Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.)
473 SE Greenville Ave, Winchester, IN · Ascension · · NPI 1609826783
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 |
|---|---|---|---|---|
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $22.55 – $130.37 | 38 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $13.16 – $88.08 | 19 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $54.48 – $608.23 | 38 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $43.28 – $263.49 | 38 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $82.55 – $503.82 | 38 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $0.38 – $6.73 | 19 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $28.82 – $187.09 | 38 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $40.26 – $1,320.79 | 38 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $30.29 – $165.68 | 38 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $10.16 – $74.07 | 19 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $39.32 – $462.90 | 38 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $15.86 – $122.74 | 19 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $58.96 – $878.95 | 38 |
| Destruction ciliary body CPT 66700 | not published | not published | $73.75 – $1,158.89 | 38 |
| Destruction ciliary body CPT 66720 | not published | not published | $79.19 – $958.01 | 38 |
| Destruction ciliary body CPT 66740 | not published | not published | $73.75 – $958.01 | 38 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $31.31 – $196.77 | 38 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $29.33 – $1,320.79 | 38 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $28.29 – $181.02 | 38 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $22.76 – $144.57 | 38 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $27.82 – $176.27 | 38 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $21.71 – $138.77 | 38 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $25.41 – $160.76 | 38 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $20.60 – $101.47 | 19 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $33.85 – $926.15 | 38 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $15.66 – $114.73 | 38 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $148.24 – $1,320.79 | 38 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $34.29 – $1,553.00 | 38 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $19.27 – $115.71 | 38 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $18.80 – $90.28 | 38 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $9.49 – $68.47 | 24 |
| Detect agnt mult dna direc CPT 87800 | $270.60 | $451.00 | $18.97 – $99.57 | 24 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $5.44 – $22.80 | 19 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $21.81 – $530.21 | 20 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $9.95 – $56.67 | 13 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $254.40 | $424.00 | $3.38 – $250.00 | 42 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $112.07 | $186.78 | $0.12 – $0.34 | 16 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $4,745.71 | $7,909.51 | $76.13 – $715.20 | 41 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $78.83 | $131.39 | $0.99 – $2.90 | 20 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.65 | $131.09 | $1.00 – $17.96 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $49.75 | $82.91 | $0.99 – $4.75 | 20 |
| Dextrose 5 % IV bolus HCPCS J7070 | $78.86 | $131.44 | $1.99 – $9.43 | 21 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $588.00 | $980.00 | $7.93 – $50.68 | 24 |
| Diabetes (HbA1c) Test CPT 83036 | $135.00 | $225.00 | $3.97 – $22.14 | 24 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $43.56 – $741.27 | 38 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $74.31 – $2,648.76 | 38 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $26.31 – $124.37 | 19 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $35.48 – $599.32 | 38 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $8.59 – $60.55 | 19 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $53.40 | $89.00 | $18.60 – $43.17 | 13 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $53.40 | $89.00 | $15.12 – $54.02 | 13 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $11.35 – $65.51 | 38 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $18.19 – $91.26 | 38 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $361.80 | $603.00 | $27.03 – $327.17 | 39 |
| Diagnostic Mammogram (one breast) CPT 77065 | $261.60 | $436.00 | $21.32 – $255.68 | 39 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $0.01 – $34.97 | 13 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $43.85 – $187.45 | 13 |
| Dialysis one evaluation CPT 90945 | not published | not published | $14.43 – $80.70 | 13 |
| Diathermy eg microwave CPT 97024 | not published | not published | $0.63 – $8.43 | 20 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $80.83 | $134.71 | $5.47 – $17.16 | 14 |
| Dicyclomine injection HCPCS J0500 | $193.54 | $322.57 | $24.97 – $83.14 | 20 |
| Diffusing capacity CPT 94729 | $386.40 | $644.00 | $6.56 – $46.25 | 19 |
| Digital analysis of eeg CPT 95957 | not published | not published | $47.03 – $94.40 | 19 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $41.63 | $69.38 | $5.43 – $35.37 | 20 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,815.78 | $11,359.63 | $617.81 – $10,998.23 | 41 |
| Digoxin total therapeutic drug level CPT 80162 | $255.60 | $426.00 | $6.28 – $30.28 | 24 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $308.90 | $514.84 | $28.52 – $379.96 | 22 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $37.66 – $352.37 | 19 |
| Dilate esophagus CPT 43453 | not published | not published | $22.44 – $814.39 | 38 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $20.76 – $460.37 | 38 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $90.63 – $258.40 | 13 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $45.31 – $258.40 | 13 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $128.87 – $954.80 | 13 |
| Dilate tear duct opening CPT 68801 | not published | not published | $16.18 – $86.85 | 19 |
| Dilate urethra stricture CPT 53600 | not published | not published | $13.71 – $102.15 | 38 |
| Dilate urethra stricture CPT 53601 | not published | not published | $11.52 – $83.84 | 19 |
| Dilate urethra stricture CPT 53605 | not published | not published | $13.93 – $1,592.02 | 38 |
| Dilate urethra stricture CPT 53621 | not published | not published | $15.57 – $114.55 | 38 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $8.95 – $63.18 | 38 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $36.78 – $599.32 | 38 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $9.57 – $47.26 | 38 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $43.73 – $599.32 | 38 |
| Dilation of salivary duct CPT 42660 | not published | not published | $18.23 – $85.84 | 38 |
| Dilation of urethra CPT 53661 | not published | not published | $8.67 – $62.59 | 19 |
| Dilation of urethra CPT 53665 | not published | not published | $8.31 – $910.38 | 38 |
| Dilation of vagina CPT 57400 | not published | not published | $26.57 – $1,553.00 | 38 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $13.68 – $90.50 | 38 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $18.78 – $137.57 | 38 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $32.78 – $1,592.02 | 32 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $54.82 – $1,592.02 | 32 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,001.55 | $1,669.25 | $579.08 – $1,610.78 | 40 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $38.75 | $64.58 | $0.69 – $1.69 | 21 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $7.76 – $148.70 | 21 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $2.62 – $17.70 | 19 |
| Disability dlco CPT 94727 | $647.40 | $1,079.00 | $6.95 – $30.56 | 19 |
| Disaccharidases CPT 82657 | $439.80 | $733.00 | $8.54 – $50.55 | 24 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $91.00 – $926.15 | 38 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $310.46 – $1,948.70 | 19 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $43.05 – $278.60 | 19 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $21.76 – $1,298.32 | 22 |
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.