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 |
|---|---|---|---|---|
| Mayo activated protein c resistance assay CPT 85307 | $1,102.80 | $1,838.00 | $6.61 – $34.93 | 24 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.11 – $30.71 | 13 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.46 – $51.87 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $381.60 | $636.00 | $6.61 – $33.70 | 24 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.21 – $51.87 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $312.00 | $520.00 | $5.29 – $30.64 | 24 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $251.40 | $419.00 | $7.44 – $34.38 | 24 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.18 – $29.64 | 13 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.03 – $51.87 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $607.80 | $1,013.00 | $60.06 – $277.32 | 22 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $688.80 | $1,148.00 | $43.83 – $208.98 | 22 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $54.80 – $312.36 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,842.60 | $3,071.00 | $540.00 – $2,644.80 | 22 |
| Mayo androstenedione CPT 82157 | $221.40 | $369.00 | $10.58 – $66.76 | 24 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $334.20 | $557.00 | $6.61 – $33.29 | 24 |
| Mayo antithrombin iii antigen CPT 85301 | $568.80 | $948.00 | $5.34 – $24.65 | 24 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $90.00 | $150.00 | $5.29 – $34.31 | 24 |
| Mayo avwpr vw factor activity CPT 85397 | $325.80 | $543.00 | $9.42 – $70.36 | 22 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.04 – $136.85 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.32 – $51.87 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $212.40 | $354.00 | $5.02 – $23.21 | 24 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $324.60 | $541.00 | $60.88 – $330.24 | 21 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $85.85 – $489.33 | 21 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $225.60 | $376.00 | $3.97 – $29.41 | 24 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.18 – $51.87 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $185.40 | $309.00 | $3.97 – $30.07 | 24 |
| Mayo brcmg brucella antibody igm CPT 86622 | $134.40 | $224.00 | $3.97 – $20.36 | 24 |
| Mayo c1 esterase inhibitor CPT 83883 | $263.40 | $439.00 | $2.65 – $31.01 | 24 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.33 – $51.87 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $216.00 | $360.00 | $1.70 – $38.46 | 24 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.09 – $61.06 | 22 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $192.60 | $321.00 | $60.36 – $278.66 | 15 |
| Mayo ceruloplasmin CPT 82390 | $246.60 | $411.00 | $5.08 – $24.49 | 24 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $394.80 | $658.00 | $5.29 – $32.19 | 24 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $330.60 | $551.00 | $5.29 – $29.37 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $288.00 | $480.00 | $3.97 – $26.95 | 24 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $117.00 | $195.00 | $3.97 – $28.91 | 24 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,440.60 | $2,401.00 | $59.26 – $265.60 | 24 |
| Mayo chromium CPT 82495 | $147.60 | $246.00 | $9.60 – $46.24 | 24 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo coccidioides antibody CPT 86635 | $231.60 | $386.00 | $3.97 – $26.15 | 24 |
| Mayo cocou cortisone urine CPT 82542 | $438.60 | $731.00 | $8.31 – $54.93 | 24 |
| Mayo cortisol free CPT 82530 | $351.00 | $585.00 | $7.91 – $38.10 | 24 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $82.20 | $137.00 | $16.85 – $102.60 | 25 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $153.00 | $255.00 | $3.97 – $27.63 | 24 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.22 – $52.53 | 13 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.34 – $36.32 | 13 |
| Mayo cyanide CPT 82600 | $216.00 | $360.00 | $7.93 – $44.23 | 24 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $438.60 | $731.00 | $24.34 – $235.58 | 22 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $153.00 | $255.00 | $6.54 – $30.21 | 24 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $270.00 | $450.00 | $11.90 – $57.62 | 24 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $13.01 – $66.76 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.01 – $21.98 | 24 |
| Mayo efpo chloride stool CPT 82438 | $120.00 | $200.00 | $2.41 – $11.40 | 24 |
| Mayo estriol CPT 82677 | $233.40 | $389.00 | $10.58 – $55.13 | 24 |
| Mayo estrone CPT 82679 | $313.20 | $522.00 | $9.64 – $56.89 | 24 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $214.80 | $358.00 | $8.07 – $37.26 | 24 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $6.78 – $31.30 | 22 |
| Mayo factor ii CPT 85210 | $295.20 | $492.00 | $5.29 – $29.59 | 24 |
| Mayo factor v CPT 85220 | $450.00 | $750.00 | $5.95 – $40.24 | 24 |
| Mayo factor vii CPT 85230 | $722.40 | $1,204.00 | $5.95 – $40.81 | 24 |
| Mayo factor viii vw factor antigen CPT 85246 | $460.80 | $768.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $361.80 | $603.00 | $11.33 – $52.30 | 24 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $345.00 | $575.00 | $11.33 – $52.30 | 24 |
| Mayo factor x CPT 85260 | $492.60 | $821.00 | $5.95 – $40.81 | 24 |
| Mayo factor xi CPT 85270 | $320.40 | $534.00 | $5.95 – $40.81 | 24 |
| Mayo fat/lipids feces quantitative CPT 82710 | $233.40 | $389.00 | $7.64 – $38.30 | 24 |
| Mayo fbl culture fungi blood CPT 87103 | $216.60 | $361.00 | $4.62 – $46.65 | 24 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $2.65 – $183.45 | 24 |
| Mayo ffspg allergen clam igg CPT 86001 | $83.40 | $139.00 | $2.47 – $17.83 | 24 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.97 – $32.97 | 24 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $407.40 | $679.00 | $7.24 – $49.41 | 22 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $504.00 | $840.00 | $0.01 – $420.00 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $2.15 – $10.83 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $412.20 | $687.00 | $16.60 – $80.01 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $115.80 | $193.00 | $17.13 – $80.01 | 24 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $246.60 | $411.00 | $3.97 – $31.44 | 24 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $484.80 | $808.00 | $12.74 – $58.85 | 24 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $28.80 | $48.00 | $2.65 – $20.27 | 24 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $43.20 | $72.00 | $5.29 – $30.83 | 24 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $277.80 | $463.00 | $12.85 – $61.95 | 24 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $387.00 | $645.00 | $3.97 – $39.38 | 24 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $44.40 | $74.00 | $6.61 – $34.18 | 24 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $422.40 | $704.00 | $10.26 – $47.45 | 24 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $393.00 | $655.00 | $6.61 – $47.45 | 24 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $129.00 | $215.00 | $5.67 – $36.64 | 24 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $276.60 | $461.00 | $5.92 – $27.31 | 22 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $262.20 | $437.00 | $17.33 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $14.04 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $17.13 – $80.01 | 24 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $694.80 | $1,158.00 | $17.13 – $97.68 | 24 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $28.88 – $164.59 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo inhab inhibin a CPT 86336 | $255.60 | $426.00 | $7.70 – $35.55 | 24 |
| Mayo insft insulin free CPT 83527 | $108.00 | $180.00 | $6.39 – $29.53 | 24 |
| Mayo insulin antibodies CPT 86337 | $259.20 | $432.00 | $10.57 – $48.81 | 24 |
| Mayo iodine CPT 83789 | $299.40 | $499.00 | $8.31 – $54.97 | 24 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $10.84 – $61.81 | 21 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $10.84 – $61.81 | 22 |
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.