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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $333.60 | $556.00 | $4.83 – $250.00 | 23 |
| Lower jaw bone graft CPT 21215 | not published | not published | $178.70 – $3,692.26 | 38 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $2.21 – $700.25 | 19 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $141.40 – $4,445.47 | 38 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $163.58 – $4,445.47 | 38 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $161.62 – $4,445.47 | 38 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $178.04 – $4,445.47 | 38 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $3.97 – $50.14 | 40 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $18.75 – $1,298.32 | 22 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $309.95 – $13,239.40 | 38 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $3.99 – $12.50 | 19 |
| Lung Function Test (Spirometry) CPT 94010 | $462.00 | $770.00 | $5.93 – $20.10 | 19 |
| Lung perfusion imaging CPT 78580 | not published | not published | $24.71 – $415.22 | 41 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $355.87 – $1,901.30 | 13 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $6.43 – $51.33 | 13 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $131.92 – $851.20 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $37.21 – $609.90 | 41 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.06 – $83.36 | 40 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $18.52 – $111.79 | 40 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $19.84 – $432.08 | 40 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $30.81 – $390.80 | 22 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $34.08 – $722.38 | 41 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $29.44 – $1,806.01 | 41 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $37.36 – $439.41 | 22 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $31.07 – $279.43 | 38 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $27.26 – $1,553.00 | 38 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $43.15 – $910.38 | 38 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $2.59 – $17.44 | 22 |
| Macroscopic exam arthropod CPT 87168 | $64.80 | $108.00 | $2.11 – $9.74 | 39 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.02 – $9.83 | 39 |
| Magnesium CPT 83735 | $114.60 | $191.00 | $2.73 – $15.28 | 40 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $64.61 | $107.68 | $0.05 – $1.51 | 21 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $57.47 – $632.63 | 41 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 40 |
| Male sling procedure CPT 53440 | not published | not published | $161.59 – $9,871.23 | 38 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 19 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $64.42 – $801.87 | 38 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $80.33 – $801.87 | 38 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | not published | not published | $3.64 – $23.70 | 19 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | not published | not published | $4.20 – $29.50 | 19 |
| Manipulation of hip joint CPT 27275 | not published | not published | $35.40 – $801.87 | 38 |
| Manipulation of spine CPT 22505 | not published | not published | $25.01 – $801.87 | 38 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $14.54 – $80.84 | 38 |
| Manual diff wbc count b-coat CPT 85009 | $68.40 | $114.00 | $1.76 – $11.56 | 40 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $43.90 – $71.30 | 19 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $25.92 – $165.04 | 19 |
| Map tachycard site(s) CPT 93609 | not published | not published | $66.00 – $130.10 | 19 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 19 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 38 |
| Mast mod rad CPT 19307 | not published | not published | $186.23 – $2,482.82 | 38 |
| Mastoidectomy CPT 69501 | not published | not published | $111.76 – $2,702.95 | 38 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $148.20 – $2,702.95 | 38 |
| Mastoids complete CPT 70130 | $520.80 | $868.00 | $6.67 – $83.81 | 22 |
| Mastoid surgery revision CPT 69603 | not published | not published | $193.42 – $2,702.95 | 38 |
| Mastopexy CPT 19316 | not published | not published | $120.38 – $2,482.82 | 38 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 38 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 40 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 40 |
| Maxillofacial fixation CPT 21100 | not published | not published | $96.71 – $2,702.95 | 38 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $215.40 | $359.00 | $5.29 – $32.97 | 40 |
| Mayo aathr protein s free CPT 85306 | $470.40 | $784.00 | $6.61 – $34.93 | 40 |
| Mayo activated protein c resistance assay CPT 85307 | $726.00 | $1,210.00 | $6.61 – $34.93 | 40 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 39 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $276.60 | $461.00 | $6.61 – $33.70 | 40 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $224.40 | $374.00 | $5.29 – $30.64 | 40 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $180.60 | $301.00 | $7.44 – $34.38 | 40 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $612.00 | $1,020.00 | $60.06 – $277.32 | 39 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $532.80 | $888.00 | $43.83 – $208.98 | 39 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 37 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $540.00 – $2,644.80 | 39 |
| Mayo androstenedione CPT 82157 | $133.80 | $223.00 | $10.58 – $66.76 | 40 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $239.40 | $399.00 | $6.61 – $33.29 | 40 |
| Mayo antithrombin iii antigen CPT 85301 | $410.40 | $684.00 | $5.34 – $24.65 | 40 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $73.80 | $123.00 | $5.29 – $34.31 | 40 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $9.42 – $70.36 | 39 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $90.00 | $150.00 | $5.02 – $23.21 | 40 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $375.00 | $625.00 | $60.88 – $330.24 | 38 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 38 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $161.40 | $269.00 | $3.97 – $29.41 | 40 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $110.40 | $184.00 | $3.97 – $30.07 | 40 |
| Mayo brcmg brucella antibody igm CPT 86622 | $27.00 | $45.00 | $3.97 – $20.36 | 40 |
| Mayo c1 esterase inhibitor CPT 83883 | $187.80 | $313.00 | $2.65 – $31.01 | 40 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $132.00 | $220.00 | $1.70 – $38.46 | 40 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.09 – $61.06 | 39 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $192.00 | $320.00 | $60.36 – $278.66 | 32 |
| Mayo ceruloplasmin CPT 82390 | $166.80 | $278.00 | $5.08 – $24.49 | 40 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $36.00 | $60.00 | $5.29 – $32.19 | 40 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $135.60 | $226.00 | $5.29 – $29.37 | 40 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $3.97 – $26.95 | 40 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $3.97 – $28.91 | 40 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $59.26 – $265.60 | 40 |
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.