Ascension St. Vincent Evansville (St. Mary's Health, Inc.)
3700 Washington Ave Evansville, IN 47750|10388 Warrick Wellness Trail Newburgh, IN · Ascension · · NPI 1427082957
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 |
|---|---|---|---|---|
| X-ray fallopian tube CPT 74742 | not published | not published | $19.37 – $226.78 | 22 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $2.76 – $34.97 | 24 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $6.95 – $74.47 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $478.80 | $798.00 | $7.64 – $80.94 | 21 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $6.13 – $47.18 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $251.40 | $419.00 | $3.49 – $250.00 | 25 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $281.40 | $469.00 | $6.03 – $58.67 | 24 |
| X-ray male genital tract CPT 74440 | not published | not published | $9.95 – $136.74 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $310.80 | $518.00 | $3.84 – $52.20 | 24 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $6.15 – $58.90 | 24 |
| X-ray nose to rectum for foreign body child CPT 76010 | $251.40 | $419.00 | $3.60 – $250.00 | 25 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $16.30 – $178.54 | 24 |
| X-ray optic foramina CPT 70190 | not published | not published | $4.49 – $499.50 | 24 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $125.02 – $192.40 | 21 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $141.49 – $208.18 | 21 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $281.40 | $469.00 | $12.99 – $250.00 | 44 |
| X-ray ribs 2 views left CPT 71100 | $281.40 | $469.00 | $4.17 – $250.00 | 25 |
| X-ray sella turcica CPT 70240 | not published | not published | $3.56 – $42.86 | 24 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $336.00 | $560.00 | $8.35 – $250.00 | 25 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $14.84 – $140.56 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $251.40 | $419.00 | $11.34 – $128.50 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $281.40 | $469.00 | $4.78 – $53.65 | 24 |
| X-ray surgical specimen CPT 76098 | $251.40 | $419.00 | $2.70 – $316.07 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $251.40 | $419.00 | $5.27 – $250.00 | 22 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $24.47 – $250.00 | 22 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $32.45 – $254.61 | 21 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $9.25 – $124.76 | 24 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $93.07 – $170.06 | 13 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $38.23 – $125.08 | 20 |
| Xylose absorption test blood &/or urine CPT 84620 | $148.20 | $247.00 | $4.51 – $29.43 | 29 |
| Yersinia antibody CPT 86793 | not published | not published | $5.29 – $30.07 | 29 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $121.54 | $202.56 | $1.44 – $3.62 | 22 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $25.34 – $116.99 | 23 |
| Zika virus igm antibody CPT 86794 | not published | not published | $8.32 – $38.42 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $130.33 | $217.21 | $8.85 – $75.63 | 23 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $73.71 | $122.85 | $7.21 – $63.20 | 23 |
| Zoster vaccine-live inj CPT 90736 | $623.23 | $1,038.71 | $0.02 – $510.41 | 24 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $77.30 – $440.61 | 15 |
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.