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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe CPT 87798 | $189.60 | $316.00 | $16.60 – $80.01 | 29 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $161.40 | $269.00 | $16.60 – $80.01 | 29 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $194.40 | $324.00 | $17.33 – $84.98 | 27 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $205.82 – $950.26 | 25 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $213.60 | $356.00 | $16.60 – $80.01 | 29 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $148.80 | $248.00 | $17.33 – $80.01 | 27 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $261.00 | $435.00 | $17.13 – $95.03 | 29 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $141.00 | $235.00 | $16.60 – $80.01 | 29 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $319.20 | $532.00 | $20.52 – $116.99 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $57.05 – $325.20 | 21 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $57.05 – $325.20 | 21 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $17.13 – $80.01 | 29 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $309.60 | $516.00 | $19.15 – $80.01 | 26 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $766.80 | $1,278.00 | $205.82 – $950.26 | 26 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $63.35 – $292.50 | 26 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $105.40 – $599.62 | 26 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $279.00 | $465.00 | $20.26 – $97.68 | 29 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $179.40 | $299.00 | $17.13 – $97.68 | 29 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $485.40 | $809.00 | $20.26 – $97.68 | 29 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $417.00 | $695.00 | $40.25 – $194.03 | 29 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $70.54 – $325.20 | 26 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $23.58 | $39.30 | $32.16 – $37.59 | 30 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $20.66 | $34.44 | $14.29 – $30.65 | 31 |
| Influenza dna amp prob addl CPT 87503 | $69.60 | $116.00 | $11.69 – $66.62 | 27 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $39.39 – $187.85 | 21 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $19.90 – $64.96 | 15 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | not published | 0 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $641.40 – $3,720.60 | 19 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $636.22 – $3,516.10 | 19 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | not published | 0 |
| Infuse radioactive materials CPT 77750 | not published | not published | $19.40 – $254.01 | 43 |
| Ingest challenge ea addl 60 min CPT 95079 | $166.20 | $277.00 | $12.36 – $69.61 | 19 |
| Ingest challenge ini 120 min CPT 95076 | $368.40 | $614.00 | $13.45 – $81.46 | 19 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $493.80 | $823.00 | $11.47 – $56.08 | 20 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $101.47 – $442.71 | 20 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $19.76 – $121.58 | 20 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $25.34 – $155.83 | 20 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $14.17 – $84.06 | 20 |
| Initial observation care CPT 99218 | not published | not published | $11.31 – $95.97 | 20 |
| Initial observation care CPT 99219 | not published | not published | $18.62 – $137.56 | 20 |
| Initial observation care CPT 99220 | not published | not published | $26.18 – $188.12 | 20 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $18.22 – $110.84 | 20 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $89.84 – $175.54 | 20 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $73.85 | $123.08 | $2.57 – $2.57 | 11 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $5,992.97 | $9,988.28 | $5.55 – $11.25 | 31 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $8,674.10 | $14,456.83 | $169.50 – $496.92 | 41 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $11,754.76 | $19,591.26 | $204.75 – $495.31 | 39 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $40.17 | $66.95 | $0.47 – $2.23 | 22 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $66.38 | $110.64 | $1.04 – $2.21 | 12 |
| Inj ceftolozane tazobactam HCPCS J0695 | $248.93 | $414.88 | $6.74 – $18.52 | 34 |
| Inj, clindamycin (baxter) HCPCS J0737 | $45.64 | $76.07 | $1.75 – $6.35 | 31 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $506.40 | $844.00 | $12.59 – $776.94 | 22 |
| Inj., copanlisib, 1 mg HCPCS J9057 | $6,936.60 | $11,561.00 | $76.23 – $236.76 | 40 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $34.91 – $223.93 | 19 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $18.57 – $62.34 | 38 |
| Inj dx for sinogram CPT 20501 | not published | not published | $10.53 – $80.52 | 19 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $20.76 – $592.10 | 39 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $763.20 | $1,272.00 | $18.82 – $1,106.60 | 22 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $1,156.01 | $1,926.68 | $724.69 – $1,685.86 | 35 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $15.09 – $54.61 | 38 |
| Injection, doxercalciferol HCPCS J1270 | $45.89 | $76.48 | $0.38 – $8.86 | 23 |
| Injection during cath supravalvular aortography CPT 93567 | $2,679.60 | $4,466.00 | $16.27 – $96.73 | 20 |
| Injection epidural blood patch or clot CPT 62273 | $1,963.80 | $3,273.00 | $23.67 – $2,094.72 | 41 |
| Injection eye drug CPT 67028 | not published | not published | $39.75 – $143.69 | 38 |
| Injection for arthrography wrist (both sides) CPT 25246 | $556.80 | $928.00 | $20.27 – $923.77 | 22 |
| Injection for bladder x-ray CPT 51600 | $217.80 | $363.00 | $10.09 – $329.12 | 22 |
| Injection for hip x-ray CPT 27095 | not published | not published | $21.25 – $209.70 | 20 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $625.20 | $1,042.00 | $13.88 – $954.45 | 22 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $39.98 – $192.30 | 19 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $14.66 – $76.37 | 19 |
| Injection for ureter x-ray CPT 50684 | $1,138.20 | $1,897.00 | $11.00 – $1,416.85 | 22 |
| Injection for ureter x-ray CPT 50690 | $1,405.80 | $2,343.00 | $15.85 – $1,499.52 | 22 |
| Injection, fulvestrant HCPCS J9395 | $1,995.00 | $3,325.00 | $8.45 – $265.46 | 45 |
| Injection glatiramer acetate HCPCS J1595 | $332.78 | $554.63 | $52.50 – $201.72 | 40 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,431.58 | $9,052.63 | $12.02 – $27.43 | 37 |
| Injection into brain canal CPT 61026 | not published | not published | $26.94 – $351.21 | 38 |
| Injection into brain canal CPT 61055 | not published | not published | $29.42 – $179.60 | 38 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $26.92 – $240.54 | 38 |
| Injection into spinal artery CPT 62294 | not published | not published | $162.00 – $874.70 | 38 |
| Injection into vocal cord CPT 31513 | not published | not published | $31.89 – $207.37 | 38 |
| Injection intraop add-on CPT 48400 | not published | not published | $24.85 – $136.50 | 19 |
| Injection, isavuconazonium HCPCS J1833 | $634.28 | $1,057.14 | $0.65 – $2.58 | 41 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $11.36 – $98.56 | 19 |
| Injection jugular CPT 36299 | not published | not published | $0.01 – $0.01 | 11 |
| Injection of sinus tract CPT 20500 | not published | not published | $25.32 – $182.40 | 38 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,290.32 | $2,150.53 | $5.51 – $18.30 | 40 |
| Injection px peyronie ds CPT 54200 | not published | not published | $18.54 – $81.06 | 38 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,027.20 | $1,712.00 | $10.98 – $1,416.85 | 22 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $15.35 – $82.66 | 38 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $15.21 – $81.77 | 38 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $22.67 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $13.84 – $74.02 | 19 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $21.58 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $10.36 – $63.19 | 19 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $17.07 – $462.90 | 38 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $27.72 – $1,470.85 | 40 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,448.00 | $4,080.00 | $25.32 – $2,611.20 | 42 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $10.85 – $40.53 | 38 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $587.40 | $979.00 | $9.20 – $954.45 | 41 |
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.