Ascension St Vincent Clay

1206 E National Ave, Brazil, IN 47834 · (812) 442-2500

Critical Access HospitalsVoluntary non-profit - PrivateTerre Haute, IN metro Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-01-01

4,510 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $118

$135

cash

$3 to $19

57 negotiated rates

$225

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,623

$2,623

cash

$222 to $2,942

111 negotiated rates

$4,372

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,156

$1,156

cash

$67 to $1,366

108 negotiated rates

$1,926

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,249

$1,249

cash

$111 to $1,401

109 negotiated rates

$2,081

list

Cataract surgery with lens implant

CPT 66984

—

cash

$459 to $1,257

44 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,263 to $2,637

16 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $134

$109

cash

$17 to $80

87 negotiated rates

$181

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$268 to $529

44 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$319 to $599

44 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$361 to $726

44 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $70

$24

cash

$4 to $18

87 negotiated rates

$40

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $145

$32

cash

$5 to $24

86 negotiated rates

$54

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $407

$324

cash

$103 to $327

127 negotiated rates

$540

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$11 to $32

25 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $151

$491

cash

$100 to $141

97 negotiated rates

$819

list

Family psychotherapy with the patient

CPT 90847

—

cash

$82 to $154

25 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$79 to $128

25 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$453 to $2,649

44 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $142

$109

cash

$17 to $80

84 negotiated rates

$181

list

Group psychotherapy

CPT 90853

—

cash

$20 to $43

25 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$358 to $1,588

44 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$376 to $1,487

44 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$233 to $493

44 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$345 to $14,592

46 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $136

$170

cash

$6 to $31

58 negotiated rates

$284

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $171

$176

cash

$3 to $19

58 negotiated rates

$294

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $2,040

$2,168

cash

$233 to $2,432

167 negotiated rates

$3,613

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,698

$1,698

cash

$148 to $3,809

167 negotiated rates

$2,830

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,607

$1,607

cash

$167 to $1,802

110 negotiated rates

$2,678

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,611

$1,611

cash

$167 to $1,807

112 negotiated rates

$2,685

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$103 to $463

44 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$74 to $106

25 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$115 to $162

25 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$143 to $201

25 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $121

$57

cash

$10 to $42

88 negotiated rates

$95

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $76

$19

cash

$3 to $14

85 negotiated rates

$31

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $97

$98

cash

$22 to $40

81 negotiated rates

$164

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $572

$572

cash

$67 to $642

111 negotiated rates

$954

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$92 to $131

25 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$106 to $161

25 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$114 to $910

44 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,225 to $3,306

25 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $50

$11

cash

$3 to $10

87 negotiated rates

$19

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$49 to $86

25 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$65 to $129

25 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$98 to $194

25 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$336 to $1,439

44 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $317

$256

cash

$85 to $270

84 negotiated rates

$426

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$123 to $1,224

25 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$420 to $3,560

26 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$85 to $463

35 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$98 to $1,471

45 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $121

$85

cash

$8 to $38

87 negotiated rates

$141

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$207 to $2,703

44 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $582

$373

cash

$67 to $441

110 negotiated rates

$622

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $796

$780

cash

$67 to $875

111 negotiated rates

$1,300

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$154 to $460

44 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$270 to $460

44 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $69

$85

cash

$2 to $7

58 negotiated rates

$141

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,313 to $2,499

16 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$7,940 to $19,901

32 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,198 to $2,382

16 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $515

$461

cash

$33 to $250

57 negotiated rates

$768

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/352112529_st-vincent-clay-hospital-inc_standardcharges.csv
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) · parsed · tall v3.0.0 · file dated 2026-01-01 · 364 MB · 4510 price rows read · read Nov 2026