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 |
|---|---|---|---|---|
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $383.40 | $639.00 | $47.90 – $218.42 | 22 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $153.00 | $255.00 | $25.34 – $116.99 | 22 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,458.00 | $2,430.00 | $229.16 – $950.26 | 22 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $241.31 – $1,114.14 | 22 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $12.87 – $59.44 | 22 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $7.65 – $94.35 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $339.60 | $566.00 | $5.67 – $27.31 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $208.80 | $348.00 | $5.92 – $30.60 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $129.60 | $216.00 | $5.67 – $31.51 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $288.60 | $481.00 | $5.67 – $27.31 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $320.40 | $534.00 | $6.49 – $32.79 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $232.20 | $387.00 | $4.40 – $23.55 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $145.80 | $243.00 | $5.10 – $23.55 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $198.60 | $331.00 | $8.62 – $54.90 | 22 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $266.40 | $444.00 | $5.67 – $27.31 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $303.60 | $506.00 | $5.67 – $27.31 | 24 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $147.60 | $246.00 | $5.67 – $27.31 | 24 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $488.40 | $814.00 | $16.60 – $80.01 | 24 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $282.60 | $471.00 | $16.60 – $80.01 | 24 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $249.00 | $415.00 | $17.33 – $84.98 | 22 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $205.82 – $950.26 | 22 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $417.60 | $696.00 | $16.60 – $80.01 | 24 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $276.60 | $461.00 | $17.33 – $80.01 | 22 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $17.13 – $95.03 | 24 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $282.60 | $471.00 | $16.60 – $80.01 | 24 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $415.20 | $692.00 | $20.52 – $116.99 | 41 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $57.05 – $325.20 | 21 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $57.05 – $325.20 | 21 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $17.13 – $80.01 | 24 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $163.80 | $273.00 | $19.15 – $80.01 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,093.20 | $1,822.00 | $205.82 – $950.26 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $63.35 – $292.50 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $105.40 – $599.62 | 22 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $618.00 | $1,030.00 | $20.26 – $97.68 | 24 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,158.00 | $1,930.00 | $17.13 – $97.68 | 24 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $1,015.20 | $1,692.00 | $20.26 – $97.68 | 24 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,239.00 | $2,065.00 | $40.25 – $194.03 | 24 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $70.54 – $325.20 | 22 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $23.58 | $39.30 | $32.16 – $37.59 | 30 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $20.66 | $34.44 | $14.29 – $30.65 | 31 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $11.69 – $66.62 | 22 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $39.39 – $187.85 | 21 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $24.69 – $64.96 | 14 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $641.40 – $3,720.60 | 19 |
| Infuse radioactive materials CPT 77750 | not published | not published | $19.40 – $254.01 | 41 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $12.36 – $69.61 | 19 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $13.45 – $81.46 | 19 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $14.02 – $56.08 | 19 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $50.70 – $442.71 | 19 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $19.76 – $121.58 | 19 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $25.34 – $155.83 | 19 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $14.17 – $84.06 | 19 |
| Initiation & management bipap/cpap initial day CPT 94660 | $141.60 | $236.00 | $6.49 – $43.68 | 19 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $8,674.10 | $14,456.83 | $169.50 – $496.92 | 41 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $104.18 | $173.63 | $1.04 – $2.21 | 12 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $508.80 | $848.00 | $8.11 – $776.94 | 20 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $34.91 – $223.93 | 19 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $13.02 – $62.34 | 38 |
| Inj dx for sinogram CPT 20501 | not published | not published | $7.68 – $80.52 | 19 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $20.76 – $592.10 | 39 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $978.60 | $1,631.00 | $14.02 – $1,043.84 | 21 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $11.28 – $54.61 | 38 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $10.88 – $96.73 | 19 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $23.67 – $351.21 | 38 |
| Injection eye drug CPT 67028 | not published | not published | $18.84 – $143.69 | 38 |
| Injection for arthrography wrist (both sides) CPT 25246 | $618.00 | $1,030.00 | $15.12 – $954.45 | 21 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $9.62 – $123.94 | 19 |
| Injection for hip x-ray CPT 27095 | not published | not published | $16.45 – $209.70 | 20 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $773.40 | $1,289.00 | $10.26 – $1,285.51 | 21 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $22.66 – $192.30 | 19 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $10.53 – $76.37 | 19 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $10.80 – $75.58 | 19 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $15.18 – $115.14 | 19 |
| Injection, fulvestrant HCPCS J9395 | $1,660.11 | $2,766.85 | $8.45 – $255.08 | 43 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,431.58 | $9,052.63 | $12.02 – $27.43 | 37 |
| Injection into brain canal CPT 61026 | not published | not published | $26.94 – $351.21 | 38 |
| Injection into brain canal CPT 61055 | not published | not published | $29.42 – $179.60 | 38 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $26.92 – $240.54 | 38 |
| Injection into spinal artery CPT 62294 | not published | not published | $162.00 – $874.70 | 38 |
| Injection into vocal cord CPT 31513 | not published | not published | $31.89 – $207.37 | 38 |
| Injection jugular CPT 36299 | not published | not published | $0.01 – $0.01 | 11 |
| Injection of sinus tract CPT 20500 | not published | not published | $16.75 – $182.40 | 38 |
| Injection,onabotulinumtoxina HCPCS J0585 | $12.88 | $21.46 | $5.90 – $18.30 | 37 |
| Injection px peyronie ds CPT 54200 | not published | not published | $18.54 – $81.06 | 38 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $7.54 – $76.98 | 19 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $15.35 – $82.66 | 38 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $12.98 – $81.77 | 38 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $22.67 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $13.84 – $74.02 | 19 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $21.58 – $462.90 | 38 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $10.36 – $63.19 | 19 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $17.07 – $462.90 | 38 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $27.72 – $1,470.85 | 39 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $25.32 – $1,470.85 | 39 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $8.30 – $40.53 | 38 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $670.20 | $1,117.00 | $7.56 – $954.45 | 40 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $8.59 – $44.21 | 38 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $222.60 | $371.00 | $3.66 – $27.76 | 19 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $174.60 | $291.00 | $17.07 – $27.76 | 13 |
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.