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 |
|---|---|---|---|---|
| Shoulder MRI (with and without contrast) CPT 73223 | $5,559.60 | $9,266.00 | $73.57 – $759.80 | 42 |
| Shoulder MRI (with contrast) CPT 73222 | $4,633.20 | $7,722.00 | $58.24 – $700.00 | 42 |
| Shoulder MRI (without contrast) CPT 73221 | $3,708.00 | $6,180.00 | $37.14 – $700.00 | 42 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $210.47 – $1,132.89 | 38 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $250.54 – $1,142.69 | 19 |
| Shoulder X-ray CPT 73030 | $526.80 | $878.00 | $3.87 – $250.00 | 23 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $320.62 – $1,951.50 | 19 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $323.28 – $2,020.00 | 19 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $328.88 – $2,025.60 | 19 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $9.70 – $160.69 | 22 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $310.05 – $2,001.20 | 19 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $327.27 – $2,258.70 | 19 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $349.44 – $2,316.40 | 19 |
| Sialidase enzyme assay CPT 87905 | $62.40 | $104.00 | $9.05 – $27.86 | 39 |
| Sialography s&i CPT 70390 | not published | not published | $12.26 – $178.54 | 22 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $37.82 – $164.22 | 38 |
| Sickling rbc CPT 85660 | $90.00 | $150.00 | $2.65 – $12.56 | 40 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $17.35 – $464.17 | 38 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $33.25 – $464.17 | 38 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $38.46 – $599.32 | 38 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $21.32 – $464.17 | 38 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $43.94 – $599.32 | 32 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $25.70 – $599.32 | 38 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $40.38 – $3,932.27 | 38 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $58.01 – $1,320.79 | 38 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $33.07 – $599.32 | 38 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $36.62 – $464.17 | 38 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $55.96 – $599.32 | 38 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $25.54 – $464.17 | 38 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $6.15 – $56.80 | 19 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $26.72 – $599.32 | 38 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $20.60 – $125.52 | 39 |
| Single transfer toe-hand CPT 26553 | not published | not published | $637.87 – $4,122.50 | 19 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,967.40 | $3,279.00 | $42.17 – $650.00 | 42 |
| Sinus CT scan (with contrast) CPT 70487 | $1,700.40 | $2,834.00 | $34.69 – $650.00 | 42 |
| Sinus CT scan (without contrast) CPT 70486 | $1,241.40 | $2,069.00 | $28.77 – $650.00 | 42 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $27.28 – $557.99 | 22 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $77.47 – $1,291.25 | 38 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $128.59 – $2,702.95 | 38 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $109.80 – $2,702.95 | 38 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $5.33 – $51.87 | 15 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $4.75 – $26.88 | 13 |
| Skin and muscle repair face CPT 15845 | not published | not published | $158.91 – $1,822.02 | 38 |
| Skin Biopsy CPT 11102 | not published | not published | $6.28 – $74.63 | 32 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $105.25 – $926.15 | 38 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $17.63 – $126.89 | 19 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $116.84 – $1,822.02 | 38 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $115.15 – $926.15 | 38 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $17.42 – $126.53 | 19 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $0.39 – $20.94 | 22 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $479.82 – $3,188.70 | 19 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $743.37 – $4,247.70 | 19 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $69.92 – $398.57 | 39 |
| Sleep study attended CPT 95807 | not published | not published | $44.49 – $388.01 | 19 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $87.42 – $2,647.09 | 20 |
| Sleep study unattended CPT 95806 | not published | not published | $27.94 – $113.77 | 19 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $695.58 – $2,249.33 | 19 |
| Slitting of prepuce CPT 54000 | not published | not published | $23.15 – $1,592.02 | 38 |
| Slitting of prepuce CPT 54001 | not published | not published | $30.37 – $910.38 | 38 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $28.13 – $54.56 | 13 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $108.58 – $999.40 | 13 |
| Slp pure tone screening CPT 92551 | not published | not published | $7.85 – $13.52 | 19 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $15.14 – $114.30 | 13 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $18.10 – $120.38 | 13 |
| Small animal inoculation CPT 87003 | not published | not published | $7.93 – $38.40 | 40 |
| Small bowel endoscopy CPT 44360 | not published | not published | $36.78 – $814.39 | 38 |
| Small bowel endoscopy CPT 44364 | not published | not published | $51.64 – $814.39 | 38 |
| Small bowel endoscopy CPT 44366 | not published | not published | $61.02 – $814.39 | 38 |
| Small bowel endoscopy CPT 44369 | not published | not published | $62.13 – $814.39 | 38 |
| Small bowel endoscopy CPT 44376 | not published | not published | $71.38 – $814.39 | 38 |
| Small bowel endoscopy CPT 44378 | not published | not published | $97.25 – $814.39 | 38 |
| Small bowel endoscopy CPT 44382 | not published | not published | $19.09 – $460.37 | 38 |
| Small bowel endoscopy CPT 44384 | not published | not published | $41.41 – $1,067.88 | 38 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $48.38 – $814.39 | 38 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $45.95 – $814.39 | 38 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $40.52 – $814.39 | 38 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $75.50 – $814.39 | 38 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $15.98 – $460.37 | 38 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $25.48 – $814.39 | 38 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $67.01 – $4,243.96 | 38 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $607.50 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $112.80 | $188.00 | $2.54 – $12.29 | 40 |
| Smear gram stain CPT 87205 | $84.60 | $141.00 | $2.02 – $9.74 | 40 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $1.58 – $13.20 | 40 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $119.40 | $199.00 | $0.70 – $13.66 | 40 |
| Smear wet mount CPT 87210 | $88.80 | $148.00 | $1.32 – $13.27 | 40 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $120.54 – $687.08 | 32 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $74.08 – $422.26 | 32 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $18.80 – $107.16 | 39 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $20.43 – $116.44 | 32 |
| Sodium 24 hour urine CPT 84300 | $78.00 | $130.00 | $2.30 – $11.54 | 40 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $49.07 | $81.79 | $1.99 – $6.55 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $79.09 | $131.82 | $0.99 – $3.29 | 21 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $79.66 | $132.76 | $0.49 – $1.63 | 17 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $79.30 | $132.16 | $0.01 – $0.34 | 21 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $104.98 | $174.97 | $1.72 – $4.99 | 22 |
| Sodium serum/plasma/whole blood CPT 84295 | $64.20 | $107.00 | $2.28 – $10.97 | 40 |
| Somatosensory testing CPT 95927 | not published | not published | $19.76 – $68.32 | 20 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $32.87 – $249.50 | 19 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $36.02 – $273.40 | 19 |
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.