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 |
|---|---|---|---|---|
| Fluorescein&icg angiography CPT 92242 | not published | not published | $29.95 – $906.01 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $277.20 | $462.00 | $1.26 – $27.47 | 24 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $691.80 | $1,153.00 | $8.47 – $120.44 | 20 |
| Fluoroguide needle placement CPT 77002 | $676.80 | $1,128.00 | $9.27 – $149.90 | 20 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $4.62 – $43.11 | 22 |
| Fluoroscopy up to 1 hour CPT 76000 | $680.40 | $1,134.00 | $6.03 – $85.26 | 41 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $185.09 | $308.48 | $2.42 – $7.25 | 23 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $92.23 – $582.93 | 41 |
| Fmri brain by tech CPT 70554 | not published | not published | $70.76 – $700.90 | 41 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $18.25 – $2,259.43 | 39 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $13.34 – $80.86 | 13 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $68.94 – $2,259.43 | 39 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $41.65 – $80.86 | 13 |
| Foam stability fetal lung CPT 83662 | not published | not published | $6.61 – $43.11 | 24 |
| Folic acid CPT 82746 | $285.60 | $476.00 | $6.95 – $33.52 | 24 |
| Follow-up angiography CPT 75898 | not published | not published | $15.88 – $1,806.01 | 41 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $104.45 – $958.01 | 38 |
| Foot X-ray CPT 73630 | $590.40 | $984.00 | $3.88 – $250.00 | 23 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $158.59 – $1,822.02 | 38 |
| Forensic cytopathology CPT 88125 | not published | not published | $2.40 – $37.74 | 24 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $13.48 – $125.52 | 38 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $93.53 | $155.89 | $0.14 – $4.18 | 23 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $168.29 | $280.48 | $0.56 – $11.40 | 40 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $7.12 – $64.98 | 24 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $3.75 – $56.00 | 20 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $17.96 – $102.35 | 22 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $121.85 – $1,592.02 | 38 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $244.45 – $1,079.60 | 19 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $380.40 – $1,904.60 | 19 |
| Frenectomy 41115 CPT 41115 | not published | not published | $33.48 – $190.02 | 38 |
| Frenotomy 40806 CPT 40806 | not published | not published | $7.58 – $91.86 | 38 |
| Frenulotomy of penis CPT 54164 | not published | not published | $42.03 – $910.38 | 38 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $294.00 | $490.00 | $30.00 – $70.89 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $439.80 | $733.00 | $30.00 – $70.38 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $99.60 | $166.00 | $3.97 – $145.00 | 24 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $29.09 – $214.87 | 24 |
| Frozen blood prep CPT 86930 | not published | not published | $24.20 – $252.65 | 24 |
| Frozen blood thaw CPT 86931 | not published | not published | $27.77 – $195.00 | 24 |
| Frozen cell preparation CPT 88241 | not published | not published | $4.62 – $27.57 | 24 |
| Fructosamine glycated protein CPT 82985 | $196.20 | $327.00 | $6.46 – $38.21 | 24 |
| Ftl cgen abnor four anal CPT 81511 | $756.00 | $1,260.00 | $46.48 – $349.98 | 15 |
| Full field erg w/i&r CPT 92273 | not published | not published | $17.79 – $984.01 | 20 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $5.80 – $250.00 | 23 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $135.28 – $926.15 | 38 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $96.44 – $926.15 | 38 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $11.26 – $93.41 | 19 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $125.74 – $926.15 | 38 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $8.60 – $46.17 | 19 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $682.01 – $2,246.28 | 19 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $241.81 – $1,175.30 | 19 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $138.80 – $1,487.08 | 38 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $155.56 – $4,552.07 | 38 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $202.47 – $9,099.42 | 38 |
| Fusion of big toe joint CPT 28750 | not published | not published | $116.85 – $4,643.54 | 38 |
| Fusion of big toe joint CPT 28755 | not published | not published | $65.68 – $3,321.81 | 38 |
| Fusion of finger joint CPT 26860 | not published | not published | $107.54 – $1,487.08 | 38 |
| Fusion of finger tendons CPT 26471 | not published | not published | $117.19 – $1,487.08 | 38 |
| Fusion of finger tendons CPT 26474 | not published | not published | $114.63 – $801.87 | 38 |
| Fusion of foot bones CPT 28730 | not published | not published | $144.47 – $9,387.58 | 38 |
| Fusion of foot bones CPT 28735 | not published | not published | $154.68 – $9,290.64 | 38 |
| Fusion of foot bones CPT 28740 | not published | not published | $123.23 – $4,785.61 | 38 |
| Fusion of hand joint CPT 26843 | not published | not published | $141.29 – $3,321.81 | 38 |
| Fusion of knuckle CPT 26850 | not published | not published | $132.19 – $3,321.81 | 38 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $133.86 – $1,908.65 | 38 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $157.82 – $1,487.08 | 38 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $158.35 – $3,321.81 | 38 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $152.22 – $3,321.81 | 38 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $166.12 – $974.57 | 38 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $240.39 – $1,592.02 | 38 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $132.83 – $1,487.08 | 38 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $125.26 – $1,487.08 | 38 |
| Fusion of thumb CPT 26841 | not published | not published | $138.68 – $3,321.81 | 38 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $133.88 – $8,020.24 | 38 |
| Fusion of toes CPT 28280 | not published | not published | $69.64 – $1,487.08 | 38 |
| G6pc gene CPT 81250 | not published | not published | $23.40 – $133.36 | 15 |
| G6pd full gene sequence CPT 81249 | not published | not published | $240.00 – $1,368.00 | 15 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $69.92 – $398.57 | 15 |
| G6pd known familial variant CPT 81248 | not published | not published | $150.10 – $855.57 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.59 | $0.99 | $0.34 – $0.86 | 14 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.18 | $0.30 | $0.13 – $0.27 | 14 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $9.26 – $48.04 | 24 |
| Galactokinase - sendout CPT 82759 | not published | not published | $7.93 – $48.97 | 24 |
| Galactose transferase test CPT 82776 | $96.00 | $160.00 | $2.65 – $26.77 | 24 |
| Galectin-3 CPT 82777 | not published | not published | $7.12 – $100.89 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $163.63 – $2,648.76 | 38 |
| Gammaglobulin iga CPT 82784 | $219.00 | $365.00 | $2.65 – $21.20 | 24 |
| Gammaglobulin ige CPT 82785 | $303.00 | $505.00 | $6.61 – $37.53 | 24 |
| Gamma glutamyltransferase CPT 82977 | $153.00 | $255.00 | $2.65 – $16.42 | 24 |
| Gardner vag dna quant CPT 87512 | $124.80 | $208.00 | $17.13 – $95.21 | 24 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $2.69 – $15.30 | 22 |
| Gastric emptying imag study CPT 78265 | not published | not published | $34.51 – $733.70 | 39 |
| Gastric emptying imag study CPT 78266 | not published | not published | $38.24 – $878.09 | 39 |
| Gastric motility studies CPT 91020 | not published | not published | $29.60 – $54.50 | 19 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $24.87 – $446.11 | 41 |
| Gastrin test CPT 82938 | not published | not published | $8.74 – $40.33 | 24 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $23.41 – $432.45 | 41 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $31.17 – $177.07 | 19 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $285.66 – $954.90 | 19 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $126.87 – $608.30 | 19 |
| Gated heart multiple CPT 78473 | not published | not published | $42.07 – $448.98 | 41 |
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.