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Ascension St Vincent Jennings

301 Henry St, North Vernon, IN 47265 · (812) 352-4228

Critical Access HospitalsVoluntary non-profit - ChurchWebsite ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-01-01

5,205 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$212
cash
$2,928
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,247
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$1,401
cash
—
cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines

$107
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$43
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$59
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines

$265
cash
—
cash
$452
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines

$229
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$229
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$107
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines

$269
cash
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cash
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cash
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cash
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cash
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cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$256
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$239
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$2,489
cash
$1,949
cash
$1,891
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$1,850
cash
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cash
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cash
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cash
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cash
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cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$102
cash
$34
cash
$98
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$486
cash
—
cash
—
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines

$4,687
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$22
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$230
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$287
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$314
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$206
cash
—
cash
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cash
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cash
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cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines

$88
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$421
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$690
cash
—
cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$133
cash
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cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$480
cash

Source files

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