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 |
|---|---|---|---|---|
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $242.80 – $1,488.66 | 19 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $43.67 – $259.43 | 19 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $50.44 – $1,533.79 | 32 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $41.56 – $741.27 | 32 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $40.54 – $1,533.79 | 38 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $36.34 – $207.37 | 38 |
| Largsc w/ther injection CPT 31573 | not published | not published | $41.56 – $191.33 | 32 |
| Laryngeal function studies CPT 92520 | not published | not published | $7.06 – $51.66 | 19 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $225.84 – $1,080.10 | 19 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $348.80 – $1,722.20 | 19 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $391.90 – $2,702.95 | 32 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $394.57 – $2,702.95 | 32 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $429.73 – $2,702.95 | 32 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $450.94 – $2,702.95 | 32 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $272.80 – $2,702.95 | 38 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $284.17 – $2,702.95 | 32 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $55.78 – $1,533.79 | 38 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $11.60 – $103.66 | 19 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $76.89 – $2,252.84 | 38 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $61.43 – $1,533.79 | 38 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $34.54 – $1,533.79 | 38 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $39.45 – $1,533.79 | 38 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $38.60 – $741.27 | 38 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $46.60 – $1,533.79 | 38 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $33.77 – $147.89 | 38 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $46.27 – $1,533.79 | 38 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $51.84 – $1,533.79 | 38 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $59.49 – $1,533.79 | 38 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $52.23 – $1,533.79 | 38 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $48.41 – $741.27 | 38 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $29.51 – $741.27 | 38 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $28.90 – $1,533.79 | 38 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $26.27 – $207.37 | 38 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $84.03 – $2,252.84 | 38 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $65.14 – $1,533.79 | 38 |
| Laser surgery eye strands CPT 67031 | not published | not published | $66.84 – $407.20 | 38 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $26.31 – $1,553.00 | 38 |
| Laser surgery of prostate CPT 52647 | not published | not published | $138.93 – $2,419.37 | 38 |
| Laser surgery of prostate CPT 52648 | not published | not published | $148.21 – $2,419.37 | 38 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $19.79 – $926.15 | 38 |
| Laser treatment of retina CPT 67039 | not published | not published | $181.28 – $2,002.17 | 38 |
| Laser treatment of retina CPT 67040 | not published | not published | $196.02 – $2,002.17 | 38 |
| Lateral canthopexy CPT 21282 | not published | not published | $74.41 – $1,291.25 | 38 |
| Lat retinacular release open CPT 27425 | not published | not published | $87.06 – $1,487.08 | 38 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $23.62 – $126.34 | 38 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $224.17 – $4,445.47 | 38 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $115.55 – $1,132.89 | 38 |
| Lead capillary CPT 83655 | $191.40 | $319.00 | $4.85 – $27.61 | 24 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $265.36 – $1,532.70 | 19 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $277.91 – $1,627.40 | 19 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $346.06 – $1,747.50 | 19 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $280.32 – $1,610.10 | 19 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $333.75 – $3,404.27 | 38 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $257.45 – $1,458.10 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,944.00 | $3,240.00 | $24.89 – $549.90 | 20 |
| Leishmania antibody CPT 86717 | not published | not published | $3.97 – $27.93 | 24 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $118.42 – $1,487.08 | 38 |
| Lengthening of palate CPT 42227 | not published | not published | $216.84 – $2,702.95 | 38 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $220.31 – $2,702.95 | 38 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $98.70 – $3,321.81 | 38 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $125.05 – $3,321.81 | 38 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $171.41 – $1,487.08 | 38 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $209.37 – $1,369.90 | 19 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $172.24 – $4,474.49 | 38 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $194.38 – $8,594.98 | 38 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $222.06 – $4,222.89 | 38 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $267.00 | $445.00 | $100.00 – $100.00 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $555.00 | $925.00 | $68.16 – $349.20 | 19 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $438.00 | $730.00 | $68.16 – $373.45 | 19 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $164.09 | $273.48 | $2.56 – $9.16 | 22 |
| Leukacyte transfusion CPT 86950 | not published | not published | $18.52 – $249.33 | 24 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $4.10 – $23.69 | 24 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $9,502.54 | $15,837.56 | $163.21 – $1,375.38 | 43 |
| Levalbuterol non-comp unit HCPCS J7614 | $20.15 | $33.58 | $0.06 – $1.02 | 18 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $63.61 | $106.02 | $0.03 – $0.29 | 21 |
| Levetiracetam therapeutic drug level CPT 80177 | $358.80 | $598.00 | $6.54 – $30.21 | 22 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $64.88 | $108.13 | $0.40 – $7.13 | 21 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $420.60 | $701.00 | $21.12 – $23.76 | 9 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $260.39 – $633.00 | 11 |
| Lidocaine therapeutic drug level CPT 80176 | $247.80 | $413.00 | $6.61 – $33.49 | 24 |
| Ligate leg veins open CPT 37761 | not published | not published | $136.34 – $1,515.56 | 38 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $152.39 – $1,515.56 | 38 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $15.30 – $107.69 | 19 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $118.57 – $1,515.56 | 38 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $104.35 – $1,515.56 | 38 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $71.61 – $1,553.00 | 38 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $49.75 – $668.59 | 38 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $61.57 – $1,515.56 | 38 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $175.24 – $504.07 | 19 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $196.77 – $565.85 | 19 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $176.57 – $515.42 | 19 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $94.46 – $461.50 | 19 |
| Ligation major artery neck CPT 37615 | not published | not published | $118.34 – $528.10 | 19 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $130.56 – $1,515.56 | 38 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $328.59 – $1,206.30 | 19 |
| Ligation of femoral vein CPT 37650 | not published | not published | $125.27 – $1,515.56 | 38 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $403.01 – $2,245.90 | 19 |
| Ligation of neck artery CPT 37606 | not published | not published | $138.21 – $600.30 | 19 |
| Ligation of salivary duct CPT 42665 | not published | not published | $47.58 – $1,291.25 | 38 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $187.16 – $1,515.56 | 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.