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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | not published | not published | $6.61 – $33.29 | 29 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $11.79 – $1,160.52 | 21 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $27.14 – $159.53 | 19 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $29.76 – $134.53 | 19 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $149.03 – $931.64 | 38 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $152.23 – $1,487.08 | 38 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $3.97 – $36.23 | 29 |
| Ghs reticulocyte count CPT 85044 | $18.60 | $31.00 | $2.03 – $9.83 | 29 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.67 – $31.71 | 29 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.32 – $9.74 | 29 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $4.30 – $28.07 | 19 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $22.44 | 19 |
| Ghs sensitivity (per antimicro) CPT 87184 | $56.40 | $94.00 | $2.65 – $17.05 | 29 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $28.90 – $202.51 | 38 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $38.53 – $293.19 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $36.62 – $230.81 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $46.55 – $449.30 | 38 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $25.13 – $191.28 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $23.20 – $146.46 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $31.61 – $240.17 | 38 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $41.92 – $316.49 | 38 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $55.69 – $549.20 | 38 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $45.47 – $556.10 | 20 |
| Ghs somatosensory testing lower extremit CPT 95926 | $881.40 | $1,469.00 | $19.81 – $68.32 | 22 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,963.80 | $3,273.00 | $32.67 – $257.98 | 20 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $118.20 | $197.00 | $5.59 – $93.30 | 20 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $17.50 – $88.20 | 38 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $5.99 – $11.21 | 20 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $307.80 | $513.00 | $15.03 – $77.94 | 20 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $4.04 – $19.24 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $174.00 | $290.00 | $11.42 – $283.42 | 22 |
| Ghs st - re-eval for alt comm CPT 92597 | $359.40 | $599.00 | $9.38 – $58.90 | 20 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $3.23 – $18.74 | 20 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $30.66 – $175.78 | 20 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $32.10 – $318.97 | 38 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $23.32 – $202.51 | 38 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $54.32 – $652.86 | 38 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $2.65 – $16.64 | 29 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $64.26 – $276.28 | 38 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $63.75 – $308.51 | 38 |
| Ghs urine, hydroxproline total CPT 83505 | $119.40 | $199.00 | $10.26 – $55.40 | 29 |
| Ghs urine, porphyrins quant CPT 84120 | $72.60 | $121.00 | $6.61 – $33.54 | 29 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $138.49 – $987.53 | 19 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $928.20 | $1,547.00 | $777.76 – $1,000.00 | 13 |
| Ghs windowing of cast CPT 29730 | not published | not published | $11.89 – $62.51 | 38 |
| Giardia ag if CPT 87269 | $82.20 | $137.00 | $5.67 – $31.03 | 27 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $5.29 – $33.56 | 29 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $19.87 – $118.78 | 24 |
| Gi inhouse confirmation CPT 87045 | $127.80 | $213.00 | $4.46 – $21.52 | 29 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $58.98 – $347.13 | 32 |
| Gi protein loss CPT 78282 | not published | not published | $10.52 – $377.61 | 42 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,991.00 | $4,985.00 | $137.63 – $719.40 | 20 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $117.70 – $763.85 | 11 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $52.95 – $657.57 | 14 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $159.83 – $1,470.20 | 13 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $40.45 – $230.55 | 23 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $24.61 – $140.27 | 23 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.00 – $79.80 | 23 |
| Glaucoma surgery CPT 66150 | not published | not published | $196.20 – $2,002.17 | 38 |
| Glaucoma surgery CPT 66155 | not published | not published | $195.47 – $2,757.77 | 38 |
| Glaucoma surgery CPT 66160 | not published | not published | $222.42 – $1,158.89 | 38 |
| Glaucoma surgery CPT 66170 | not published | not published | $269.09 – $1,227.61 | 38 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $351.53 | $585.88 | $105.00 – $522.52 | 43 |
| Glucagon plasma - sendout CPT 82943 | $100.20 | $167.00 | $4.87 – $32.58 | 29 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $11.90 – $105.04 | 29 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $17.19 – $115.14 | 29 |
| Glucagon tolerance test CPT 82946 | not published | not published | $5.29 – $40.52 | 29 |
| Glucose 1 hr post dose CPT 82950 | $73.20 | $122.00 | $2.25 – $10.83 | 29 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.65 – $13.79 | 29 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $13.20 | $22.00 | $1.32 – $7.48 | 28 |
| Glucose blood quantitative CPT 82947 | $44.40 | $74.00 | $1.94 – $8.96 | 29 |
| Glucose body fluid CPT 82945 | $52.80 | $88.00 | $1.94 – $9.07 | 29 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $11.38 – $218.24 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $67.20 | $112.00 | $4.63 – $29.34 | 29 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $21.60 | $36.00 | $1.80 – $8.94 | 29 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $120.40 | $200.66 | $0.62 – $1.15 | 12 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $93.97 | $156.61 | $12.34 – $110.75 | 42 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $133.80 | $223.00 | $7.93 – $42.36 | 29 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $33.06 – $338.37 | 29 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $141.60 | $236.00 | $7.93 – $42.23 | 29 |
| Gonioscopy CPT 92020 | not published | not published | $2.44 – $19.25 | 20 |
| Goniotomy CPT 65820 | not published | not published | $172.85 – $2,002.17 | 38 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,577.10 | $2,628.50 | $184.15 – $1,934.33 | 44 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,642.00 | $6,070.00 | $30.40 – $108.92 | 20 |
| Graft axiofill 1000mg HCPCS J3590 | $2,890.20 | $4,817.00 | $0.01 – $0.01 | 11 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,933.40 | $29,889.00 | $0.01 – $201.21 | 21 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $217.31 – $1,487.08 | 38 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $18,096.60 | $30,161.00 | $31.05 – $108.92 | 21 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $5,002.20 | $8,337.00 | $37.56 – $2,117.35 | 20 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $15,476.40 | $25,794.00 | $33.35 – $108.92 | 21 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $10,983.60 | $18,306.00 | $37.56 – $111.98 | 20 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $222.43 – $1,241.90 | 19 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,468.00 | $5,780.00 | $37.56 – $142.43 | 21 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $3,060.00 | $5,100.00 | $20.63 – $108.92 | 21 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $41,130.00 | $68,550.00 | $37.56 – $108.92 | 19 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,754.00 | $4,590.00 | $37.56 – $235.19 | 21 |
| Great toe-hand transfer CPT 26551 | not published | not published | $796.00 – $4,157.70 | 19 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $37.30 – $125.66 | 38 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $99.49 – $926.15 | 32 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $98.37 – $1,822.02 | 32 |
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.