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 |
|---|---|---|---|---|
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,167.84 – $6,656.69 | 17 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $48.96 – $1,363.23 | 17 |
| Tas congenital car anomal CPT 33741 | not published | not published | $228.15 – $695.52 | 13 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $23.34 – $144.11 | 38 |
| Tavr perq femoral CPT 33361 | not published | not published | $405.34 – $1,577.26 | 19 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $810.19 | $1,350.31 | $0.44 – $2.52 | 41 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $54.80 – $312.36 | 15 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $33.57 – $33.57 | 11 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $3.11 – $3.11 | 11 |
| Tbs techl calculation only CPT 77091 | not published | not published | $28.38 – $322.18 | 17 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.08 – $322.18 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $34.89 – $228.00 | 27 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $205.20 | $342.00 | $30.61 – $141.31 | 27 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,690.40 | $9,484.00 | $102.48 – $3,856.43 | 15 |
| Tc-99m labeled rbc HCPCS A9560 | $522.60 | $871.00 | $112.87 – $272.64 | 15 |
| Tc-99m maa HCPCS A9540 | $608.40 | $1,014.00 | $36.25 – $224.00 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $94.80 | $158.00 | $66.84 – $135.60 | 12 |
| Tc-99m medronate HCPCS A9503 | $109.80 | $183.00 | $15.71 – $35.53 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $1,135.20 | $1,892.00 | $936.23 – $6,640.92 | 18 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.00 | $10.00 | $0.67 – $0.67 | 11 |
| Tc-99m oxidronate HCPCS A9561 | $60.00 | $100.00 | $53.17 – $53.17 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $406.80 | $678.00 | $0.02 – $68.40 | 14 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $435.60 | $726.00 | $23.30 – $648.00 | 13 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $26.40 | $44.00 | $1.93 – $41.80 | 15 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $145.20 | $242.00 | $60.42 – $144.11 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $153.00 | $255.00 | $75.00 – $75.00 | 11 |
| Tc-99m sulfur colloid HCPCS A9541 | $194.40 | $324.00 | $224.00 – $323.09 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $986.40 | $1,644.00 | $271.70 – $1,488.53 | 15 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $70.30 – $462.87 | 32 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $42.30 – $391.06 | 22 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $42.07 – $391.06 | 22 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $36.32 – $391.06 | 22 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $8.40 – $24.56 | 13 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $197.40 | $329.00 | $19.84 – $107.11 | 29 |
| T cells absolute cd 4 count CPT 86361 | $255.60 | $426.00 | $13.22 – $61.06 | 29 |
| T cells total count CPT 86359 | $160.80 | $268.00 | $10.58 – $86.02 | 29 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $40.61 – $531.65 | 20 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $176.26 – $970.44 | 20 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $118.98 – $531.65 | 21 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $89.05 – $516.80 | 19 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $280.06 – $1,423.90 | 19 |
| Team conf without pat by hc pro CPT 99368 | $142.80 | $238.00 | $24.77 – $42.91 | 14 |
| Team conf without pat by phys CPT 99367 | $109.20 | $182.00 | $38.05 – $66.46 | 14 |
| Team conf w/pat by hc prof CPT 99366 | $123.60 | $206.00 | $29.06 – $50.76 | 14 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $303.82 | $506.37 | $196.98 – $483.21 | 37 |
| Telethx isodose plan cplx CPT 77307 | $877.80 | $1,463.00 | $40.85 – $281.24 | 40 |
| Telethx isodose plan simple CPT 77306 | $485.40 | $809.00 | $20.81 – $153.61 | 40 |
| Temozolomide HCPCS J8700 | $849.67 | $1,416.11 | $0.28 – $11.25 | 25 |
| Temperature gradient studies CPT 93740 | not published | not published | $3.28 – $15.20 | 13 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $246.60 – $1,406.50 | 19 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $151.94 | $253.24 | $30.99 – $194.83 | 44 |
| Tendon lengthening CPT 26476 | not published | not published | $148.88 – $1,487.08 | 38 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $145.85 – $1,487.08 | 38 |
| Tendon shortening CPT 26477 | not published | not published | $150.49 – $1,487.08 | 38 |
| Tendon transfer with graft CPT 26492 | not published | not published | $224.10 – $1,487.08 | 38 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $240.21 | $400.35 | $67.34 – $367.69 | 43 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $154.96 – $3,321.81 | 38 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $153.95 – $1,487.08 | 38 |
| Tenolysis triceps CPT 24332 | not published | not published | $150.73 – $1,487.08 | 38 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $194.11 – $3,321.81 | 38 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $127.43 – $801.87 | 38 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $184.88 – $795.90 | 19 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $80.64 – $1,487.08 | 38 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $5,365.80 | $8,943.00 | $67.49 – $4,631.00 | 41 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $131.66 | $219.43 | $2.10 – $12.36 | 22 |
| Teriparatide injection HCPCS J3110 | $8,625.43 | $14,375.72 | $7.55 – $173.88 | 23 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $74.08 – $422.26 | 15 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $2.97 – $13.70 | 29 |
| Test for porphobilinogen CPT 84106 | not published | not published | $1.32 – $13.27 | 29 |
| Test for urine cystines CPT 82615 | not published | not published | $3.39 – $21.77 | 29 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $23.77 – $357.74 | 43 |
| Testosterone response panel CPT 80414 | not published | not published | $17.19 – $117.74 | 29 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $136.80 | $228.00 | $14.03 – $129.28 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $1,312.80 | $2,188.00 | $17.55 – $80.90 | 20 |
| Test urine for lactose CPT 83633 | not published | not published | $2.65 – $25.65 | 29 |
| Test urine for porphyrins CPT 84119 | not published | not published | $3.59 – $30.46 | 29 |
| Test urine urobilinogen CPT 84578 | not published | not published | $1.32 – $10.19 | 29 |
| Tetanus ig im CPT 90389 | not published | not published | $131.25 – $1,613.56 | 24 |
| Tetanus immune globulin inj HCPCS J1670 | $1,073.02 | $1,788.37 | $343.28 – $1,613.56 | 43 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $6,935.61 | $11,559.35 | $18.16 – $40.75 | 37 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $54.80 – $312.36 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $303.81 – $303.81 | 11 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,167.84 – $1,167.84 | 11 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $239.16 – $239.16 | 11 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $150.00 – $845.00 | 14 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $150.00 – $845.00 | 14 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $150.00 – $845.00 | 14 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $25.00 – $845.00 | 14 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $8.79 – $16.80 | 13 |
| Theophylline therapeutic drug level CPT 80198 | $133.80 | $223.00 | $3.97 – $32.24 | 29 |
| Therapy activation ipnss CPT 93150 | not published | not published | $39.35 – $39.35 | 8 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $98.40 | $164.00 | $5.95 – $25.71 | 21 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $97.80 | $163.00 | $5.66 – $23.55 | 21 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $33.60 | $56.00 | $5.60 – $24.86 | 20 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $33.60 | $56.00 | $4.93 – $32.76 | 20 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $21.09 – $114.91 | 20 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $27.22 – $1,291.25 | 38 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $769.20 | $1,282.00 | $26.24 – $214.54 | 43 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $3.68 – $21.54 | 20 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $21.52 – $792.67 | 24 |
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.