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 |
|---|---|---|---|---|
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $2.82 – $11.30 | 20 |
| Acoustic immitance testing CPT 92570 | not published | not published | $6.65 – $35.49 | 20 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $4.23 – $15.00 | 20 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $152.50 – $1,487.08 | 38 |
| Acth stimulation panel CPT 80402 | not published | not published | $26.45 – $198.27 | 29 |
| Acth stimulation panel CPT 80406 | not published | not published | $26.45 – $178.43 | 29 |
| Actigraphy testing CPT 95803 | $295.80 | $493.00 | $26.12 – $121.16 | 13 |
| Actinotherapy uv light CPT 96900 | not published | not published | $3.78 – $131.98 | 20 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $18.67 – $46.56 | 14 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $15.86 – $39.50 | 14 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $14.46 – $36.03 | 14 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $17.27 – $43.07 | 14 |
| Acute hepatitis panel CPT 80074 | $367.20 | $612.00 | $13.68 – $108.60 | 29 |
| Acute venous thrombus image CPT 78456 | not published | not published | $34.95 – $859.35 | 43 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $48.72 | $81.20 | $0.03 – $0.15 | 22 |
| #acylcarnitineprfl CPT 82017 | $181.20 | $302.00 | $1.70 – $38.46 | 29 |
| Acylcarnitines qual CPT 82016 | $55.20 | $92.00 | $6.46 – $37.60 | 29 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $19.06 – $19.06 | 11 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $13.50 – $13.50 | 11 |
| Adding walker to prev cast CPT 29440 | not published | not published | $8.94 – $37.64 | 38 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $199.72 | $332.86 | $0.60 – $1.32 | 20 |
| Adenovirus ag ia CPT 87301 | $42.00 | $70.00 | $5.75 – $27.31 | 29 |
| Adenovirus antibody,serum - quest CPT 86603 | $81.60 | $136.00 | $3.97 – $29.34 | 29 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.87 – $49.61 | 27 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $0.01 – $53.67 | 30 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $200.13 – $1,117.99 | 19 |
| Adh-sendout CPT 84588 | $177.00 | $295.00 | $11.90 – $77.38 | 29 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $0.01 – $397.68 | 17 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $117.05 – $3,321.81 | 38 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $151.28 – $926.15 | 38 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $639.08 | $1,065.14 | $0.10 – $2.14 | 22 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $11.28 – $52.94 | 20 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $293.40 | $489.00 | $4.43 – $117.82 | 21 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $432.60 | $721.00 | $9.65 – $158.73 | 21 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $927.00 | $1,545.00 | $19.52 – $324.60 | 21 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $525.60 | $876.00 | $14.43 – $191.33 | 21 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $244.20 | $407.00 | $5.01 – $58.26 | 21 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $293.40 | $489.00 | $7.90 – $129.80 | 21 |
| Administration immunization each additional component CPT 90461 | not published | not published | $2.66 – $12.51 | 14 |
| Administration immunization each additional vaccine CPT 90472 | $61.80 | $103.00 | $1.76 – $12.51 | 19 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $5.17 – $25.42 | 14 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $45.00 | $75.00 | $1.78 – $25.42 | 19 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $1.54 – $12.51 | 19 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $24.11 – $24.11 | 11 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $24.11 – $24.11 | 11 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $59.76 | $99.60 | $36.62 – $93.26 | 42 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $25.21 – $859.35 | 43 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $316.91 – $1,604.00 | 19 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $14.62 – $69.52 | 13 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $20.48 – $85.01 | 13 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $20.01 – $81.73 | 13 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $27.27 – $111.58 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $177.60 | $296.00 | $9.85 – $45.71 | 27 |
| #afb mycobacteria suscep. #1 CPT 87190 | $88.20 | $147.00 | $1.32 – $16.67 | 29 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $11.71 – $263.02 | 27 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $54.80 – $312.36 | 15 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $109.93 – $626.61 | 15 |
| Aflibercept injection HCPCS J0178 | $3,893.02 | $6,488.36 | $862.28 – $2,816.63 | 42 |
| Afo molded plas rig ant tib HCPCS L1945 | $3,302.40 | $5,504.00 | $64.33 – $2,110.59 | 20 |
| After cataract laser surgery CPT 66821 | $1,837.20 | $3,062.00 | $69.01 – $1,959.68 | 41 |
| Ag detect nos ia single CPT 87450 | not published | not published | $4.53 – $21.87 | 27 |
| Air conduction bilat CPT 92552 | not published | not published | $4.06 – $20.58 | 20 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $23.96 – $95.22 | 19 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $307.80 | $513.00 | $9.10 – $30.56 | 20 |
| Albumin body fluid quantitative each specimen CPT 82042 | $67.20 | $112.00 | $2.65 – $17.74 | 29 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $552.05 | $920.08 | $45.83 – $137.03 | 42 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $471.44 | $785.74 | $48.60 – $140.10 | 42 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $470.97 | $784.95 | $9.78 – $25.18 | 39 |
| Albumin ischemia modified CPT 82045 | not published | not published | $16.76 – $77.38 | 27 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $66.00 | $110.00 | $2.65 – $13.18 | 29 |
| Albumin serum plasma or whole blood CPT 82040 | $24.60 | $41.00 | $2.65 – $11.29 | 29 |
| Albuterol ipratrop non-comp HCPCS J7620 | $9.18 | $15.30 | $0.13 – $0.43 | 20 |
| Albuterol non-comp unit HCPCS J7613 | $9.59 | $15.98 | $0.04 – $0.16 | 18 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $6.91 – $39.38 | 21 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $4.61 – $25.99 | 13 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $46.29 – $286.14 | 29 |
| Alkaline phosphatase CPT 84075 | $43.80 | $73.00 | $2.45 – $11.81 | 29 |
| Allergen alpha lactalbumin ige CPT 86008 | $51.00 | $85.00 | $8.86 – $40.88 | 16 |
| Allergen egg white ige CPT 86003 | $119.40 | $199.00 | $1.32 – $11.90 | 29 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $2.65 – $18.17 | 29 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $2.33 – $19.30 | 20 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $1.87 – $15.00 | 20 |
| Allergy Skin Testing CPT 95004 | $105.60 | $176.00 | $0.86 – $6.07 | 20 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1.08 – $7.90 | 20 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $325.31 – $9,509.56 | 38 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $14,566.20 | $24,277.00 | $37.56 – $113.68 | 21 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $6,964.20 | $11,607.00 | $14.12 – $108.92 | 19 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $4,291.20 | $7,152.00 | $37.56 – $108.92 | 19 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $12,390.60 | $20,651.00 | $30.73 – $108.92 | 19 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $5,725.80 | $9,543.00 | $37.56 – $163.17 | 20 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,169.60 | $3,616.00 | $350.00 – $12,692.16 | 14 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $10,199.40 | $16,999.00 | $37.56 – $245.77 | 20 |
| All tstg perq&iq drugs/biol CPT 95018 | $66.00 | $110.00 | $1.33 – $13.66 | 19 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $0.69 – $5.59 | 19 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $31.81 – $146.85 | 27 |
| Alpha-fetoprotein amniotic CPT 82106 | $123.60 | $206.00 | $5.29 – $38.76 | 29 |
| Alpha-fetoprotein tumor marker CPT 82105 | $212.40 | $354.00 | $5.29 – $38.24 | 29 |
| Alprostadil for injection HCPCS J0270 | $228.18 | $380.30 | $0.11 – $23.11 | 22 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $2,680.50 | $4,467.50 | $54.29 – $233.04 | 44 |
| Alt/sgpt CPT 84460 | $25.80 | $43.00 | $2.51 – $12.08 | 29 |
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.