Ascension St. Vincent Kokomo
Kokomo, IN
Posts prices for 39 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) | $542.40 | $904 | 4.9× |
| MRI brain without contrast (70551) | $582.60 | $971 | 2.3× |
| MRI brain with contrast (70552) | $582.60 | $971 | 1.6× |
| MRI brain without and with contrast (70553) | $582.60 | $971 | 1.6× |
| X-ray lower spine, 4+ views (72110) | $346.80 | $578 | 3.1× |
| MRI lumbar spine without contrast (72148) | $582.60 | $971 | 2.3× |
| CT pelvis with contrast (72193) | $542.40 | $904 | 2.9× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$582.60–$1,165.20 | $971–$1,942 | varies |
| CT abdomen and pelvis with contrast (74177) | $542.40 | $904 | 1.5× |
| Ultrasound, abdomen complete (76700) | $520.20 | $867 | 4.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $531 | $885 | 4.8× |
| Ultrasound, transvaginal (76830) | $330.60 | $551 | 3.0× |
| Mammography, one breast (diagnostic) (77065) | $276.60 | $461 | 3.2× |
| Mammography, both breasts (diagnostic) (77066) | $378 | $630 | 3.4× |
| Mammography, screening (bilateral) (77067) | $249.60 | $416 | 2.7× |
| Basic metabolic panel (80048) | $205.20 | $342 | 24.3× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$37.80–$276 | $63–$460 | varies |
| Obstetric panel (80055) | $267.60 | $446 | 5.6× |
| Lipid panel (80061) | $289.80 | $483 | 21.6× |
| Renal function panel (80069) | $266.40 | $444 | 30.7× |
| Hepatic function panel (80076) | $265.20 | $442 | 32.5× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$9.60–$46.80 | $16–$78 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$102–$249.60 | $170–$416 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$78.60–$265.80 | $131–$443 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$28.80–$145.80 | $48–$243 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$23.40–$122.40 | $39–$204 | varies |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$12–$91.80 | $20–$153 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$91.80–$121.20 | $153–$202 | varies |
| Psychotherapy, 30 minutes (90832) | $225 | $375 | 1.2× |
| Psychotherapy, 45 minutes (90834) | $295.20 | $492 | 1.6× |
| Family psychotherapy, without patient (50 min) (90846) | $309 | $515 | 1.6× |
| Family psychotherapy, with patient (50 min) (90847) | $309 | $515 | 1.6× |
| Group psychotherapy (90853) range across 6 matching MRF lines |
$75.60–$347.40 | $126–$579 | varies |
| Left heart catheterization (93452) | $11,064 | $18,440 | 3.2× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,572.20–$5,143.20 | $4,287–$8,572 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $71.40 | $119 | 2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $404.40 | $674 | 2.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $485.40 | $809 | 3.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $748.20 | $1,247 | 5.3× |
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.
More prices at this hospital
- Imaging: 331 codes with posted prices and Medicare benchmarks
- Lab & pathology: 803 codes with posted prices and Medicare benchmarks
- Visits & medical services: 201 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 197 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 24 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 66.2 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.