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 |
|---|---|---|---|---|
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $424.46 – $11,247.50 | 31 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $168.18 – $11,908.11 | 17 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $141.23 – $856.53 | 19 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $125.94 – $15,990.66 | 20 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $168.18 – $17,182.13 | 17 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $102.22 – $3,321.81 | 38 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $139.54 – $801.87 | 38 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $144.71 – $3,321.81 | 38 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $87.29 – $3,321.81 | 38 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $61.94 – $3,321.81 | 38 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $126.02 – $15,990.66 | 39 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $140.96 – $20,169.50 | 20 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $113.54 – $9,845.53 | 39 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $134.84 – $15,990.66 | 20 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $141.19 – $15,990.66 | 20 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $15.77 – $107.02 | 19 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $7.23 – $84.87 | 19 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $13.41 – $66.74 | 38 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $30.62 – $204.32 | 38 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $8.73 – $139.23 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $9.19 – $158.78 | 19 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $7.03 – $112.23 | 19 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $9.24 – $124.53 | 19 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $111.85 – $926.15 | 38 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $5.93 – $56.30 | 19 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $120.88 – $1,487.08 | 38 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $115.25 – $3,321.81 | 38 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $26.54 – $103.83 | 13 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $129.77 – $3,321.81 | 38 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $126.97 – $3,321.81 | 38 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $43.86 – $242.77 | 19 |
| PSA (Prostate) Test CPT 84153 | $227.40 | $379.00 | $6.61 – $41.93 | 40 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $0.33 – $66.96 | 20 |
| Psychoanalysis CPT 90845 | not published | not published | $15.64 – $77.39 | 19 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $4.35 – $29.00 | 19 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $49.13 – $85.78 | 19 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $65.16 – $128.83 | 19 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $97.58 – $194.22 | 19 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $18.94 – $530.21 | 20 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $14.44 – $82.52 | 13 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $6.21 – $66.96 | 20 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $4.25 – $66.96 | 20 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $3.36 – $20.83 | 13 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $6.21 – $37.08 | 13 |
| Psytx complex interactive CPT 90785 | not published | not published | $4.77 – $10.88 | 19 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $24.73 – $71.49 | 19 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $27.89 – $116.98 | 19 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $41.37 – $187.76 | 19 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $102.00 | $170.00 | $2.04 – $14.87 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $21.00 | $35.00 | $4.15 – $6.30 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $121.80 | $203.00 | $2.91 – $24.52 | 20 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $103.20 | $172.00 | $1.46 – $11.10 | 20 |
| Pt application of modality traction mechanical CPT 97012 | $131.40 | $219.00 | $1.85 – $15.77 | 20 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $52.56 – $684.00 | 39 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.42 – $1,368.00 | 39 |
| Pten gene known fam variant CPT 81322 | not published | not published | $21.14 – $106.25 | 39 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $171.94 – $2,702.95 | 38 |
| Pt evaluation high complexity patient/family CPT 97163 | $235.20 | $392.00 | $10.90 – $65.00 | 14 |
| Pt evaluation low complexity patient/family CPT 97161 | $151.80 | $253.00 | $10.90 – $65.00 | 14 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $193.20 | $322.00 | $10.90 – $65.00 | 14 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $4.37 – $33.10 | 19 |
| Pt re-evaluation patient/family CPT 97164 | $186.60 | $311.00 | $7.38 – $39.73 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $6.41 – $37.91 | 13 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $89.40 | $149.00 | $3.86 – $22.22 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $122.40 | $204.00 | $3.56 – $20.49 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | $87.60 | $146.00 | $4.18 – $22.35 | 19 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $136.19 – $1,035.70 | 19 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $67.24 – $447.90 | 19 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $406.54 – $2,963.94 | 19 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $235.82 – $1,351.20 | 19 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $17.09 – $332.83 | 39 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $3.96 – $32.60 | 19 |
| Pulse ox multiple CPT 94761 | $284.40 | $474.00 | $0.79 – $7.46 | 19 |
| Pulse ox single CPT 94760 | $167.40 | $279.00 | $0.50 – $4.09 | 19 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $16.27 – $351.21 | 38 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $193.80 | $323.00 | $3.91 – $283.42 | 20 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $15.03 – $89.05 | 38 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $11.62 – $1,291.25 | 38 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,725.00 | $2,875.00 | $16.41 – $1,416.85 | 39 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $13.93 – $73.42 | 19 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $21.55 – $351.21 | 38 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $22.09 – $351.21 | 38 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $207.07 – $845.10 | 19 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $43.24 | $72.06 | $11.26 – $39.69 | 20 |
| Pyruvate CPT 84210 | $142.80 | $238.00 | $5.14 – $33.01 | 40 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.66 – $21.52 | 40 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $29.36 – $545.26 | 39 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $25.39 – $341.48 | 39 |
| Quest t3 uptake CPT 84479 | $126.00 | $210.00 | $3.06 – $14.75 | 40 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $446.50 – $1,135.20 | 41 |
| Rabies ig ht&sol human im/sc CPT 90377 | $5,401.91 | $9,003.18 | $239.92 – $597.40 | 39 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,401.91 | $9,003.18 | $335.22 – $986.93 | 41 |
| Rabies vaccine id CPT 90676 | not published | not published | $195.94 – $325.71 | 32 |
| Radiation handling CPT 77790 | not published | not published | $2.24 – $84.53 | 20 |
| Radiation physics consult CPT 77336 | not published | not published | $10.66 – $306.85 | 41 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $10.12 – $81.12 | 41 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $10.55 – $155.05 | 41 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $6.17 – $155.05 | 41 |
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.