 | $16.00 – $66.62 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $1,368.60 | $2,281.00 | $2.37 – $18.30 | 19 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $13.84 – $75.31 | 19 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $10.36 – $64.49 | 19 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $104.40 | $174.00 | $3.24 – $49.80 | 23 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $30.87 – $134.03 | 38 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $2.60 – $12.54 | 40 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $24.39 – $760.80 | 38 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $58.76 – $274.26 | 38 |
| Ghs plt ct-manual CPT 85032 | $82.80 | $138.00 | $2.05 – $9.83 | 40 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $93.39 – $2,337.78 | 20 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.16 – $151.87 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.00 | $80.00 | $0.99 – $23.37 | 24 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $88.80 | $148.00 | $3.97 – $22.02 | 40 |
| Ghs protein, misc fluid CPT 84160 | $18.60 | $31.00 | $2.56 – $12.79 | 40 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $7.08 – $32.72 | 40 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $4.84 – $4.84 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $5.29 – $27.93 | 40 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $409.20 | $682.00 | $32.00 – $167.15 | 13 |
| Ghs quinidine CPT 80194 | $135.60 | $226.00 | $6.61 – $33.29 | 40 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $11.79 – $1,160.52 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $27.14 – $159.53 | 19 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $29.76 – $134.53 | 19 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $107.75 – $931.64 | 38 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $95.20 – $1,487.08 | 38 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $171.60 | $286.00 | $3.97 – $36.23 | 40 |
| Ghs reticulocyte count CPT 85044 | $83.40 | $139.00 | $2.03 – $9.83 | 40 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.67 – $31.71 | 40 |
| Ghs sedimentation rate CPT 85651 | $99.60 | $166.00 | $1.32 – $9.74 | 40 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $4.30 – $28.07 | 33 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $22.44 | 33 |
| Ghs sensitivity (per antimicro) CPT 87184 | $120.60 | $201.00 | $2.65 – $17.05 | 40 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $15.05 – $202.51 | 38 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $20.34 – $293.19 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $18.45 – $230.81 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $24.29 – $449.30 | 38 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $11.85 – $191.28 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $11.55 – $146.46 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $14.89 – $240.17 | 38 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $23.21 – $316.49 | 38 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $27.55 – $549.20 | 38 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $29.48 – $556.10 | 19 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $19.81 – $68.32 | 20 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $32.67 – $257.98 | 19 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $5.59 – $93.30 | 19 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $17.50 – $88.20 | 38 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.57 – $11.21 | 19 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $15.03 – $77.94 | 19 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $1.87 – $19.24 | 19 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $3.75 – $39.73 | 19 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $9.38 – $51.25 | 19 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $2.49 – $18.74 | 19 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $30.66 – $175.78 | 19 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $30.33 – $318.97 | 38 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $22.06 – $202.51 | 38 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $54.32 – $652.86 | 38 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $2.65 – $16.64 | 40 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $52.83 – $276.28 | 38 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $46.24 – $308.51 | 38 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $10.26 – $55.40 | 40 |
| Ghs urine, porphyrins quant CPT 84120 | $46.20 | $77.00 | $6.61 – $33.54 | 40 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $130.63 – $987.53 | 19 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $777.76 – $1,000.00 | 13 |
| Ghs windowing of cast CPT 29730 | not published | not published | $8.91 – $62.51 | 38 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $5.29 – $33.56 | 40 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $19.87 – $118.78 | 22 |
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.