Ascension St Vincent Williamsport

412 N Monroe St, Williamsport, IN 47993 · (765) 762-4001

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

Price file

Prices published

File dated 2026-01-01

4,894 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $172

$172

cash

$3 to $19

89 negotiated rates

$286

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,297

$3,297

cash

$222 to $2,940

104 negotiated rates

$5,495

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,315

$1,315

cash

$67 to $1,461

101 negotiated rates

$2,191

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,631

$1,631

cash

$111 to $1,813

104 negotiated rates

$2,719

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 $125

$125

cash

$17 to $80

132 negotiated rates

$209

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 $28

$28

cash

$4 to $18

131 negotiated rates

$46

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $37

$37

cash

$5 to $24

134 negotiated rates

$62

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $379

$379

cash

$103 to $327

128 negotiated rates

$632

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 $991

$991

cash

$100 to $141

105 negotiated rates

$1,652

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 $125

$125

cash

$17 to $80

130 negotiated rates

$209

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 $215

$215

cash

$6 to $31

89 negotiated rates

$359

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $194

$194

cash

$3 to $19

88 negotiated rates

$324

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $3,086

$3,086

cash

$233 to $2,752

157 negotiated rates

$5,144

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,798

$1,798

cash

$148 to $3,995

157 negotiated rates

$2,996

list

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

CPT 72148 · lowest of 2 lines · metro median $2,047

$2,047

cash

$167 to $2,275

104 negotiated rates

$3,412

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,997

$1,997

cash

$167 to $2,219

104 negotiated rates

$3,328

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 $65

$65

cash

$10 to $42

133 negotiated rates

$109

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $20

$20

cash

$3 to $14

132 negotiated rates

$34

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $124

$124

cash

$22 to $40

54 negotiated rates

$206

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$67 to $400

48 negotiated rates

—

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 $14

$14

cash

$3 to $10

134 negotiated rates

$23

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 $308

$308

cash

$85 to $270

84 negotiated rates

$514

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 2 lines · metro median $224

$224

cash

$8 to $38

90 negotiated rates

$374

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 $510

$510

cash

$67 to $455

156 negotiated rates

$850

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $801

$801

cash

$67 to $890

157 negotiated rates

$1,335

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 $109

$109

cash

$2 to $7

90 negotiated rates

$182

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 $506

$506

cash

$33 to $250

57 negotiated rates

$843

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/350784551_st-vincent-williamsport-hospital-inc_standardcharges.csv
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) · parsed · tall v3.0.0 · file dated 2026-01-01 · 319.6 MB · 4894 price rows read · read Nov 2026