SelfPayRates
Hospital Evansville, IN

St. Mary's Warrick Hospital, Inc.

St. Mary's Warrick Hospital, Inc. in Boonville, IN publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

1116 Millis Ave Boonville IN 47601 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C $1,722.60 $2,871.00 40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C $1,722.60 $2,871.00 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/C $1,722.60 $2,871.00 40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/C $1,722.60 $2,871.00 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C $885.00 $1,475.00 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C $885.00 $1,475.00 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO/C $885.00 $1,475.00 40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO/C $885.00 $1,475.00 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C $1,680.60 $2,801.00 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C $1,680.60 $2,801.00 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C $1,680.60 $2,801.00 40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C $1,680.60 $2,801.00 40%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI $2,358.00 $3,930.00 40%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI $2,358.00 $3,930.00 40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI $1,179.00 $1,965.00 40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI $1,179.00 $1,965.00 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI $2,358.00 $3,930.00 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI $2,358.00 $3,930.00 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXTR ANY JNT W/O UNI $1,179.00 $1,965.00 40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXTR ANY JNT W/O UNI $1,179.00 $1,965.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI $4,352.40 $7,254.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI $4,352.40 $7,254.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI $2,176.20 $3,627.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI $2,176.20 $3,627.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI $4,352.40 $7,254.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI $4,352.40 $7,254.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI $2,176.20 $3,627.00 40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI $2,176.20 $3,627.00 40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C $1,290.00 $2,150.00 40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C $1,290.00 $2,150.00 40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/C $1,290.00 $2,150.00 40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/C $1,290.00 $2,150.00 40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC $2,176.20 $3,627.00 40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC $2,176.20 $3,627.00 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/WC $2,176.20 $3,627.00 40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/WC $2,176.20 $3,627.00 40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C $1,287.00 $2,145.00 40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C $1,287.00 $2,145.00 40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C $1,287.00 $2,145.00 40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C $1,287.00 $2,145.00 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER>=14WK SNG/1STGEST $523.80 $873.00 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER>=14WK SNG/1STGEST $523.80 $873.00 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER>=14WK SNG/1STGEST $523.80 $873.00 40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER>=14WK SNG/1STGEST $523.80 $873.00 40%
Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC $544.20 $907.00 40%
Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC $544.20 $907.00 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC $544.20 $907.00 40%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC $544.20 $907.00 40%
Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP $523.80 $873.00 40%
Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP $523.80 $873.00 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD B-SCAN+/OR REAL T COMP $523.80 $873.00 40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD B-SCAN+/OR REAL T COMP $523.80 $873.00 40%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS $310.80 $518.00 40%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS $310.80 $518.00 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS $310.80 $518.00 40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS $310.80 $518.00 40%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $43.80 $73.00 40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $43.80 $73.00 40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $43.80 $73.00 40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $43.80 $73.00 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $65.40 $109.00 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $65.40 $109.00 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $65.40 $109.00 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $65.40 $109.00 40%
Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO $27.00 $45.00 40%
Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO $27.00 $45.00 40%
Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO $48.00 $80.00 40%
Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO $48.00 $80.00 40%
Complete blood count (CBC) with differential inpatient CPT 85025 #CBC+DIFF WBC;CMPLT AUTO $27.00 $45.00 40%
Complete blood count (CBC) with differential inpatient CPT 85025 #CBC+DIFF WBC;CMPLT AUTO $27.00 $45.00 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC+DIFF WBC; CMPLT AUTO $48.00 $80.00 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC+DIFF WBC; CMPLT AUTO $48.00 $80.00 40%
Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL $21.00 $35.00 40%
Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL $21.00 $35.00 40%
Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT $42.00 $70.00 40%
Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT $42.00 $70.00 40%
Complete blood count (CBC), no differential inpatient CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL $21.00 $35.00 40%
Complete blood count (CBC), no differential inpatient CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL $21.00 $35.00 40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT $42.00 $70.00 40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT $42.00 $70.00 40%
Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL $35.40 $59.00 40%
Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL $35.40 $59.00 40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $66.60 $111.00 40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $66.60 $111.00 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 #COMPREHENSIVE METABOLIC PANEL $35.40 $59.00 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 #COMPREHENSIVE METABOLIC PANEL $35.40 $59.00 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $66.60 $111.00 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $66.60 $111.00 40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $55.20 $92.00 40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $55.20 $92.00 40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $55.20 $92.00 40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $55.20 $92.00 40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $37.80 $63.00 40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $37.80 $63.00 40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $37.80 $63.00 40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $37.80 $63.00 40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $332.40 $554.00 40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $332.40 $554.00 40%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $332.40 $554.00 40%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $332.40 $554.00 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG(PSA);FREE $102.00 $170.00 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG(PSA);FREE $102.00 $170.00 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG(PSA);FREE $102.00 $170.00 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG(PSA);FREE $102.00 $170.00 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL $90.00 $150.00 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL $90.00 $150.00 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL $61.80 $103.00 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL $90.00 $150.00 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL $90.00 $150.00 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD $52.20 $87.00 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD $52.20 $87.00 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA $58.80 $98.00 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA $58.80 $98.00 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD $52.20 $87.00 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD $52.20 $87.00 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA $58.80 $98.00 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA $58.80 $98.00 40%
Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME $25.80 $43.00 40%
Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME $25.80 $43.00 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $30.60 $51.00 40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $30.60 $51.00 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 #PROTHROMBIN TIME $25.80 $43.00 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 #PROTHROMBIN TIME $25.80 $43.00 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $30.60 $51.00 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $30.60 $51.00 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 #THYROID STIMULAT HORMONE(TSH) $76.20 $127.00 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 #THYROID STIMULAT HORMONE(TSH) $76.20 $127.00 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) $147.60 $246.00 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) $147.60 $246.00 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 #THYROID STIMULAT HORMONE(TSH) $76.20 $127.00 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 #THYROID STIMULAT HORMONE(TSH) $76.20 $127.00 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULAT HORMONE(TSH) $147.60 $246.00 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULAT HORMONE(TSH) $147.60 $246.00 40%
Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR $40.20 $67.00 40%
Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR $40.20 $67.00 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALS DIPSTICK AUTO W/MICR $40.20 $67.00 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALS DIPSTICK AUTO W/MICR $40.20 $67.00 40%
Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO $5.40 $9.00 40%
Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO $5.40 $9.00 40%
Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR $24.00 $40.00 40%
Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR $24.00 $40.00 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 #URINALYSIS DIP STICK;AUTO $5.40 $9.00 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 #URINALYSIS DIP STICK;AUTO $5.40 $9.00 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALS DIPSTICK AUTO WO/MICR $24.00 $40.00 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALS DIPSTICK AUTO WO/MICR $24.00 $40.00 40%
Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI $15.60 $26.00 40%
Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI $15.60 $26.00 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI $15.60 $26.00 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI $15.60 $26.00 40%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/ PATIENT $246.00 $410.00 40%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/ PATIENT $246.00 $410.00 40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/ PATIENT $246.00 $410.00 40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/ PATIENT $246.00 $410.00 40%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PATIENT $213.00 $355.00 40%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PATIENT $213.00 $355.00 40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PATIENT $213.00 $355.00 40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PATIENT $213.00 $355.00 40%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $201.60 $336.00 40%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $201.60 $336.00 40%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY $201.60 $336.00 40%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY $201.60 $336.00 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN $82.80 $138.00 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN $82.80 $138.00 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 $97.80 $163.00 40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 $97.80 $163.00 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TX EXERCISES EA 15MIN $82.80 $138.00 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TX EXERCISES EA 15MIN $82.80 $138.00 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISES 1-15 $97.80 $163.00 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISES 1-15 $97.80 $163.00 40%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $196.80 $328.00 40%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $196.80 $328.00 40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $196.80 $328.00 40%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $196.80 $328.00 40%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $327.60 $546.00 40%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $327.60 $546.00 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $327.60 $546.00 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $327.60 $546.00 40%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES $393.00 $655.00 40%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES $393.00 $655.00 40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES $393.00 $655.00 40%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES $393.00 $655.00 40%

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351343019_st-marys-warrick-hospital-inc_standardcharges.csv