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 |
|---|---|---|---|---|
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $21.67 – $136.97 | 19 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $27.41 – $182.00 | 19 |
| Observation per hour HCPCS G0378 | $66.00 | $110.00 | $78.30 – $78.30 | 11 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $159.53 – $1,089.77 | 13 |
| Obstetrics panel CPT 80055 | $425.40 | $709.00 | $13.22 – $109.01 | 24 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $22.90 – $124.76 | 22 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $15.43 – $60.12 | 22 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $47.86 – $1,553.00 | 38 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $97.11 | $161.85 | $1.15 – $2.48 | 23 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,422.43 | $10,704.05 | $134.54 – $537.37 | 42 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $40.38 – $205.58 | 38 |
| Ocular reconst transplant CPT 65780 | not published | not published | $134.15 – $1,456.12 | 38 |
| Ocular reconst transplant CPT 65781 | not published | not published | $250.32 – $3,750.00 | 38 |
| Ocular reconst transplant CPT 65782 | not published | not published | $215.82 – $1,456.12 | 38 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $344.77 – $1,372.53 | 19 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $83.50 – $484.00 | 19 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $1,549.20 – $8,830.44 | 15 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $9,682.50 | 14 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,246.40 – $7,104.48 | 15 |
| Oncology colorectal scr CPT 81528 | not published | not published | $203.55 – $1,160.22 | 22 |
| Oncology gynecologic CPT 81535 | not published | not published | $231.78 – $1,321.17 | 15 |
| Oncology gynecologic CPT 81536 | not published | not published | $71.02 – $404.84 | 15 |
| Oncology prostate prob score CPT 81539 | not published | not published | $2.00 – $1,732.80 | 15 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $1,500.00 – $8,550.00 | 15 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $49.15 – $2,045.16 | 15 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $13.28 – $593.94 | 15 |
| Oncoprotein dcp CPT 83951 | $314.40 | $524.00 | $31.81 – $146.85 | 22 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $31.81 – $146.85 | 22 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,440.00 – $8,208.00 | 15 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.90 | $3.17 | $0.01 – $0.07 | 20 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $398.16 | $663.60 | $0.07 – $1.94 | 22 |
| Oocyte identification CPT 89254 | not published | not published | $46.57 – $322.95 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $230.89 – $1,433.71 | 19 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $326.17 – $1,434.20 | 19 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $439.74 – $2,332.80 | 19 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $472.81 – $2,521.80 | 19 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $82.14 – $1,438.67 | 32 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $219.05 – $890.13 | 19 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $56.56 – $362.10 | 19 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $151.38 – $2,702.95 | 38 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $141.02 – $2,702.95 | 38 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $107.18 – $1,438.67 | 38 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $412.92 – $2,330.90 | 19 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $56.44 – $343.68 | 38 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $119.49 – $2,842.25 | 38 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $111.10 – $2,702.95 | 38 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $143.21 – $1,291.25 | 38 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $119.87 – $592.72 | 19 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $143.70 – $710.65 | 19 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $187.85 – $967.23 | 19 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $105.68 – $863.40 | 19 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $233.08 – $946.98 | 19 |
| Ophthalmic biometry CPT 92136 | not published | not published | $9.92 – $56.35 | 19 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $1.36 – $13.07 | 19 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $30.50 – $162.11 | 22 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $17.71 – $120.44 | 22 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $19.17 – $98.17 | 22 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $66.53 – $249.13 | 13 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $161.87 – $25,125.97 | 38 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $61.62 – $15,504.84 | 38 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $59.17 – $11,107.62 | 38 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $171.56 – $5,244.63 | 38 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $887.65 – $24,328.66 | 30 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $219.75 – $3,404.27 | 38 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $229.28 – $1,477.80 | 19 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $236.13 – $1,112.00 | 19 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $74.49 – $2,702.95 | 38 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $222.85 – $1,116.70 | 19 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $179.47 – $976.90 | 19 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $140.70 – $860.60 | 19 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $136.33 – $865.80 | 19 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $134.76 – $863.90 | 19 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $172.25 – $1,073.10 | 19 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $127.31 – $2,702.95 | 38 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $102.47 – $2,702.95 | 38 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $156.81 – $2,702.95 | 38 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $197.30 – $1,105.40 | 19 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $2.11 – $13.95 | 13 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $3.26 – $21.82 | 13 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $127.70 – $4,542.89 | 38 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $110.06 – $4,329.92 | 38 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $113.28 – $3,321.81 | 38 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $140.50 – $3,321.81 | 38 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $140.49 – $4,367.18 | 38 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $238.54 – $1,418.70 | 19 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $110.32 – $1,487.08 | 38 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $152.46 – $4,158.94 | 38 |
| Optx lunate dislocation CPT 25695 | not published | not published | $123.31 – $3,321.81 | 38 |
| Optx medial ankle fx CPT 27766 | not published | not published | $119.13 – $3,321.81 | 38 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $189.26 – $2,702.95 | 38 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $185.34 – $3,426.44 | 38 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $116.87 – $3,420.55 | 38 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $123.56 – $3,416.70 | 38 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $132.77 – $811.40 | 19 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $211.60 – $8,931.09 | 38 |
| Optx post ankle fx CPT 27769 | not published | not published | $142.57 – $3,321.81 | 38 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $172.72 – $8,677.54 | 38 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $243.09 – $12,868.40 | 38 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $130.29 – $4,328.81 | 38 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $122.08 – $3,321.81 | 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.