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 |
|---|---|---|---|---|
| Partial removal of hand bone CPT 26230 | not published | not published | $97.06 – $1,487.08 | 38 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $325.17 – $1,903.70 | 19 |
| Partial removal of lip CPT 40530 | not published | not published | $93.61 – $1,291.25 | 38 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $362.02 – $1,728.70 | 19 |
| Partial removal of nose CPT 30150 | not published | not published | $183.07 – $2,702.95 | 38 |
| Partial removal of penis CPT 54120 | not published | not published | $139.76 – $1,592.02 | 38 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $312.54 – $2,702.95 | 38 |
| Partial removal of radius CPT 25151 | not published | not published | $113.45 – $1,487.08 | 38 |
| Partial removal of radius CPT 25230 | not published | not published | $84.07 – $1,487.08 | 38 |
| Partial removal of rib CPT 21600 | not published | not published | $108.97 – $3,321.81 | 38 |
| Partial removal of sternum CPT 21620 | not published | not published | $98.59 – $734.50 | 19 |
| Partial removal of thyroid CPT 60220 | not published | not published | $133.43 – $2,648.76 | 38 |
| Partial removal of thyroid CPT 60225 | not published | not published | $175.55 – $2,648.76 | 38 |
| Partial removal of tibia CPT 27640 | not published | not published | $163.58 – $1,487.08 | 38 |
| Partial removal of toe CPT 28160 | not published | not published | $53.69 – $1,487.08 | 38 |
| Partial removal of tongue CPT 41120 | not published | not published | $238.26 – $2,702.95 | 38 |
| Partial removal of ulna CPT 25119 | not published | not published | $96.16 – $1,487.08 | 38 |
| Partial removal of ulna CPT 25150 | not published | not published | $110.12 – $1,487.08 | 38 |
| Partial removal of ulna CPT 25240 | not published | not published | $83.20 – $1,487.08 | 38 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $97.07 – $551.65 | 19 |
| Partial removal tear gland CPT 68505 | not published | not published | $181.69 – $1,456.12 | 38 |
| Partial thyroid excision CPT 60210 | not published | not published | $133.17 – $2,648.76 | 38 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $189.60 – $2,648.76 | 38 |
| Part removal of metatarsal CPT 28110 | not published | not published | $57.57 – $1,487.08 | 38 |
| Part removal of metatarsal CPT 28113 | not published | not published | $84.51 – $1,487.08 | 38 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $62.24 – $1,487.08 | 38 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $90.67 – $594.05 | 20 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $48.10 – $594.05 | 20 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $22.49 – $197.93 | 20 |
| Patient recorded spirometry CPT 94014 | not published | not published | $9.37 – $50.00 | 19 |
| Patient recorded spirometry CPT 94015 | not published | not published | $4.67 – $19.20 | 19 |
| Pdgfra gene CPT 81314 | not published | not published | $131.80 – $751.28 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $31.13 – $177.94 | 13 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $120.50 – $926.15 | 38 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $66.83 – $145.03 | 13 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $145.03 – $400.08 | 13 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $105.59 – $926.15 | 38 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,121.58 | $15,202.63 | $36.33 – $561.57 | 37 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,961.60 | $9,936.00 | $122.54 – $1,059.40 | 41 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,295.60 | $3,826.00 | $43.49 – $433.67 | 41 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,911.60 | $3,186.00 | $41.27 – $650.00 | 42 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,530.00 | $2,550.00 | $30.12 – $650.00 | 42 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,967.80 | $6,613.00 | $79.35 – $818.70 | 42 |
| Pelvic MRI (with contrast) CPT 72196 | $3,307.20 | $5,512.00 | $62.07 – $681.50 | 41 |
| Pelvic MRI (without contrast) CPT 72195 | $2,645.40 | $4,409.00 | $52.62 – $700.00 | 42 |
| Pelvic Ultrasound (complete) CPT 76856 | $591.60 | $986.00 | $20.59 – $400.00 | 42 |
| Pelvic Ultrasound (limited) CPT 76857 | $508.80 | $848.00 | $9.01 – $70.15 | 41 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $85.04 | $141.73 | $44.62 – $131.00 | 40 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $16.16 | $26.93 | $1.05 – $9.41 | 37 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $48.74 | $81.23 | $16.14 – $54.83 | 34 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $151.99 | $253.32 | $0.43 – $2.64 | 21 |
| Penile injection CPT 54235 | not published | not published | $16.20 – $70.83 | 38 |
| Penile vascular study CPT 93980 | not published | not published | $20.22 – $282.55 | 20 |
| Penile vascular study CPT 93981 | not published | not published | $12.09 – $260.45 | 20 |
| Penile venous occlusion CPT 37790 | not published | not published | $123.89 – $1,592.02 | 38 |
| Penis plastic surgery CPT 54360 | not published | not published | $163.76 – $1,592.02 | 38 |
| Penis study CPT 54240 | not published | not published | $22.00 – $57.37 | 39 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $104.32 – $18,138.72 | 39 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $78.64 – $2,648.76 | 38 |
| Percut ablate liver rf CPT 47382 | not published | not published | $201.36 – $12,177.48 | 39 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $83.70 | $139.50 | $42.16 – $112.97 | 21 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $55.75 – $209.79 | 13 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $361.32 – $1,936.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $57.87 – $606.20 | 32 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $214.72 – $1,256.00 | 19 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $122.58 – $1,438.67 | 38 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $51.34 – $1,553.00 | 38 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $0.40 – $12.66 | 19 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $6.05 – $18.55 | 19 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $4.55 – $16.43 | 19 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $101.90 – $2,842.25 | 38 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $9.50 – $178.54 | 22 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $26.93 – $426.71 | 41 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $197.74 – $1,042.96 | 13 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $195.61 – $760.22 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $20.91 – $587.56 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $16.42 – $383.18 | 20 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $274.56 – $4,450.23 | 38 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $186.92 – $4,450.23 | 38 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $792.22 – $8,000.18 | 31 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $672.14 – $11,477.74 | 31 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $695.93 – $6,960.20 | 31 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $529.42 – $6,408.37 | 31 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $265.77 – $265.77 | 11 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $94.29 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $127.58 – $12,177.48 | 39 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $152.29 – $12,177.48 | 39 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $23.36 – $125.52 | 32 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $102.93 – $1,487.08 | 38 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $94.17 – $1,487.08 | 38 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $201.13 – $305.80 | 17 |
| Perq transcath closure each CPT 93592 | not published | not published | $90.71 – $413.64 | 13 |
| Perq transcath closure pda CPT 93582 | not published | not published | $139.29 – $603.90 | 19 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $205.87 – $939.04 | 13 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $248.07 – $1,131.53 | 13 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $157.24 – $672.13 | 19 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $134.62 – $134.62 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $45.82 – $1,487.08 | 38 |
| Perq tx malar fracture CPT 21355 | not published | not published | $63.42 – $1,638.27 | 38 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $69.07 – $3,438.65 | 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.