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 |
|---|---|---|---|---|
| Lymph vessel x-ray trunk CPT 75807 | $1,411.80 | $2,353.00 | $37.36 – $439.41 | 24 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $31.07 – $279.43 | 38 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $31.77 – $1,553.00 | 38 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $43.15 – $910.38 | 38 |
| Macro exam dissect molec study ea CPT 88387 | $146.40 | $244.00 | $2.59 – $52.91 | 26 |
| Macroscopic exam arthropod CPT 87168 | $17.40 | $29.00 | $2.11 – $9.74 | 27 |
| Macroscopic exam parasite CPT 87169 | $43.80 | $73.00 | $2.02 – $9.83 | 27 |
| Magnesium CPT 83735 | $82.20 | $137.00 | $2.73 – $15.28 | 28 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $118.81 | $198.01 | $0.05 – $1.51 | 22 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $57.47 – $632.63 | 43 |
| Malaria antibody CPT 86750 | not published | not published | $5.29 – $30.07 | 29 |
| Male sling procedure CPT 53440 | not published | not published | $193.44 – $9,871.23 | 38 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $686.54 – $2,269.00 | 19 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $76.07 – $801.87 | 38 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $97.33 – $801.87 | 38 |
| Manipulation of hip joint CPT 27275 | not published | not published | $45.77 – $801.87 | 38 |
| Manipulation of spine CPT 22505 | not published | not published | $31.90 – $801.87 | 38 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $22.74 – $80.84 | 38 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.12 | $66.86 | $1.30 – $5.87 | 15 |
| Manual diff wbc count b-coat CPT 85009 | $55.20 | $92.00 | $1.76 – $11.56 | 29 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $33.55 – $71.30 | 20 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $45.97 – $165.04 | 19 |
| Map tachycard site(s) CPT 93609 | $6,008.40 | $10,014.00 | $66.00 – $130.10 | 20 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,697.80 | $6,163.00 | $200.00 – $200.00 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $247.25 – $829.70 | 19 |
| Mastectomy partial CPT 19301 | not published | not published | $100.04 – $1,438.67 | 38 |
| Mast mod rad CPT 19307 | not published | not published | $192.23 – $2,482.82 | 38 |
| Mastoidectomy CPT 69501 | not published | not published | $133.53 – $2,702.95 | 38 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $176.91 – $2,702.95 | 38 |
| Mastoids complete CPT 70130 | $330.00 | $550.00 | $6.67 – $83.81 | 24 |
| Mastoid surgery revision CPT 69603 | not published | not published | $232.90 – $2,702.95 | 38 |
| Mastopexy CPT 19316 | not published | not published | $133.14 – $2,482.82 | 38 |
| Mast radical CPT 19305 | not published | not published | $183.07 – $1,180.64 | 19 |
| Mast rad urban type CPT 19306 | not published | not published | $191.17 – $1,225.90 | 19 |
| Mast simple complete CPT 19303 | not published | not published | $154.46 – $2,482.82 | 38 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $13,359.00 | $22,265.00 | $18.55 – $108.92 | 21 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $17.13 – $80.01 | 29 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $9.64 – $62.22 | 29 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $17.13 – $97.68 | 29 |
| Maxillofacial fixation CPT 21100 | not published | not published | $99.06 – $2,702.95 | 38 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $58.80 | $98.00 | $5.29 – $32.97 | 29 |
| Mayo aathr protein s free CPT 85306 | $250.80 | $418.00 | $6.61 – $34.93 | 29 |
| Mayo activated protein c resistance assay CPT 85307 | $71.40 | $119.00 | $6.61 – $34.93 | 29 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $61.20 | $102.00 | $6.61 – $33.70 | 29 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $81.00 | $135.00 | $5.29 – $30.64 | 29 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $82.80 | $138.00 | $7.44 – $34.38 | 29 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $466.20 | $777.00 | $60.06 – $277.32 | 26 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $385.20 | $642.00 | $43.83 – $208.98 | 26 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,573.20 | $2,622.00 | $540.00 – $2,644.80 | 23 |
| Mayo androstenedione CPT 82157 | $121.80 | $203.00 | $10.58 – $66.76 | 29 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $186.00 | $310.00 | $6.61 – $33.29 | 29 |
| Mayo antithrombin iii antigen CPT 85301 | $37.80 | $63.00 | $5.34 – $24.65 | 29 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $64.80 | $108.00 | $5.29 – $34.31 | 29 |
| Mayo avwpr vw factor activity CPT 85397 | $250.80 | $418.00 | $9.42 – $70.36 | 27 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $97.20 | $162.00 | $5.02 – $23.21 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $624.60 | $1,041.00 | $60.88 – $330.24 | 23 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 23 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $46.80 | $78.00 | $3.97 – $29.41 | 29 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $174.00 | $290.00 | $3.97 – $30.07 | 29 |
| Mayo brcmg brucella antibody igm CPT 86622 | $63.00 | $105.00 | $3.97 – $20.36 | 29 |
| Mayo c1 esterase inhibitor CPT 83883 | $64.80 | $108.00 | $2.65 – $31.01 | 29 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $247.20 | $412.00 | $1.70 – $38.46 | 29 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.09 – $61.06 | 27 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $195.00 | $325.00 | $60.36 – $278.66 | 17 |
| Mayo ceruloplasmin CPT 82390 | $109.80 | $183.00 | $5.08 – $24.49 | 29 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $144.00 | $240.00 | $5.29 – $32.19 | 29 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $179.40 | $299.00 | $5.29 – $29.37 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $43.80 | $73.00 | $3.97 – $26.95 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $43.80 | $73.00 | $3.97 – $28.91 | 29 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $654.60 | $1,091.00 | $59.26 – $265.60 | 29 |
| Mayo chromium CPT 82495 | $66.00 | $110.00 | $9.60 – $46.24 | 29 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo coccidioides antibody CPT 86635 | $58.80 | $98.00 | $3.97 – $26.15 | 29 |
| Mayo cocou cortisone urine CPT 82542 | $108.60 | $181.00 | $8.31 – $54.93 | 29 |
| Mayo cortisol free CPT 82530 | $108.00 | $180.00 | $7.91 – $38.10 | 29 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $63.60 | $106.00 | $16.85 – $102.60 | 24 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $119.40 | $199.00 | $3.97 – $27.63 | 29 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | $93.00 | $155.00 | $7.93 – $44.23 | 29 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $24.34 – $769.85 | 26 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $63.60 | $106.00 | $6.54 – $30.21 | 29 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $179.40 | $299.00 | $11.90 – $57.62 | 29 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 29 |
| Mayo efpo chloride stool CPT 82438 | $64.20 | $107.00 | $2.41 – $11.40 | 29 |
| Mayo estriol CPT 82677 | $109.20 | $182.00 | $10.58 – $55.13 | 29 |
| Mayo estrone CPT 82679 | $105.00 | $175.00 | $9.64 – $56.89 | 29 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $75.60 | $126.00 | $8.07 – $37.26 | 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.