Ascension St. Vincent Williamsport
Williamsport, 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) | $1,314.60 | $2,191 | 11.9× |
| MRI brain without contrast (70551) | $2,058 | $3,430 | 8.2× |
| MRI brain with contrast (70552) | $2,572.20 | $4,287 | 7.0× |
| MRI brain without and with contrast (70553) | $3,086.40 | $5,144 | 8.4× |
| X-ray lower spine, 4+ views (72110) | $505.80 | $843 | 4.6× |
| MRI lumbar spine without contrast (72148) | $2,047.20 | $3,412 | 8.1× |
| CT pelvis with contrast (72193) | $1,631.40 | $2,719 | 8.8× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,797.60–$3,595.20 | $2,996–$5,992 | varies |
| CT abdomen and pelvis with contrast (74177) | $3,297 | $5,495 | 8.9× |
| Ultrasound, abdomen complete (76700) | $801 | $1,335 | 7.2× |
| Ultrasound, transvaginal (76830) | $510 | $850 | 4.6× |
| Mammography, one breast (diagnostic) (77065) | $313.20 | $522 | 3.6× |
| Mammography, both breasts (diagnostic) (77066) | $379.20 | $632 | 3.4× |
| Mammography, screening (bilateral) (77067) | $308.40 | $514 | 3.4× |
| Basic metabolic panel (80048) | $171.60 | $286 | 20.3× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$37.20–$263.40 | $62–$439 | varies |
| Obstetric panel (80055) | $297 | $495 | 6.2× |
| Lipid panel (80061) | $215.40 | $359 | 16.1× |
| Renal function panel (80069) | $252.60 | $421 | 29.1× |
| Hepatic function panel (80076) | $194.40 | $324 | 23.8× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$9.60–$48 | $16–$80 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$65.40–$227.40 | $109–$379 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $224.40 | $374 | 13.4× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$27.60–$113.40 | $46–$189 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$21.60–$100.20 | $36–$167 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$13.80–$78 | $23–$130 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$20.40–$119.40 | $34–$199 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $123.60 | $206 | 4.3× |
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.
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: 193 codes with posted prices and Medicare benchmarks
- Lab & pathology: 618 codes with posted prices and Medicare benchmarks
- Visits & medical services: 79 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 31 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 8 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 335.2 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.