Ascension St. Vincent Mercy

Elwood, IN · Critical Access Hospital

Posts prices for 35 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) $1,397.40 $2,329 12.6×
MRI brain without contrast (70551) $1,290 $2,150 5.1×
MRI brain with contrast (70552) $1,881 $3,135 5.1×
MRI brain without and with contrast (70553) $2,508 $4,180 6.8×
X-ray lower spine, 4+ views (72110) $371.40 $619 3.4×
MRI lumbar spine without contrast (72148) $1,791.60 $2,986 7.1×
CT pelvis with contrast (72193) $1,528.80 $2,548 8.2×
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$1,266–$2,532 $2,110–$4,220 varies
CT abdomen and pelvis with contrast (74177) $3,224.40 $5,374 8.7×
Ultrasound, abdomen complete (76700) $765 $1,275 6.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $611.40 $1,019 5.5×
Ultrasound, transvaginal (76830) $481.20 $802 4.4×
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) $197.40 $329 23.3×
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$55.20–$301.80 $92–$503 varies
Obstetric panel (80055) $396 $660 8.3×
Lipid panel (80061) $288.60 $481 21.6×
Renal function panel (80069) $277.20 $462 31.9×
Hepatic function panel (80076) $270 $450 33.0×
PSA, total (84153)
range across 2 matching MRF lines
$96.60–$264 $161–$440 varies
Thyroid stimulating hormone (TSH) (84443) $295.80 $493 17.6×
CBC with automated differential (85025)
range across 2 matching MRF lines
$41.40–$153 $69–$255 varies
CBC, automated (85027)
range across 2 matching MRF lines
$33.60–$120 $56–$200 varies
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$21–$88.20 $35–$147 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$32.40–$126.60 $54–$211 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) $204.60 $341 1.1×
Family psychotherapy, with patient (50 min) (90847) $228.60 $381 1.2×
Group psychotherapy (90853) $268.80 $448 2.5×
Sleep study (attended polysomnography) (95810) $3,991.80 $6,653 4.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $103.80 $173 3.6×

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 (ZIP, 25.7 MB) ↓ — captured 2026-10-01

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