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 |
|---|---|---|---|---|
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $210.93 – $565.85 | 19 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $176.57 – $515.42 | 19 |
| Ligation major artery chest CPT 37616 | not published | not published | $276.02 – $1,273.80 | 19 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $95.49 – $461.50 | 19 |
| Ligation major artery neck CPT 37615 | not published | not published | $118.34 – $528.10 | 19 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $130.56 – $1,515.56 | 38 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $332.71 – $1,206.30 | 19 |
| Ligation of femoral vein CPT 37650 | not published | not published | $131.10 – $1,515.56 | 38 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $496.19 – $2,245.90 | 19 |
| Ligation of neck artery CPT 37606 | not published | not published | $138.21 – $600.30 | 19 |
| Ligation of salivary duct CPT 42665 | not published | not published | $47.58 – $1,291.25 | 38 |
| Ligation of shunt CPT 49428 | not published | not published | $99.28 – $297.75 | 19 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $187.16 – $1,515.56 | 38 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $66.55 – $1,515.56 | 38 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $97.40 – $1,515.56 | 38 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $164.04 – $1,515.56 | 38 |
| Limb exercise test CPT 95875 | not published | not published | $10.72 – $41.72 | 22 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $46.90 – $318.00 | 19 |
| Limited autopsy CPT 88036 | not published | not published | $44.64 – $284.34 | 18 |
| Limited autopsy CPT 88037 | not published | not published | $39.60 – $231.44 | 18 |
| Limited visual field xm CPT 92081 | not published | not published | $3.88 – $18.20 | 20 |
| Lincomycin injection HCPCS J2010 | $225.14 | $375.24 | $7.04 – $31.70 | 22 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $206.92 | $344.87 | $3.30 – $60.15 | 22 |
| Lipase CPT 83690 | $94.20 | $157.00 | $3.26 – $15.71 | 28 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $81.24 – $1,291.25 | 38 |
| Lipoprotein blood high res frac & quant CPT 83701 | $87.00 | $145.00 | $12.45 – $77.20 | 29 |
| Lipoprotein blood quant CPT 83704 | $130.80 | $218.00 | $15.58 – $77.95 | 27 |
| Lipoprotein direct measurement hdl CPT 83718 | $47.40 | $79.00 | $3.87 – $18.67 | 29 |
| Lipoprotein direct measurement ldl CPT 83721 | $55.20 | $92.00 | $3.97 – $23.94 | 28 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $14.02 – $77.95 | 22 |
| Lip surgery procedure CPT 40799 | not published | not published | $0.01 – $87.15 | 17 |
| Listeria monocytogenes CPT 86723 | not published | not published | $5.29 – $30.07 | 29 |
| Lithium therapeutic drug level CPT 80178 | $99.00 | $165.00 | $3.13 – $15.07 | 29 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,035.80 | $18,393.00 | $133.22 – $133.22 | 8 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $189.99 – $189.99 | 11 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $223.21 – $223.21 | 11 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $265.13 – $840.00 | 19 |
| Liver elastography 91200 CPT 91200 | not published | not published | $7.73 – $495.69 | 20 |
| Liver Function Test CPT 80076 | $37.80 | $63.00 | $2.99 – $18.63 | 29 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $314.26 – $998.37 | 19 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $33.11 – $558.47 | 21 |
| Liver imaging CPT 78201 | not published | not published | $15.23 – $338.34 | 43 |
| Liver imaging (3d) CPT 78205 | not published | not published | $24.43 – $341.09 | 21 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $17.05 – $366.36 | 43 |
| Liver/spleen imag static only CPT 78215 | $1,825.20 | $3,042.00 | $17.33 – $348.41 | 43 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $18.55 – $249.61 | 43 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $8.36 – $51.12 | 19 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $5,840.40 | $9,734.00 | $123.51 – $4,631.00 | 41 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $383.01 | $638.35 | $190.00 – $464.36 | 37 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $261.04 | $435.07 | $0.67 – $3.29 | 23 |
| Loudness balance test CPT 92562 | not published | not published | $3.99 – $30.91 | 20 |
| Low back disk surgery CPT 63030 | not published | not published | $196.26 – $3,321.81 | 38 |
| Low cost skin substitute app HCPCS C5271 | $1,242.60 | $2,071.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5273 | $4,545.00 | $7,575.00 | $926.15 – $926.15 | 19 |
| Low cost skin substitute app HCPCS C5275 | $1,242.60 | $2,071.00 | $318.97 – $318.97 | 19 |
| Low cost skin substitute app HCPCS C5277 | $1,356.60 | $2,261.00 | $318.97 – $318.97 | 19 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $885.00 | $1,475.00 | $21.01 – $315.51 | 19 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,707.60 | $2,846.00 | $45.27 – $448.02 | 43 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,680.60 | $2,801.00 | $43.10 – $650.00 | 44 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $885.00 | $1,475.00 | $35.75 – $650.00 | 44 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,176.20 | $3,627.00 | $82.27 – $700.00 | 44 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,176.20 | $3,627.00 | $64.01 – $485.37 | 43 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,287.00 | $2,145.00 | $53.39 – $700.00 | 44 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $281.40 | $469.00 | $4.83 – $250.00 | 25 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $310.80 | $518.00 | $6.74 – $250.00 | 25 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | not published | not published | $8.73 – $96.75 | 24 |
| Lower jaw bone graft CPT 21215 | not published | not published | $217.88 – $3,692.26 | 38 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $281.40 | $469.00 | $3.55 – $250.00 | 25 |
| Low frequency non-thermal Ultrasound CPT 97610 | $184.20 | $307.00 | $17.02 – $700.25 | 19 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $193.98 – $4,445.47 | 38 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $218.48 – $4,445.47 | 38 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $214.87 – $4,445.47 | 38 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $236.36 – $4,445.47 | 38 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $1,068.60 | $1,781.00 | $18.66 – $669.49 | 21 |
| L/s ratio fetal lung CPT 83661 | $134.40 | $224.00 | $3.97 – $50.14 | 29 |
| Lumbar diskogram s&i CPT 72295 | $1,227.60 | $2,046.00 | $28.23 – $1,298.32 | 24 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $404.06 – $13,239.40 | 38 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $583.80 | $973.00 | $9.36 – $45.10 | 20 |
| Lung function test (mbc/mvv) CPT 94200 | $40.20 | $67.00 | $3.99 – $12.50 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $330.60 | $551.00 | $6.03 – $20.10 | 20 |
| Lung perfusion imaging CPT 78580 | $1,133.40 | $1,889.00 | $24.71 – $415.22 | 43 |
| Lung transplant double CPT 32853 | not published | not published | $757.46 – $4,036.70 | 19 |
| Lung transplant single CPT 32851 | not published | not published | $631.91 – $3,304.10 | 19 |
| Lung transplant with bypass CPT 32852 | not published | not published | $704.47 – $3,559.20 | 19 |
| Lung transplant with bypass CPT 32854 | not published | not published | $819.71 – $4,304.50 | 19 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $355.87 – $1,901.30 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $298.13 | $496.88 | $189.26 – $458.10 | 39 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $237.20 | $395.34 | $38.35 – $91.40 | 40 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $365.28 | $608.80 | $223.13 – $535.12 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $9.69 – $51.33 | 13 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $9.64 – $45.71 | 29 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $188.90 – $851.20 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | $1,207.80 | $2,013.00 | $37.21 – $609.90 | 43 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $18.06 – $99.98 | 29 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $18.52 – $111.79 | 29 |
| Lymphocytotoxicity assay CPT 86805 | $361.20 | $602.00 | $19.84 – $432.08 | 29 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $17.19 – $108.51 | 29 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $30.81 – $390.80 | 24 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,746.80 | $4,578.00 | $34.08 – $722.38 | 43 |
| Lymph vessel x-ray trunk CPT 75805 | $706.20 | $1,177.00 | $29.44 – $1,806.01 | 43 |
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.