Ascension St. Vincent Jennings

North Vernon, IN · Critical Access Hospital

Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $1,246.80 $2,078 11.3×
MRI brain without contrast (70551) $1,244.40 $2,074 4.9×
MRI brain with contrast (70552) $1,866.60 $3,111 5.1×
MRI brain without and with contrast (70553) $2,489.40 $4,149 6.7×
X-ray lower spine, 4+ views (72110) $480 $800 4.3×
MRI lumbar spine without contrast (72148) $1,891.20 $3,152 7.5×
CT pelvis with contrast (72193) $1,401 $2,335 7.5×
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$1,949.40–$3,898.80 $3,249–$6,498 varies
CT abdomen and pelvis with contrast (74177) $2,928 $4,880 7.9×
Ultrasound, abdomen complete (76700) $690 $1,150 6.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $486 $810 4.4×
Ultrasound, transvaginal (76830) $421.20 $702 3.8×
Mammography, one breast (diagnostic) (77065) $210 $350 2.4×
Mammography, both breasts (diagnostic) (77066) $265.20 $442 2.4×
Mammography, screening (bilateral) (77067) $206.40 $344 2.3×
Basic metabolic panel (80048) $211.80 $353 25.0×
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$59.40–$326.40 $99–$544 varies
Obstetric panel (80055) $387.60 $646 8.1×
Lipid panel (80061) $255.60 $426 19.1×
Renal function panel (80069) $315.60 $526 36.4×
Hepatic function panel (80076) $239.40 $399 29.3×
Urinalysis, non-automated, with microscopy (81000) $76.80 $128 19.1×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$14.40–$24 $24–$40 varies
PSA, total (84153)
range across 2 matching MRF lines
$102–$271.80 $170–$453 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$88.20–$254.40 $147–$424 varies
CBC with automated differential (85025)
range across 2 matching MRF lines
$43.20–$127.80 $72–$213 varies
CBC, automated (85027)
range across 2 matching MRF lines
$36–$126.60 $60–$211 varies
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$21.60–$93 $36–$155 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$33.60–$148.80 $56–$248 varies
Psychotherapy, 30 minutes (90832) $229.80 $383 1.2×
Psychotherapy, 45 minutes (90834) $287.40 $479 1.5×
Psychotherapy, 60 minutes (90837) $314.40 $524 1.7×
Family psychotherapy, without patient (50 min) (90846) $228.60 $381 1.2×
Family psychotherapy, with patient (50 min) (90847) $228.60 $381 1.2×
Group psychotherapy (90853) $268.80 $448 2.5×
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.

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Download the machine-readable file (CSV, 365.6 MB) ↓ — captured 2026-10-01

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