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 |
|---|---|---|---|---|
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $16.36 – $250.00 | 21 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $35.50 – $741.27 | 32 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $22.75 – $954.38 | 19 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $18.17 – $148.55 | 19 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $26.93 – $159.50 | 38 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $3.01 – $196.17 | 20 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $6.14 – $140.99 | 20 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $5.56 – $30.77 | 19 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $95.88 – $95.88 | 11 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.63 | $1.05 | $0.34 – $0.86 | 20 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.67 | $1.11 | $0.12 – $0.32 | 21 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $48.54 – $29,506.19 | 37 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $48.54 – $2,506.58 | 30 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $261.10 | $435.16 | $122.93 – $397.98 | 40 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $181.38 | $302.30 | $1.47 – $32.97 | 23 |
| Iron CPT 83540 | $151.80 | $253.00 | $2.65 – $14.75 | 24 |
| Iron binding capacity CPT 83550 | $174.60 | $291.00 | $3.97 – $19.93 | 24 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.18 – $15.69 | 22 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $660.70 | $1,101.17 | $0.22 – $1.10 | 22 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $6.61 – $238.33 | 24 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $290.40 | $484.00 | $3.32 – $166.37 | 20 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $45.32 – $652.86 | 38 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $5.74 – $40.63 | 19 |
| Island pedicle flap graft CPT 15740 | not published | not published | $134.26 – $926.15 | 38 |
| Ivc venogram s&i CPT 75825 | not published | not published | $25.93 – $1,573.41 | 22 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $162.00 | $270.00 | $5.01 – $40.82 | 19 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $129.00 | $215.00 | $3.41 – $24.20 | 19 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $162.00 | $270.00 | $3.12 – $25.95 | 19 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $646.20 | $1,077.00 | $11.27 – $80.70 | 19 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $5.79 – $135.01 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $17.44 – $160.90 | 19 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $15.87 – $232.52 | 41 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $13.22 – $181.51 | 41 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $197.51 | $329.18 | $65.20 – $301.64 | 42 |
| Jak2 targeted sequence analysis CPT 81279 | $333.60 | $556.00 | $74.08 – $422.26 | 21 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $99.98 – $1,487.08 | 38 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $126.78 – $1,487.08 | 38 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $60.18 – $814.39 | 38 |
| John cunningham antibody CPT 86711 | not published | not published | $7.11 – $38.51 | 22 |
| J-tube placement CPT 44015 | not published | not published | $33.71 – $230.70 | 19 |
| Keratoprosthesis CPT 65770 | not published | not published | $263.90 – $10,538.29 | 38 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $4.90 – $51.87 | 15 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $5.29 – $35.27 | 24 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $241.80 | $403.00 | $3.59 – $18.63 | 24 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $39.01 | $65.02 | $0.26 – $1.53 | 21 |
| Kidney endoscopy CPT 50551 | not published | not published | $63.58 – $2,419.37 | 38 |
| Kidney endoscopy CPT 50553 | not published | not published | $67.25 – $2,419.37 | 38 |
| Kidney endoscopy CPT 50570 | not published | not published | $106.17 – $1,592.02 | 38 |
| Kidney endoscopy CPT 50575 | not published | not published | $154.33 – $2,419.37 | 38 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $73.42 – $4,450.23 | 38 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $122.16 – $1,592.02 | 38 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $74.73 – $4,450.23 | 38 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $85.30 – $2,419.37 | 38 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $121.99 – $4,450.23 | 38 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $131.46 – $2,419.37 | 38 |
| Kidney function study CPT 78725 | not published | not published | $12.18 – $249.61 | 41 |
| Kidney imaging morphology CPT 78700 | not published | not published | $15.81 – $310.33 | 41 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $39.75 – $609.17 | 41 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $29.40 – $378.60 | 41 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $793.80 | $1,323.00 | $21.28 – $400.00 | 42 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $49.95 – $284.70 | 15 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $121.59 – $1,487.08 | 38 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $100.42 – $1,487.08 | 38 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $80.42 – $1,487.08 | 38 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $105.81 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $120.66 – $801.87 | 38 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $173.76 – $1,211.40 | 38 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $102.24 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $104.99 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $96.71 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $128.52 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $129.48 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $109.86 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $136.88 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $164.59 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $120.46 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $124.42 – $1,487.08 | 38 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $145.85 – $3,321.81 | 38 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $193.11 – $4,403.04 | 38 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $239.04 – $8,015.45 | 38 |
| Knee MRI (with and without contrast) CPT 73723 | $5,455.20 | $9,092.00 | $73.85 – $762.67 | 42 |
| Knee MRI (with contrast) CPT 73722 | $4,546.80 | $7,578.00 | $58.40 – $700.00 | 42 |
| Knee MRI (without contrast) CPT 73721 | $3,637.20 | $6,062.00 | $37.19 – $700.00 | 42 |
| Knee X-ray CPT 73564 | $952.80 | $1,588.00 | $4.83 – $250.00 | 23 |
| Kras gene addl variants CPT 81276 | not published | not published | $77.30 – $440.61 | 22 |
| Kras gene variants exon 2 CPT 81275 | $280.80 | $468.00 | $77.30 – $440.61 | 15 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $4.70 – $25.30 | 19 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $3.95 – $29.62 | 19 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $50.65 | $84.42 | $0.19 – $0.61 | 31 |
| Labioplasty 56800 CPT 56800 | not published | not published | $47.50 – $1,553.00 | 38 |
| Lactate dehydrogenase (ldh) CPT 83615 | $120.00 | $200.00 | $2.86 – $13.77 | 24 |
| Lactated ringers intravenous solution HCPCS J7120 | $78.68 | $131.13 | $1.99 – $5.98 | 16 |
| Lactic acid CPT 83605 | $237.00 | $395.00 | $3.97 – $26.38 | 24 |
| Lactoferrin fecal qualitative CPT 83630 | $149.40 | $249.00 | $9.28 – $44.92 | 22 |
| Lactoferrin fecal quant CPT 83631 | $266.40 | $444.00 | $9.70 – $44.76 | 15 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $71.98 – $71.98 | 11 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $257.25 – $3,321.81 | 38 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $224.77 – $3,321.81 | 38 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $245.65 – $3,321.81 | 38 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $53.99 – $53.99 | 11 |
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.