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 lamotrigine therapeutic drug level CPT 80175 | $358.80 | $598.00 | $6.54 – $30.21 | 22 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $294.00 | $490.00 | $3.97 – $29.16 | 24 |
| Mayo legionella antibody CPT 86713 | $252.60 | $421.00 | $5.29 – $34.88 | 24 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $5.29 – $36.94 | 24 |
| Mayo lipoprotein electrophoresis CPT 83700 | $151.80 | $253.00 | $5.55 – $25.67 | 22 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $442.80 | $738.00 | $6.61 – $35.32 | 24 |
| Mayo manganese CPT 83785 | $225.60 | $376.00 | $10.58 – $60.76 | 24 |
| Mayo metanephrines plasma CPT 83835 | $439.80 | $733.00 | $7.93 – $38.62 | 24 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $5.18 – $51.87 | 15 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $40.80 | $68.00 | $12.05 – $46.00 | 19 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $243.60 | $406.00 | $6.61 – $33.17 | 24 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $358.80 | $598.00 | $5.44 – $42.50 | 24 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $570.60 | $951.00 | $50.00 – $312.36 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $333.60 | $556.00 | $74.08 – $422.26 | 15 |
| Mayo muramidase CPT 85549 | $182.40 | $304.00 | $8.87 – $42.75 | 24 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $299.40 | $499.00 | $8.91 – $41.15 | 22 |
| Mayo myoglobin CPT 83874 | $411.60 | $686.00 | $5.29 – $29.46 | 24 |
| Mayo nickel CPT 83885 | not published | not published | $9.26 – $55.88 | 24 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $6.77 – $51.87 | 15 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $5.47 – $51.87 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $5.62 – $51.87 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $294.00 | $490.00 | $7.79 – $48.36 | 24 |
| Mayo organic acids qualitative each specimen CPT 83919 | $321.00 | $535.00 | $7.59 – $37.51 | 24 |
| Mayo oxalate 24 hour urine CPT 83945 | $279.00 | $465.00 | $6.09 – $32.95 | 24 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $347.40 | $579.00 | $5.70 – $26.29 | 24 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $200.40 | $334.00 | $5.29 – $34.27 | 24 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $361.20 | $602.00 | $0.61 – $27.47 | 24 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $758.40 | $1,264.00 | $16.60 – $80.01 | 24 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $198.00 | $330.00 | $5.00 – $40.99 | 22 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $316.20 | $527.00 | $6.61 – $31.37 | 24 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $187.20 | $312.00 | $3.97 – $19.24 | 24 |
| Mayo pregnenolone CPT 84140 | $177.60 | $296.00 | $5.29 – $47.13 | 24 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $252.00 | $420.00 | $6.61 – $37.83 | 24 |
| Mayo proinsulin CPT 84206 | $280.80 | $468.00 | $6.61 – $60.85 | 24 |
| Mayo psaft prostate specific antigen free CPT 84154 | $252.00 | $420.00 | $8.70 – $41.93 | 24 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $545.40 | $909.00 | $5.29 – $41.95 | 24 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $5.05 – $30.46 | 24 |
| Mayo receptor assay transferrin soluble CPT 84238 | $637.80 | $1,063.00 | $18.06 – $83.38 | 24 |
| Mayo renin CPT 84244 | $517.80 | $863.00 | $8.21 – $50.14 | 24 |
| Mayo repu protein electrophoresis urine CPT 84166 | $214.80 | $358.00 | $2.04 – $40.65 | 24 |
| Mayo selenium CPT 84255 | $171.60 | $286.00 | $10.58 – $58.21 | 24 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $7.58 – $35.34 | 15 |
| Mayo serotonin CPT 84260 | $972.00 | $1,620.00 | $10.58 – $70.63 | 24 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $363.60 | $606.00 | $9.54 – $44.12 | 24 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $249.00 | $415.00 | $6.78 – $31.30 | 22 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $120.00 | $200.00 | $1.32 – $9.74 | 24 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $103.17 – $476.34 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $460.80 | $768.00 | $12.04 – $58.07 | 24 |
| Mayo tgrp testosterone total CPT 84403 | $432.00 | $720.00 | $9.64 – $58.85 | 24 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $8.87 | 11 |
| Mayo thyroglobulin CPT 84432 | $369.60 | $616.00 | $5.29 – $36.62 | 24 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $4.81 – $23.21 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $153.00 | $255.00 | $3.97 – $28.25 | 24 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $21.68 – $116.92 | 22 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $189.60 | $316.00 | $3.97 – $32.28 | 24 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $6.69 – $30.87 | 22 |
| Mayo vasoactive intestinal peptide CPT 84586 | $477.60 | $796.00 | $6.61 – $80.55 | 24 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $303.00 | $505.00 | $9.26 – $46.15 | 24 |
| Mayo vitamin b3 (niacin) CPT 84591 | $246.60 | $411.00 | $5.85 – $38.90 | 22 |
| Mayo vitamin k CPT 84597 | $474.00 | $790.00 | $6.61 – $31.28 | 24 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $358.80 | $598.00 | $6.54 – $30.21 | 22 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $206.30 – $1,340.53 | 19 |
| Mcoln1 gene CPT 81290 | not published | not published | $15.72 – $89.63 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $89.96 – $1,487.08 | 38 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $103.83 – $1,487.08 | 38 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $109.94 – $801.87 | 38 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $145.14 – $1,822.02 | 32 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $5.77 – $37.66 | 19 |
| Measure kidney pressure CPT 50396 | not published | not published | $25.60 – $306.66 | 38 |
| Measurement post void urine by ultrasound CPT 51798 | $337.80 | $563.00 | $3.87 – $481.98 | 20 |
| Measure ureter pressure CPT 50686 | not published | not published | $18.96 – $144.07 | 38 |
| #mec-opiates CPT 80356 | not published | not published | $6.34 – $51.87 | 15 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $60.00 – $342.00 | 22 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $211.15 – $1,203.54 | 22 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $8.91 – $273.60 | 22 |
| Medial canthopexy CPT 21280 | not published | not published | $111.57 – $1,291.25 | 38 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $76.43 – $786.50 | 19 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $58.51 – $602.82 | 19 |
| Medical testimony CPT 99075 | not published | not published | $190.00 – $190.00 | 11 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $115.62 – $755.23 | 32 |
| Meg evoked single CPT 95966 | not published | not published | $36.90 – $3,450.36 | 20 |
| Meg spontaneous CPT 95965 | not published | not published | $36.90 – $12,457.27 | 20 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $315.53 – $3,321.81 | 38 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $46.03 | $76.71 | $1.40 – $14.67 | 21 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $123.09 | $205.15 | $0.45 – $1.82 | 21 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $50.94 – $367.12 | 19 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $182.32 | $303.87 | $1.37 – $6.70 | 23 |
| Metabolic Blood Panel (Basic) CPT 80048 | $187.20 | $312.00 | $3.47 – $19.29 | 24 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $212.40 | $354.00 | $5.00 – $24.08 | 24 |
| Metabolic panel ionized ca CPT 80047 | $217.80 | $363.00 | $5.42 – $31.30 | 22 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $18.64 | $31.07 | $0.23 – $7.16 | 22 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $179.54 | $299.23 | $2.36 – $13.72 | 23 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $15.43 – $87.94 | 21 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,689.24 | $2,815.40 | $0.24 – $33.60 | 32 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $45.56 | $75.93 | $4.79 – $50.49 | 21 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.32 | $3.87 | $0.23 – $1.16 | 20 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $45.76 | $76.27 | $0.27 – $0.28 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $259.96 | $433.27 | $0.60 – $0.68 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $39.02 | $65.04 | $0.81 – $2.59 | 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.