Ascension St Vincent Mercy

1331 S A St, Elwood, IN 46036 · (765) 552-4743

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

Price file

Prices published

File dated 2026-01-01

4,846 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $132

$197

cash

$3 to $19

56 negotiated rates

$329

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $966

$3,224

cash

$222 to $3,778

106 negotiated rates

$5,374

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $542

$1,397

cash

$67 to $1,638

106 negotiated rates

$2,329

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $542

$1,529

cash

$111 to $1,792

108 negotiated rates

$2,548

list

Cataract surgery with lens implant

CPT 66984

—

cash

$459 to $1,257

43 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,263 to $2,488

15 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,000 to $19,901

33 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $131

$105

cash

$17 to $80

85 negotiated rates

$175

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$268 to $464

43 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$319 to $599

43 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$361 to $599

43 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $42

$41

cash

$4 to $18

83 negotiated rates

$69

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $55

$55

cash

$5 to $24

84 negotiated rates

$92

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 5 lines · metro median $378

$378

cash

$103 to $327

126 negotiated rates

$630

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$11 to $32

24 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 5 lines · metro median $74

$74

cash

$100 to $141

160 negotiated rates

$124

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $160

$229

cash

$82 to $154

38 negotiated rates

$381

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $197

$205

cash

$79 to $128

39 negotiated rates

$341

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$453 to $2,649

43 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $131

$105

cash

$17 to $80

84 negotiated rates

$175

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $71

$269

cash

$20 to $43

39 negotiated rates

$448

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

43 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$376 to $1,487

43 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$233 to $493

43 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$345 to $14,592

45 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $147

$289

cash

$6 to $31

57 negotiated rates

$481

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $158

$270

cash

$3 to $19

56 negotiated rates

$450

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $932

$2,508

cash

$233 to $2,939

164 negotiated rates

$4,180

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $583

$1,266

cash

$148 to $2,967

165 negotiated rates

$2,110

list

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

CPT 72148 · lowest of 2 lines · metro median $583

$1,792

cash

$167 to $2,099

110 negotiated rates

$2,986

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $583

$1,792

cash

$167 to $2,099

109 negotiated rates

$2,986

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

43 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$74 to $106

24 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$115 to $162

24 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$143 to $201

24 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $82

$97

cash

$10 to $42

84 negotiated rates

$161

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $84

$32

cash

$3 to $14

84 negotiated rates

$54

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 8 lines · metro median $61

$104

cash

$22 to $40

233 negotiated rates

$173

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $531

$611

cash

$67 to $716

110 negotiated rates

$1,019

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$92 to $131

24 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$106 to $161

24 negotiated rates

—

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $3,604

$3,136

cash

$114 to $4,631

89 negotiated rates

$5,226

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,225 to $2,792

24 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $54

$21

cash

$3 to $10

84 negotiated rates

$35

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $125

$230

cash

$49 to $86

38 negotiated rates

$383

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $206

$287

cash

$65 to $129

39 negotiated rates

$479

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $302

$314

cash

$98 to $194

38 negotiated rates

$524

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$336 to $1,439

43 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $250

$250

cash

$85 to $270

80 negotiated rates

$416

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$123 to $1,224

24 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,770

$3,992

cash

$420 to $3,560

42 negotiated rates

$6,653

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$85 to $463

34 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$98 to $1,471

44 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $82

$296

cash

$8 to $38

57 negotiated rates

$493

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$207 to $2,703

43 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $462

$481

cash

$67 to $564

110 negotiated rates

$802

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $520

$765

cash

$67 to $896

110 negotiated rates

$1,275

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$154 to $460

43 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$270 to $460

43 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $75

$113

cash

$2 to $7

57 negotiated rates

$189

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,313 to $2,324

15 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,500 to $19,901

33 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,198 to $2,263

15 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $347

$371

cash

$33 to $413

55 negotiated rates

$619

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/350876389_st-vincent-madison-county-health-system-inc_standardcharges.csv
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) · parsed · tall v3.0.0 · file dated 2026-01-01 · 24.6 MB · 4846 price rows read · read Nov 2026