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 |
|---|---|---|---|---|
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $62.66 | $104.43 | $0.02 – $0.07 | 31 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $45.24 – $284.18 | 15 |
| Microalbumin urine screen CPT 82044 | not published | not published | $1.32 – $14.20 | 24 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $2.65 – $91.59 | 24 |
| Microdissection laser CPT 88380 | not published | not published | $20.02 – $122.60 | 21 |
| Microdissection manual CPT 88381 | not published | not published | $16.56 – $54.06 | 21 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $51.25 | 22 |
| Microsatellite instability CPT 81301 | $588.00 | $980.00 | $142.99 – $794.72 | 22 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $32.66 – $279.10 | 19 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $26.51 – $296.10 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $74.10 | $123.50 | $0.12 – $0.29 | 21 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $17.49 – $118.29 | 22 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $56.94 | $94.90 | $27.23 – $63.35 | 39 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $29.86 | $49.77 | $33.42 – $44.63 | 20 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $685.12 – $3,081.30 | 19 |
| Mlh1 gene CPT 81288 | $594.00 | $990.00 | $76.93 – $438.49 | 22 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $80.96 – $461.47 | 22 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $270.16 – $1,539.91 | 22 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $70.22 – $754.68 | 22 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $206.50 – $6,364.19 | 38 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $4.44 – $105.92 | 22 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $16.67 – $77.91 | 13 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $38.26 – $801.87 | 38 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $80.92 – $801.87 | 38 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $50.13 – $325.46 | 38 |
| Mnt subs tx for change dx HCPCS G0270 | $42.00 | $70.00 | $4.68 – $13.30 | 13 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $28.45 – $164.60 | 19 |
| Modification of contact lens CPT 92325 | not published | not published | $2.87 – $27.79 | 19 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $335.00 – $2,732.40 | 19 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $142.28 – $903.01 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $37.73 | 19 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $25.00 – $145.83 | 15 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $60.13 – $342.75 | 15 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $109.93 – $626.61 | 21 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $120.54 – $687.08 | 21 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $113.15 – $644.97 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $507.76 – $1,929.50 | 21 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $964.59 – $4,560.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $47.98 | $79.97 | $0.65 – $10.89 | 21 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $39.99 | $66.65 | $7.43 – $12.48 | 13 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $75.59 | $125.99 | $0.29 – $27.62 | 21 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $402.00 | $670.00 | $18.43 – $532.50 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $514.20 | $857.00 | $19.53 – $163.62 | 22 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $460.80 | $768.00 | $14.54 – $532.70 | 22 |
| Motion analysis video/3d CPT 96000 | not published | not published | $16.23 – $1,063.53 | 20 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $18.17 – $1,063.53 | 20 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1.94 – $304.62 | 20 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $68.60 – $1,291.25 | 38 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $8.04 – $58.00 | 21 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $610.80 | $1,018.00 | $26.78 – $532.50 | 22 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $9.81 – $72.66 | 21 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $22.70 – $285.52 | 24 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $60.13 – $342.75 | 20 |
| MRA abdomen post contrast CPT 74185 | $4,773.00 | $7,955.00 | $61.57 – $670.02 | 22 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,959.20 | $4,932.00 | $60.74 – $700.00 | 23 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $9,799.20 | $16,332.00 | $61.37 – $668.57 | 22 |
| MRA pelvis CPT 72198 | $2,863.20 | $4,772.00 | $61.25 – $668.57 | 22 |
| MRA spinal canal CPT 72159 | $3,495.60 | $5,826.00 | $63.67 – $693.71 | 22 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,425.40 | $5,709.00 | $61.34 – $689.39 | 22 |
| Mr elastography CPT 76391 | not published | not published | $31.55 – $168.05 | 32 |
| MRI brain w/dye CPT 70558 | not published | not published | $57.80 – $648.38 | 41 |
| MRI brain without dye CPT 70557 | not published | not published | $51.98 – $582.20 | 41 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $57.76 – $838.94 | 41 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $70.90 – $899.18 | 39 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $79.04 – $270.20 | 13 |
| MRI breast without cont bi CPT 77047 | not published | not published | $75.56 – $899.18 | 40 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $79.03 – $700.00 | 14 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,421.60 | $4,036.00 | $50.34 – $428.62 | 41 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $66.71 – $700.00 | 42 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $79.11 – $734.66 | 42 |
| MRI chest without contrast CPT 71550 | $2,612.40 | $4,354.00 | $52.07 – $693.71 | 41 |
| MRI chest without & w/contrast CPT 71552 | $3,919.20 | $6,532.00 | $80.61 – $969.56 | 42 |
| MRI chest w IV cont CPT 71551 | $3,265.80 | $5,443.00 | $61.83 – $776.33 | 41 |
| MRI fetal ea addl gestation CPT 74713 | $2,645.40 | $4,409.00 | $31.40 – $284.23 | 20 |
| MRI fetal sngl/1st gestation CPT 74712 | $2,645.40 | $4,409.00 | $64.74 – $663.29 | 39 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $54.07 – $645.57 | 20 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $151.35 – $467.60 | 20 |
| MRI loex nonjt w IV cont CPT 73719 | $6,998.40 | $11,664.00 | $58.24 – $682.23 | 41 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $5,600.40 | $9,334.00 | $48.24 – $700.00 | 42 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $8,400.00 | $14,000.00 | $76.53 – $825.17 | 42 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,529.00 | $4,215.00 | $48.24 – $700.00 | 42 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,792.60 | $6,321.00 | $76.53 – $805.07 | 42 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,160.20 | $5,267.00 | $58.00 – $670.02 | 41 |
| MRI tmj CPT 70336 | $2,986.80 | $4,978.00 | $50.35 – $506.22 | 41 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $5,056.80 | $8,428.00 | $48.32 – $606.07 | 41 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $7,582.80 | $12,638.00 | $76.78 – $818.70 | 42 |
| MRI upper extremity w/dye CPT 73219 | $6,319.20 | $10,532.00 | $58.24 – $679.35 | 41 |
| Mr spectroscopy CPT 76390 | $1,719.60 | $2,866.00 | $50.27 – $754.78 | 42 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $85.32 – $486.32 | 22 |
| Msh2 gene full seq CPT 81295 | not published | not published | $91.03 – $870.28 | 22 |
| Msh2 gene known variants CPT 81296 | not published | not published | $70.22 – $770.02 | 22 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $95.20 – $542.64 | 22 |
| Msh6 gene full seq CPT 81298 | not published | not published | $172.70 – $1,463.42 | 22 |
| Msh6 gene known variants CPT 81299 | not published | not published | $70.22 – $702.24 | 22 |
| Mthfr gene analy common variants CPT 81291 | $403.20 | $672.00 | $26.14 – $148.98 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $9.64 – $61.29 | 24 |
| Mucin synovial fluid CPT 83872 | $72.00 | $120.00 | $2.65 – $13.36 | 24 |
| Mucopolysaccharides CPT 83864 | not published | not published | $5.29 – $64.98 | 24 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $5.19 – $28.79 | 19 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $12.15 – $53.46 | 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.