Ascension St. Vincent Clay
Brazil, IN · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,155.60 | $1,926 | 10.4× |
| MRI brain without contrast (70551) | $1,414.80 | $2,358 | 5.6× |
| MRI brain with contrast (70552) | $1,768.20 | $2,947 | 4.8× |
| MRI brain without and with contrast (70553) | $2,167.80 | $3,613 | 5.9× |
| X-ray lower spine, 4+ views (72110) | $460.80 | $768 | 4.2× |
| MRI lumbar spine without contrast (72148) | $1,606.80 | $2,678 | 6.4× |
| CT pelvis with contrast (72193) | $1,248.60 | $2,081 | 6.7× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,698–$3,396 | $2,830–$5,660 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,623.20 | $4,372 | 7.1× |
| Ultrasound, abdomen complete (76700) | $780 | $1,300 | 7.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $572.40 | $954 | 5.2× |
| Ultrasound, transvaginal (76830) | $373.20 | $622 | 3.4× |
| Mammography, one breast (diagnostic) (77065) | $259.20 | $432 | 3.0× |
| Mammography, both breasts (diagnostic) (77066) | $324 | $540 | 2.9× |
| Mammography, screening (bilateral) (77067) | $255.60 | $426 | 2.8× |
| Basic metabolic panel (80048) | $135 | $225 | 16.0× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$32.40–$195.60 | $54–$326 | varies |
| Obstetric panel (80055) | $344.40 | $574 | 7.2× |
| Lipid panel (80061) | $170.40 | $284 | 12.7× |
| Renal function panel (80069) | $222.60 | $371 | 25.6× |
| Hepatic function panel (80076) | $176.40 | $294 | 21.6× |
| PSA, total (84153) range across 2 matching MRF lines |
$57–$178.80 | $95–$298 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$84.60–$204 | $141–$340 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$24–$90 | $40–$150 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$19.80–$79.80 | $33–$133 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$11.40–$78.60 | $19–$131 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$18.60–$96 | $31–$160 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $98.40 | $164 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 271 codes with posted prices and Medicare benchmarks
- Lab & pathology: 651 codes with posted prices and Medicare benchmarks
- Visits & medical services: 152 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 73 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 10 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 381.7 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.