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Ascension St Vincent Kokomo

1907 W Sycamore St, Kokomo, IN 46904 · (765) 452-5611

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Kokomo, IN metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

150,984 price rows for 68 procedures

Published prices

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

CPT 80048 · lowest of 48 lines · metro median $205

$205
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 48 lines · metro median $542

$542
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 48 lines · metro median $542

$542
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 48 lines · metro median $542

$542
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 96 lines · metro median $167

$167
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 96 lines · metro median $29

$29
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 96 lines · metro median $38

$38
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 96 lines · metro median $378

$378
cash
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cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 360 lines · metro median $79

$79
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 144 lines · metro median $309

$309
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 144 lines · metro median $309

$309
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 96 lines · metro median $167

$167
cash
Group psychotherapy

CPT 90853 · lowest of 288 lines · metro median $76

$76
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Left heart catheterization

CPT 93452 · lowest of 48 lines · metro median $11,064

$11,064
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 48 lines · metro median $290

$290
cash
Liver function panel

CPT 80076 · lowest of 48 lines · metro median $265

$265
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 96 lines · metro median $583

$583
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 96 lines · metro median $583

$583
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 48 lines · metro median $583

$583
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 48 lines · metro median $583

$583
cash
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New patient office visit (about 30 minutes)

CPT 99203 · lowest of 96 lines · metro median $404

$404
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 96 lines · metro median $485

$485
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 96 lines · metro median $748

$748
cash
PSA test (prostate)

CPT 84153 · lowest of 96 lines · metro median $102

$102
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 96 lines · metro median $92

$92
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 96 lines · metro median $71

$71
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 48 lines · metro median $531

$531
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 144 lines · metro median $12

$12
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 144 lines · metro median $225

$225
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 192 lines · metro median $295

$295
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Screening mammogram (both breasts)

CPT 77067 · lowest of 48 lines · metro median $250

$250
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 96 lines · metro median $2,572

$2,572
cash
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TSH test (thyroid)

CPT 84443 · lowest of 96 lines · metro median $79

$79
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 48 lines · metro median $331

$331
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 48 lines · metro median $520

$520
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Urinalysis with microscope

CPT 81001 · lowest of 48 lines · metro median $115

$115
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 48 lines · metro median $347

$347
cash

Source files

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