CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$244 - $4,292
from 4 insurers · median $2,332
Typical for a hospital with this service line
Ascension Health · Salem, IN
33
In-network payers
89
Disclosed rate categories
25
Beds
St. Vincent Salem is a 25-bed voluntary non-profit - private hospital in Salem, IN, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 89 disclosed rate categories.
CCN (Medicare provider number)
151314
NPI
1427388982
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services St. Vincent Salem most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$244 - $4,292
from 4 insurers · median $2,332
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$162 - $4,146
from 4 insurers · median $2,838
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$5,800 - $6,983
from 2 insurers · median $6,391
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$4,081 - $5,800
from 2 insurers · median $4,940
Typical for a hospital with this service line
CT imaging
CPT 74176
$128 - $3,428
from 4 insurers · median $1,858
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,200 - $3,474
from 2 insurers · median $3,337
Typical for a hospital with this service line
CT imaging
CPT 70450
$100 - $1,723
from 4 insurers · median $542
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$3,474 - $5,174
from 2 insurers · median $4,324
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$267 - $408
from 3 insurers · median $338
Typical for a hospital with this service line
CT imaging
CPT 71275
$89 - $2,244
from 4 insurers · median $1,238
Typical for a hospital with this service line
MRI imaging
CPT 70553
$118 - $3,547
from 4 insurers · median $1,970
Typical for a hospital with this service line
Gynecology
CPT 58571
$29,553
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77067
$46 - $294
from 4 insurers · median $192
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$20,681
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$267 - $858
from 3 insurers · median $621
Typical for a hospital with this service line
MRI imaging
CPT 72148
$244 - $2,630
from 4 insurers · median $1,447
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$267 - $951
from 3 insurers · median $917
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$331 - $7,264
from 3 insurers · median $2,022
Hospital reports nuclear medicine services to CMS
Cardiology and vascular testing
CPT 93971
$34 - $1,482
from 4 insurers · median $877
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$717 - $6,015
from 2 insurers · median $3,366
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$320 - $660
from 3 insurers · median $637
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$731 - $2,138
from 2 insurers · median $1,434
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$11,231 - $18,509
from 4 insurers · median $16,728
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$11,231 - $18,509
from 4 insurers · median $16,728
Hospital reports inpatient surgical services to CMS
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 960% | 14 | 0 |
| Insurer B* | 20 | 789% | 18 | 0 |
| Insurer C* | 24 | 300% | 11 | 11 |
| Insurer D* | 12 | 50% | 0 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St. Vincent Salem.
911 North Shelby Street, Salem, IN 47167
(812) 883-5881
About St. Vincent Salem's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Vincent Salem range from $118 to $3,547 across 4 insurers. UnitedHealthcare's rate is $118. The median at nearby comparable hospitals is $1,352. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Vincent Salem range from $244 to $4,292 across 4 insurers. Aetna's rate is $4,292. The median at nearby comparable hospitals is $1,025. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Vincent Salem range from $5,800 to $6,983 across 2 insurers. Blue Cross Blue Shield's rate is $5,800. The median at nearby comparable hospitals is $2,655. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Vincent Salem range from $46 to $294 across 4 insurers. Aetna's rate is $294. The median at nearby comparable hospitals is $175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Vincent Salem range from $11,231 to $18,509 across 4 insurers. Blue Cross Blue Shield's rate is $15,894. The median at nearby comparable hospitals is $29,547. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Vincent Salem has 25 beds. Facility type: Critical Access Hospital.
St. Vincent Salem is located at 911 North Shelby Street, Salem, IN 47167. Its main phone number is (812) 883-5881.
St. Vincent Salem's CMS Certification Number (CCN), also called its Medicare provider number, is 151314.
The National Provider Identifier (NPI) on file for St. Vincent Salem is 1427388982.
St. Vincent Salem is affiliated with Ascension Health.
St. Vincent Salem lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
89 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers