Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.)
1116 Millis Ave, Boonville, IN · Ascension · · NPI 1205828803
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Glucose blood quantitative CPT 82947 | $44.40 | $74.00 | $1.94 – $12.97 | 26 |
| Glucose body fluid CPT 82945 | $57.00 | $95.00 | $1.94 – $12.97 | 26 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $8.94 – $218.24 | 21 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $67.20 | $112.00 | $4.63 – $42.47 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $21.60 | $36.00 | $1.80 – $12.94 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $120.40 | $200.66 | $0.62 – $1.15 | 12 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $133.80 | $223.00 | $7.93 – $61.31 | 26 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $141.60 | $236.00 | $7.93 – $61.12 | 26 |
| Gonioscopy CPT 92020 | not published | not published | $2.44 – $19.25 | 20 |
| Goniotomy CPT 65820 | not published | not published | $139.99 – $2,002.17 | 39 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $139.53 – $1,487.08 | 39 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $222.43 – $1,241.90 | 20 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $29.42 – $125.66 | 39 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $75.95 – $926.15 | 33 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $75.10 – $1,822.02 | 33 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $22.29 – $130.32 | 14 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $75.63 – $1,822.02 | 33 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.77 – $51.94 | 26 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $11.97 – $249.48 | 24 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $415.72 – $1,564.10 | 20 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $152.91 – $631.30 | 20 |
| G-tube reposition CPT 43761 | not published | not published | $25.48 – $125.52 | 39 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $16.48 – $939.74 | 23 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $26.34 – $1,563.42 | 40 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $60.11 – $154.80 | 14 |
| Gum graft CPT 41870 | not published | not published | $70.20 – $652.86 | 33 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $63.92 – $1,438.67 | 39 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $11.67 – $318.97 | 33 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $35.40 – $247.61 | 33 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $56.12 – $353.36 | 33 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $51.04 | $85.07 | $8.78 – $33.98 | 22 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $38.87 | $64.78 | $1.42 – $6.26 | 22 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $2.85 – $11.58 | 21 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $151.21 – $1,487.08 | 39 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $118.89 – $3,321.81 | 39 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $133.45 – $1,487.08 | 39 |
| Hand X-ray CPT 73130 | $562.80 | $938.00 | $3.88 – $250.00 | 24 |
| Haptoglobin quantitative CPT 83010 | $174.00 | $290.00 | $5.29 – $41.51 | 26 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $15.93 – $133.20 | 20 |
| Harvest auto stem cells CPT 38206 | not published | not published | $16.00 – $779.23 | 39 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $20.08 – $926.15 | 39 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $77.33 – $958.01 | 39 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $85.91 – $488.00 | 20 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $8.40 – $14.72 | 14 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $79.35 – $410.00 | 20 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $9.51 – $42.47 | 20 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $13.17 – $63.03 | 20 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $240.00 – $1,980.00 | 24 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $80.96 – $667.92 | 24 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $150.10 – $1,238.33 | 24 |
| Hbb full gene sequence CPT 81364 | not published | not published | $129.83 – $1,071.11 | 22 |
| Hbb gene com variants CPT 81361 | not published | not published | $69.92 – $576.87 | 22 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $80.96 – $667.92 | 17 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $150.10 – $1,238.33 | 17 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $4.85 – $30.00 | 20 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $24.63 – $779.20 | 42 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.36 – $50.46 | 24 |
| Hcg qualitative CPT 84703 | $95.40 | $159.00 | $3.55 – $24.82 | 26 |
| Hcg quantitative CPT 84702 | $216.60 | $361.00 | $7.01 – $49.67 | 26 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $30.00 – $45.42 | 20 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $20.00 – $34.27 | 20 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $44.19 – $110.00 | 20 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $37.72 – $70.00 | 20 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $26.04 – $801.87 | 39 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $59.89 – $446.16 | 39 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $31.84 – $261.33 | 20 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $53.69 – $416.91 | 39 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $8.40 – $59.65 | 20 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $29.54 – $250.51 | 20 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $25.40 – $327.11 | 42 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $0.01 – $249.61 | 32 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $17.33 – $387.93 | 42 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $32.63 – $368.53 | 42 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $51.75 – $2,255.47 | 42 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $31.15 – $31.15 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $45.39 – $445.15 | 40 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $84.60 – $810.81 | 40 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $128.94 – $1,279.42 | 40 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $31.56 – $344.11 | 40 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $49.26 – $565.59 | 40 |
| Head CT scan (with and without contrast) CPT 70470 | $1,722.60 | $2,871.00 | $39.50 – $650.00 | 43 |
| Head CT scan (with contrast) CPT 70460 | $1,707.60 | $2,846.00 | $33.31 – $650.00 | 43 |
| Head CT scan (without contrast) CPT 70450 | $885.00 | $1,475.00 | $23.94 – $650.00 | 43 |
| Heart first pass add-on CPT 78496 | not published | not published | $6.50 – $81.60 | 21 |
| Heart first pass multiple CPT 78483 | not published | not published | $35.21 – $346.26 | 42 |
| Heart image spect CPT 78494 | not published | not published | $32.73 – $346.26 | 42 |
| Heart infarct image CPT 78466 | not published | not published | $21.15 – $303.17 | 42 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $27.28 – $327.11 | 42 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $32.32 – $347.50 | 20 |
| Heinz bodies direct CPT 85441 | not published | not published | $1.32 – $13.86 | 26 |
| Helicobacter pylori antibody igm CPT 86677 | $145.20 | $242.00 | $5.29 – $55.61 | 26 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $2.65 – $27.03 | 26 |
| Hematocrit CPT 85014 | $18.00 | $30.00 | $1.12 – $7.82 | 26 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $27.86 – $253.86 | 42 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $111.79 – $1,487.08 | 39 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $12.40 – $79.30 | 20 |
| Hemoglobin CPT 85018 | $18.00 | $30.00 | $1.32 – $7.82 | 26 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $1.24 – $13.23 | 26 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $2.65 – $26.40 | 26 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $3.59 – $35.44 | 26 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.