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 |
|---|---|---|---|---|
| Ghs IV inf sq injection, on-body injector CPT 96377 | $371.40 | $619.00 | $3.41 – $24.11 | 13 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $924.60 | $1,541.00 | $80.03 – $1,416.85 | 20 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $31.47 – $186.69 | 19 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $23.99 – $184.48 | 38 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $23.66 – $181.55 | 38 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $26.96 – $191.97 | 38 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $32.09 – $218.20 | 38 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $31.53 – $202.40 | 38 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $34.29 – $234.24 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $32.48 – $211.25 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $33.82 – $318.97 | 38 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $35.11 – $250.12 | 38 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $41.87 – $318.97 | 38 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $47.16 – $324.56 | 38 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $48.24 – $324.08 | 38 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $58.24 – $375.45 | 38 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $53.88 – $926.15 | 38 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $63.73 – $470.17 | 38 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $303.00 | $505.00 | $3.97 – $19.61 | 24 |
| Ghs low level laser therapy CPT 97039 | $106.80 | $178.00 | $7.40 – $13.80 | 17 |
| Ghs mbp CPT 83873 | $312.00 | $520.00 | $8.50 – $39.22 | 24 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $306.00 | $510.00 | $22.80 – $39.04 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $89.72 – $152.85 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $73.45 – $125.73 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $194.40 | $324.00 | $10.08 – $16.13 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $55.74 – $95.33 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $15.22 – $244.15 | 20 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $9.70 – $244.15 | 20 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $13.47 – $128.64 | 20 |
| Ghs myocardial strain img spckl track CPT 93356 | $573.00 | $955.00 | $2.52 – $11.53 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $18.37 – $158.22 | 38 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $18.74 – $462.90 | 38 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $13.71 – $351.21 | 38 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $15.82 – $462.90 | 38 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $15.80 – $462.90 | 38 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $18.87 – $462.90 | 38 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $14.24 – $462.90 | 38 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $15.91 – $462.90 | 38 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $16.83 – $107.78 | 38 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $15.16 – $98.64 | 38 |
| Ghs ng placement w fluoro guidance CPT 43752 | $420.00 | $700.00 | $9.86 – $481.98 | 39 |
| Ghs o2 saturation CPT 82810 | $21.60 | $36.00 | $4.31 – $22.28 | 24 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $9.10 – $25.50 | 19 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $2.71 – $25.50 | 19 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $0.01 – $0.01 | 11 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $8.76 – $319.05 | 38 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $48.52 – $606.20 | 38 |
| Ghs optokenetic CPT 92544 | not published | not published | $2.73 – $9.25 | 19 |
| Ghs oscillating trac CPT 92545 | not published | not published | $2.33 – $8.60 | 19 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $4.03 – $67.90 | 20 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $6.15 – $99.49 | 20 |
| Ghs ot dds rom CPT 95851 | $81.00 | $135.00 | $1.33 – $12.26 | 19 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $10.11 – $10.11 | 11 |
| Ghs ot prosthetic training/15 min CPT 97761 | $103.80 | $173.00 | $4.46 – $24.36 | 20 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $94.80 | $158.00 | $3.96 – $21.36 | 19 |
| Ghs ot work hardening-additional hours CPT 97546 | $236.40 | $394.00 | $16.00 – $66.62 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $1,267.20 | $2,112.00 | $2.37 – $18.30 | 19 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $13.84 – $75.31 | 19 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $10.36 – $64.49 | 19 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $3.24 – $49.80 | 23 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $30.87 – $134.03 | 38 |
| Ghs phenylketonurid CPT 84030 | $157.80 | $263.00 | $2.60 – $12.54 | 24 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $24.39 – $760.80 | 38 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $58.76 – $274.26 | 38 |
| Ghs plt ct-manual CPT 85032 | $109.20 | $182.00 | $2.05 – $9.83 | 24 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $93.39 – $2,337.78 | 20 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.16 – $151.87 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $64.20 | $107.00 | $0.99 – $23.37 | 24 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $175.80 | $293.00 | $3.97 – $22.02 | 24 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $2.56 – $12.79 | 24 |
| Ghs protoporphyrins fract CPT 84202 | $151.20 | $252.00 | $7.08 – $32.72 | 24 |
| Ghs pr without cont pulse ox CPT 94625 | $227.40 | $379.00 | $4.84 – $4.84 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $5.29 – $27.93 | 24 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $428.40 | $714.00 | $32.00 – $167.15 | 13 |
| Ghs quinidine CPT 80194 | $206.40 | $344.00 | $6.61 – $33.29 | 24 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $11.79 – $1,160.52 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $27.14 – $159.53 | 19 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $29.76 – $134.53 | 19 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $107.75 – $931.64 | 38 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $95.20 – $1,487.08 | 38 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $3.97 – $36.23 | 24 |
| Ghs reticulocyte count CPT 85044 | $91.80 | $153.00 | $2.03 – $9.83 | 24 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $318.00 | $530.00 | $5.67 – $31.71 | 24 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $1.32 – $9.74 | 24 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $4.30 – $28.07 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $22.44 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $127.20 | $212.00 | $2.65 – $17.05 | 24 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $15.05 – $202.51 | 38 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $20.34 – $293.19 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $18.45 – $230.81 | 38 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $24.29 – $449.30 | 38 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $11.85 – $191.28 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $11.55 – $146.46 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $14.89 – $240.17 | 38 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $23.21 – $316.49 | 38 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $27.55 – $549.20 | 38 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $29.48 – $556.10 | 19 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $19.81 – $68.32 | 20 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $32.67 – $257.98 | 19 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $5.59 – $93.30 | 19 |
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.