Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Ascension St Vincent Salem

911 N SHELBY ST, Salem, IN 47167

CMS Overall Rating No CMS Rating

How this hospital's prices compare 119 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 119 shoppable procedures, Ascension St Vincent Salem typically charges about the fair BaseRate for the procedures it prices. 15 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Digestive disorders treatment (inpatient stay) fair $6,243 → $13,700 2.2×
MRI, knee or other leg joint fair $147 → $311 2.1×
Electrocardiogram (ECG/EKG) fair $12 → $24 1.9×

How we calculate the BaseRate →

Ascension St Vincent Salem publishes prices for 117 shoppable procedures in Salem, IN. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 79

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 127 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 117 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at Ascension St Vincent Salem

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,700	$6,243	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,924	$311	$147	2.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$24	$12	1.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,638	$217	$141	1.5×
CT scan, sinuses CPT Code: `70486`	$1,187	$142	$99	1.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$20	$14	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$298	$215	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,330	$134	$100	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$49	$35	$26	1.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$359	$269	1.3×
Typhoid vaccine HCPCS Code: `90675`	$659	$409	$308	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$274	$207	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$223	$180	$138	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,555	$140	$107	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,187	$131	$101	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,245	$131	$102	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$123	$49	$39	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,037	$466	$377	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,909	$162	$132	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$792	$648	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,846	$168	$140	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,405	$149	$125	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,012	$233	$198	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$206	$100	$86	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$163	$142	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$52	$4	$4	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,750	$140	$126	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$324	$110	$99	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$106	$96	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$243	$72	$66	1.1×
Bunion correction surgery CPT Code: `28296`	—	$648	$592	1.1×
CT scan, pelvis CPT Code: `72192`	$1,160	$104	$96	1.1×
Breast lump removal CPT Code: `19120`	—	$506	$472	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$24	$22	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,489	$270	$254	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$29	$27	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$22	$21	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$557	$529	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$766	$732	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$516	$67	$64	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$892	$859	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$25	$24	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$417	$92	$90	1.0×
Rabies immune globulin HCPCS Code: `90375`	$3,375	$336	$331	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,700	$13,513	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$166	$133	$131	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,700	$13,568	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$292	$106	$105	1.0×
Care planning with family CPT Code: `90887`	—	$75	$74	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,700	$13,674	1.0×
Physical therapy (gait training) CPT Code: `97116`	$70	$21	$21	1.0×
Ultrasound, pelvis CPT Code: `76856`	$608	$72	$72	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,280	$116	$117	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,263	$2,285	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$362	$163	$165	1.0×
Family therapy session CPT Code: `90847`	$205	$96	$98	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$41	$3	$3	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$284	$124	$129	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$743	$75	$79	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$25	$27	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$198	$7	$7	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	—	$68	$72	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,263	$2,409	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,253	$85	$92	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$61	$24	$26	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$82	$26	$28	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$505	$66	$74	0.9×
Blood test, amylase CPT Code: `82150`	$125	$4	$4	0.9×
Blood test, hemoglobin CPT Code: `85018`	$41	$2	$2	0.9×
X-ray, chest (two views) CPT Code: `71046`	$246	$28	$32	0.9×
Blood test, magnesium CPT Code: `83735`	$74	$4	$5	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$13	$16	0.8×
Neurobehavioral status check CPT Code: `96116`	—	$86	$103	0.8×
Blood test, potassium CPT Code: `84132`	$31	$3	$4	0.8×
Orthotic fitting and training CPT Code: `97760`	$97	$28	$34	0.8×
Prosthetic fitting and training CPT Code: `97761`	$87	$24	$29	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$257	$82	$101	0.8×
X-ray, hip CPT Code: `73502`	$265	$28	$35	0.8×
X-ray, lower back CPT Code: `72110`	$500	$33	$43	0.8×
X-ray, shoulder CPT Code: `73030`	$391	$20	$26	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$277	$20	$27	0.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$3	$4	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$95	$2	$3	0.7×
X-ray, chest (single view) CPT Code: `71045`	$131	$18	$25	0.7×
Review of medical records for care CPT Code: `90889`	—	$41	$59	0.7×
X-ray, ankle CPT Code: `73610`	$452	$19	$28	0.7×
X-ray, hand CPT Code: `73130`	$457	$19	$28	0.7×
X-ray, foot CPT Code: `73630`	$452	$19	$28	0.7×
Group therapy session CPT Code: `90853`	$242	$29	$49	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$88	$25	$46	0.5×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$13,700	$25,915	0.5×
Psychological testing evaluation CPT Code: `96136`	—	$27	$53	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$274	$16	$32	0.5×
Psychological testing by technician CPT Code: `96138`	—	$36	$90	0.4×
Blood antibody screen CPT Code: `86850`	$80	$4	$14	0.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$71	—	$6	—
X-ray, pelvis CPT Code: `72170`	$146	—	$27	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$269	—	$8	—
Blood test, thyroid (TSH) CPT Code: `84443`	$164	—	$14	—
Blood test, basic metabolic panel CPT Code: `80048`	$232	—	$6	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$283	—	$10	—
Hepatitis C antibody test CPT Code: `86803`	$168	—	$10	—
Blood test, sodium CPT Code: `84295`	$33	—	$4	—
Culture, bacterial CPT Code: `87070`	$170	—	$6	—
Blood transfusion CPT Code: `36430`	$815	—	$170	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$206	—	$16	—
Blood test, vitamin D CPT Code: `82306`	$157	—	$22	—
Blood test, vitamin B12 CPT Code: `82607`	$118	—	$11	—
Blood test, calcium CPT Code: `82310`	$43	—	$4	—
Blood test, lipase CPT Code: `83690`	$170	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	$42	—	$4	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$131	—	$14	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$130	—	$10	—
Drug screening test HCPCS Code: `G0480`	$394	—	$107	—
Culture, blood CPT Code: `87040`	$212	—	$7	—
Blood test, liver function panel CPT Code: `80076`	$231	—	$6	—