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 |
|---|---|---|---|---|
| Hla class ii semiquant panel CPT 86835 | not published | not published | $159.49 – $736.35 | 22 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $39.87 – $217.79 | 22 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $176.57 – $815.24 | 22 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $161.81 – $922.31 | 15 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $107.17 – $787.90 | 15 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $198.58 – $916.83 | 15 |
| Hla ii typing 1 loc hr CPT 81382 | $335.40 | $559.00 | $61.08 – $281.99 | 15 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $109.01 – $503.29 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $35.92 – $169.47 | 15 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $87.53 – $404.13 | 15 |
| Hla i typing complete hr CPT 81379 | not published | not published | $107.17 – $764.67 | 15 |
| Hla i typing complete lr CPT 81372 | not published | not published | $161.44 – $920.19 | 15 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $344.40 | $574.00 | $67.96 – $387.37 | 15 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $54.99 – $290.54 | 15 |
| Hla typing a b or c CPT 86813 | $964.20 | $1,607.00 | $18.52 – $132.24 | 24 |
| Hla typing dr/dq CPT 86816 | not published | not published | $11.90 – $68.79 | 24 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $14.61 – $83.29 | 22 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $30.54 – $249.64 | 22 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $15.34 – $83.53 | 13 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $11.20 – $61.18 | 13 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $1.53 – $8.43 | 13 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $10.48 – $57.37 | 13 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.36 | $0.60 | $0.20 – $0.50 | 14 |
| Home sleep test/type 3 porta HCPCS G0399 | $785.40 | $1,309.00 | $75.00 – $225.00 | 13 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $13.63 – $78.79 | 19 |
| Homocysteine CPT 83090 | $286.20 | $477.00 | $8.33 – $40.86 | 24 |
| Homogenization tissue CPT 87176 | $86.40 | $144.00 | $2.90 – $13.41 | 24 |
| Homovanillic acid (hva) CPT 83150 | $208.20 | $347.00 | $9.16 – $51.09 | 24 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $60.36 – $278.66 | 15 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $60.36 – $278.66 | 15 |
| Hpv low-risk types CPT 87623 | not published | not published | $17.33 – $80.01 | 15 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $17.33 – $92.45 | 22 |
| H pylori ag ia CPT 87339 | $157.80 | $263.00 | $5.67 – $36.48 | 22 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $33.26 – $153.58 | 22 |
| H pylori (c-13) breath CPT 83013 | $1,041.60 | $1,736.00 | $31.86 – $153.58 | 24 |
| H pylori drug admin CPT 83014 | $78.60 | $131.00 | $3.72 – $17.92 | 24 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $288.84 – $1,333.57 | 22 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $288.84 – $1,333.57 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $974.12 – $974.12 | 1 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $54.80 – $312.36 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $3.02 – $47.45 | 22 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $203.80 | $339.67 | $0.49 – $1.25 | 18 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $180.48 | $300.80 | $0.36 – $1.13 | 21 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.01 | $76.69 | $2.46 – $9.09 | 21 |
| Hydration IV infusion each additional hour CPT 96361 | $129.00 | $215.00 | $2.50 – $19.25 | 19 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $514.20 | $857.00 | $9.31 – $66.15 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $43.68 | $72.80 | $2.04 – $43.65 | 20 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $47.40 | $79.00 | $0.20 – $0.20 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $264.60 | $441.00 | $6.61 – $40.81 | 24 |
| Hymenotomy CPT 56442 | not published | not published | $9.43 – $1,553.00 | 38 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $198.56 – $3,561.95 | 38 |
| #hypersens-actinomyces ab CPT 86602 | $96.00 | $160.00 | $3.97 – $23.21 | 24 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $68.21 – $433.91 | 34 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $42.19 – $301.69 | 34 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $43.38 – $356.25 | 34 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $60.84 – $356.25 | 34 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $86.01 – $356.25 | 34 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $194.04 – $1,245.26 | 19 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $206.95 – $1,336.79 | 19 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $178.82 – $1,143.94 | 19 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $48.71 – $391.10 | 19 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $9.62 – $178.54 | 22 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $67.45 – $2,090.81 | 38 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $52.64 – $1,553.00 | 38 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $37.41 – $1,553.00 | 38 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $67.47 – $2,090.81 | 38 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $57.22 – $1,553.00 | 38 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $107.97 – $2,090.81 | 38 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $76.19 – $2,090.81 | 38 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $145.25 – $2,090.81 | 38 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $180.15 – $445.28 | 22 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $5.67 – $30.60 | 24 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $17.13 – $80.01 | 24 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $6.12 – $41.04 | 25 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $18.11 – $95.76 | 25 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,098.28 | $1,830.47 | $25.60 – $427.31 | 21 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $979.42 – $979.42 | 11 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $29.52 – $228.12 | 20 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $1.59 – $9.05 | 19 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.21 – $5.23 | 19 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $0.80 – $5.70 | 19 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $179.30 – $891.02 | 19 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $92.27 – $1,291.25 | 38 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $33.87 – $204.58 | 38 |
| Identify sperm tissue CPT 89264 | not published | not published | $108.00 – $111.75 | 12 |
| Idet 1 or more levels CPT 22527 | not published | not published | $31.77 – $1,332.36 | 19 |
| Idet single level CPT 22526 | not published | not published | $69.67 – $434.14 | 13 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $101.25 – $1,487.08 | 38 |
| Idh1 common variants CPT 81120 | not published | not published | $77.30 – $440.61 | 15 |
| Idh2 common variants CPT 81121 | not published | not published | $118.32 – $674.40 | 15 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $87.74 – $1,320.79 | 38 |
| I&d lacrimal gland CPT 68400 | not published | not published | $24.76 – $228.15 | 38 |
| I&d lacrimal sac CPT 68420 | not published | not published | $31.66 – $243.91 | 38 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $42.02 – $1,132.89 | 38 |
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.