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 |
|---|---|---|---|---|
| Surgical pathology level 1 gross examination only CPT 88300 | $69.60 | $116.00 | $2.14 – $28.42 | 25 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $4.59 – $56.83 | 25 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $133.20 | $222.00 | $6.47 – $77.13 | 25 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $285.60 | $476.00 | $10.55 – $206.25 | 25 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $850.20 | $1,417.00 | $25.27 – $286.70 | 25 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $37.86 – $378.93 | 25 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $299.62 – $1,178.10 | 20 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $340.51 – $1,329.60 | 20 |
| Surgical revision intestine CPT 44680 | not published | not published | $237.99 – $1,118.60 | 20 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $81.96 – $1,320.79 | 39 |
| Susceptibility agar dilution per agent CPT 87181 | $48.00 | $80.00 | $0.74 – $15.68 | 26 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $47.40 | $79.00 | $0.74 – $15.68 | 24 |
| Susceptibility mic per plate CPT 87186 | $61.80 | $103.00 | $2.65 – $28.55 | 26 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.14 – $21.91 | 26 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $230.84 – $1,188.00 | 20 |
| Suspension of testis CPT 54620 | not published | not published | $67.60 – $1,592.02 | 39 |
| Suspension of uterus CPT 58410 | not published | not published | $160.71 – $1,008.84 | 20 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $86.80 – $540.40 | 20 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $237.73 – $1,094.20 | 20 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $304.04 – $1,418.30 | 20 |
| Svc venogram s&i CPT 75827 | not published | not published | $26.37 – $557.99 | 23 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $0.30 – $139.00 | 25 |
| Sympathectomy cervical CPT 64802 | not published | not published | $127.79 – $1,107.01 | 39 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $154.14 – $893.00 | 39 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $140.12 – $900.90 | 20 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $158.16 – $1,487.08 | 39 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $181.83 – $1,151.40 | 20 |
| Synthetic sentence id test CPT 92576 | not published | not published | $4.05 – $23.23 | 20 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $17.40 | $29.00 | $2.09 – $14.52 | 26 |
| T3 (triiodothyronine) free CPT 84481 | $267.60 | $446.00 | $8.01 – $55.90 | 26 |
| T3 (triiodothyronine) total CPT 84480 | $144.00 | $240.00 | $5.29 – $46.79 | 26 |
| T4 (thyroxine) free CPT 84439 | $63.60 | $106.00 | $2.65 – $29.77 | 26 |
| T4 (thyroxine) total CPT 84436 | $63.00 | $105.00 | $2.65 – $22.67 | 26 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $10.81 | $18.01 | $0.24 – $1.70 | 22 |
| Tacrolimus therapeutic drug level CPT 80197 | $187.80 | $313.00 | $6.78 – $45.31 | 26 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $433.66 – $2,685.83 | 20 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $399.14 – $2,465.07 | 20 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $246.40 – $1,611.40 | 20 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $22.65 – $147.35 | 20 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $18.50 – $105.69 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $48.96 – $2,506.45 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,167.84 – $9,634.68 | 17 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $48.96 – $1,973.10 | 17 |
| Tas congenital car anomal CPT 33741 | not published | not published | $188.21 – $695.52 | 14 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $21.09 – $144.11 | 39 |
| Tavr perq femoral CPT 33361 | not published | not published | $332.63 – $1,577.26 | 20 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $810.19 | $1,350.31 | $0.44 – $2.52 | 42 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $54.80 – $452.10 | 17 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $33.57 – $33.57 | 11 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $3.11 – $3.11 | 11 |
| Tbs techl calculation only CPT 77091 | not published | not published | $28.38 – $322.18 | 17 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.08 – $322.18 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $34.89 – $330.00 | 24 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $205.20 | $342.00 | $30.61 – $204.53 | 24 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.00 | $10.00 | $0.67 – $0.67 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $153.00 | $255.00 | $75.00 – $75.00 | 11 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $64.67 – $462.87 | 33 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $42.30 – $391.06 | 21 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $42.07 – $391.06 | 21 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $36.32 – $391.06 | 21 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $8.40 – $24.56 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $197.40 | $329.00 | $19.84 – $155.03 | 26 |
| T cells absolute cd 4 count CPT 86361 | $255.60 | $426.00 | $13.22 – $88.37 | 26 |
| T cells total count CPT 86359 | $160.80 | $268.00 | $10.58 – $124.51 | 26 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $40.61 – $531.65 | 21 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $176.26 – $970.44 | 21 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $118.98 – $531.65 | 21 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $89.05 – $516.80 | 20 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $258.11 – $1,423.90 | 20 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $41.81 – $42.96 | 14 |
| Team conf without pat by phys CPT 99367 | not published | not published | $64.69 – $66.46 | 14 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $48.69 – $50.76 | 14 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $40.85 – $281.24 | 40 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $20.81 – $153.61 | 40 |
| Temperature gradient studies CPT 93740 | not published | not published | $3.28 – $15.20 | 14 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $203.16 – $1,406.50 | 20 |
| Tendon lengthening CPT 26476 | not published | not published | $110.53 – $1,487.08 | 39 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $112.45 – $1,487.08 | 39 |
| Tendon shortening CPT 26477 | not published | not published | $110.71 – $1,487.08 | 39 |
| Tendon transfer with graft CPT 26492 | not published | not published | $167.47 – $1,487.08 | 39 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $119.31 – $3,321.81 | 39 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $109.62 – $1,487.08 | 39 |
| Tenolysis triceps CPT 24332 | not published | not published | $119.01 – $1,487.08 | 39 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $152.34 – $3,321.81 | 39 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $99.42 – $801.87 | 39 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $141.22 – $795.90 | 20 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $57.87 – $1,487.08 | 39 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $48.37 – $290.77 | 39 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $39.33 | $65.55 | $2.10 – $12.36 | 22 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $74.08 – $611.16 | 17 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $2.97 – $19.83 | 26 |
| Test for porphobilinogen CPT 84106 | not published | not published | $1.32 – $19.21 | 26 |
| Test for urine cystines CPT 82615 | not published | not published | $3.39 – $31.52 | 26 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $23.77 – $357.74 | 42 |
| Testosterone response panel CPT 80414 | not published | not published | $17.19 – $170.41 | 26 |
| Test stress cardiovascular tracing only CPT 93017 | $1,312.80 | $2,188.00 | $7.87 – $80.90 | 20 |
| Test urine for lactose CPT 83633 | not published | not published | $1.99 – $37.13 | 26 |
| Test urine for porphyrins CPT 84119 | not published | not published | $3.59 – $44.09 | 26 |
| Test urine urobilinogen CPT 84578 | not published | not published | $1.32 – $14.75 | 26 |
| Tetanus ig im CPT 90389 | not published | not published | $131.25 – $1,613.56 | 23 |
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.