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 |
|---|---|---|---|---|
| Unlisted px male genital sys CPT 55899 | not published | not published | $0.01 – $709.67 | 17 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px middle ear CPT 69799 | not published | not published | $0.01 – $59.81 | 17 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $0.01 – $1,069.80 | 17 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $0.01 – $405.60 | 17 |
| Unlisted px small intestine CPT 44799 | not published | not published | $0.01 – $962.07 | 17 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $0.01 – $82.12 | 32 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $0.01 – $26.49 | 17 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $0.01 – $0.01 | 11 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $0.01 – $111.75 | 12 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $0.01 – $249.61 | 32 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $0.01 – $46.10 | 19 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | $0.01 – $28.58 | 18 |
| Unlisted surgical path px CPT 88399 | not published | not published | $0.01 – $173.12 | 21 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $0.01 – $121.68 | 21 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $0.01 – $48.33 | 13 |
| Unlisted urinalysis px CPT 81099 | $38.40 | $64.00 | $0.01 – $90.48 | 21 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $0.01 – $1,350.73 | 40 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $0.01 – $0.01 | 11 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $0.01 – $0.01 | 11 |
| Upgrade pm system CPT 33214 | $9,148.80 | $15,248.00 | $127.72 – $7,497.02 | 41 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $281.40 | $469.00 | $3.82 – $250.00 | 25 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,680.60 | $2,801.00 | $43.19 – $650.00 | 44 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $885.00 | $1,475.00 | $35.75 – $650.00 | 44 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,176.20 | $3,627.00 | $81.95 – $700.00 | 44 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,176.20 | $3,627.00 | $63.85 – $488.24 | 43 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,270.20 | $2,117.00 | $53.22 – $700.00 | 44 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $281.40 | $469.00 | $4.41 – $250.00 | 25 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $310.80 | $518.00 | $4.92 – $250.00 | 25 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $33.84 – $460.37 | 38 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $40.24 – $460.37 | 38 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $68.27 – $350.30 | 19 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $694.20 | $1,157.00 | $14.76 – $194.44 | 43 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $650.40 | $1,084.00 | $13.09 – $164.26 | 43 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $41.11 – $460.37 | 38 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $140.04 – $2,648.76 | 38 |
| Urea nitrogen CPT 84520 | $52.20 | $87.00 | $1.87 – $9.01 | 29 |
| Urea nitrogen 24 hour urine CPT 84540 | $46.80 | $78.00 | $2.25 – $12.68 | 29 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.26 – $16.42 | 29 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $1.32 – $11.70 | 29 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $51.63 – $1,166.44 | 19 |
| Ureteral reflux study CPT 78740 | not published | not published | $19.90 – $392.95 | 43 |
| Ureter endoscopy CPT 50970 | not published | not published | $85.05 – $1,592.02 | 38 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $83.36 – $2,419.37 | 38 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $107.32 – $2,419.37 | 38 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $82.07 – $1,592.02 | 38 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $81.16 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $72.44 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $106.50 – $2,419.37 | 38 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $81.54 – $2,419.37 | 38 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $244.13 – $1,482.50 | 19 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $244.79 – $1,480.20 | 19 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $678.00 | $1,130.00 | $9.30 – $136.74 | 24 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $166.51 – $905.20 | 19 |
| Urethrocystography void s&i CPT 74455 | $966.60 | $1,611.00 | $11.11 – $250.00 | 25 |
| Uric acid blood CPT 84550 | $24.60 | $41.00 | $2.14 – $10.31 | 29 |
| Uric acid urine CPT 84560 | $43.80 | $73.00 | $2.25 – $11.58 | 29 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.88 – $10.72 | 28 |
| Urinalysis microscopic only CPT 81015 | $38.40 | $64.00 | $1.32 – $6.95 | 29 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.07 – $4.95 | 29 |
| Urinalysis (with microscopy) CPT 81001 | $40.20 | $67.00 | $2.35 – $7.23 | 29 |
| Urinalysis (without microscopy) CPT 81003 | $24.00 | $40.00 | $1.32 – $5.13 | 29 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $5.51 – $139.11 | 24 |
| Urinary reflex study CPT 51792 | not published | not published | $39.64 – $115.54 | 20 |
| Urine Culture Test CPT 87086 | $78.00 | $130.00 | $2.65 – $18.40 | 29 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $4.48 – $26.54 | 20 |
| Urine pregnancy test CPT 81025 | $87.00 | $145.00 | $1.32 – $19.63 | 28 |
| Urine screen for bacteria CPT 81007 | not published | not published | $1.32 – $68.35 | 29 |
| Urine shunt to intestine CPT 50815 | not published | not published | $271.71 – $1,751.20 | 19 |
| Urography, antegrade CPT 74425 | $635.40 | $1,059.00 | $8.78 – $136.74 | 24 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $14.06 – $177.91 | 43 |
| Use 1st target lesion CPT 76982 | not published | not published | $20.31 – $438.79 | 39 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,183.44 | $5,305.74 | $12.33 – $37.47 | 38 |
| Vaccine Administration (one shot) CPT 90471 | $87.00 | $145.00 | $4.12 – $15.87 | 19 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $134.40 – $363.71 | 17 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $134.40 – $330.89 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $120.75 – $350.78 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $80.85 – $197.51 | 17 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $60.37 – $147.49 | 17 |
| Vaccine dtap < 7 years im CPT 90700 | $49.35 | $82.25 | $19.64 – $64.80 | 22 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $180.74 | $301.23 | $70.26 – $229.59 | 24 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $131.65 | $219.41 | $47.21 – $137.43 | 22 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $149.52 – $339.41 | 14 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $80.51 – $281.33 | 23 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $52.77 | $87.95 | $23.12 – $68.81 | 22 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $48.82 | $81.37 | $17.37 – $30.00 | 22 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $135.49 | $225.82 | $62.20 – $158.58 | 22 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $201.80 | $336.33 | $15.38 – $294.15 | 24 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $120.25 | $200.41 | $29.39 – $85.52 | 22 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $24.28 – $36.00 | 20 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $59.42 – $169.09 | 22 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $175.91 | $293.18 | $52.71 – $167.16 | 22 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $446.88 | $744.80 | $59.42 – $378.68 | 21 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $45.91 | $76.51 | $21.65 – $69.23 | 16 |
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.