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 |
|---|---|---|---|---|
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $149.52 – $1,291.25 | 38 |
| Pertussis ag if CPT 87265 | $252.00 | $420.00 | $5.67 – $27.31 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $10,118.19 | $16,863.65 | $14.49 – $37.24 | 41 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $86.66 – $2,255.47 | 41 |
| Pet CT whole body initial CPT 78816 | not published | not published | $87.50 – $2,255.47 | 41 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $52.15 – $2,255.47 | 41 |
| Pet image full body CPT 78813 | not published | not published | $71.43 – $2,255.47 | 41 |
| Pet image ltd area CPT 78811 | not published | not published | $56.08 – $2,255.47 | 41 |
| Pet image skull-thigh CPT 78812 | not published | not published | $68.08 – $2,255.47 | 41 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $78.64 – $2,255.47 | 41 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.01 – $2,255.47 | 22 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $55.96 – $1,487.08 | 38 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $30.10 – $47.85 | 13 |
| Ph body fluid CPT 83986 | $106.80 | $178.00 | $1.69 – $8.16 | 24 |
| Phencyclidine (pcp) CPT 83992 | $183.00 | $305.00 | $7.20 – $80.01 | 24 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $135.50 | $225.83 | $27.07 – $109.58 | 21 |
| Phenobarbital therapeutic drug level CPT 80184 | $265.80 | $443.00 | $5.13 – $34.88 | 24 |
| Phentolaine mesylate inj HCPCS J2760 | $881.36 | $1,468.94 | $428.36 – $1,272.81 | 41 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $132.26 | $220.43 | $0.02 – $0.02 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $39.08 | $65.14 | $0.28 – $1.34 | 21 |
| Phenytoin total therapeutic drug level CPT 80185 | $263.40 | $439.00 | $6.27 – $30.21 | 24 |
| Phlebotomy therapeutic CPT 99195 | $380.40 | $634.00 | $11.10 – $409.66 | 20 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $111.44 – $457.08 | 38 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $136.25 – $704.00 | 38 |
| Phosphorus CPT 84100 | $108.00 | $180.00 | $2.24 – $10.81 | 24 |
| Phosphorus 24 hour urine CPT 84105 | $137.40 | $229.00 | $2.45 – $13.18 | 24 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $11.23 – $217.07 | 19 |
| Photochemotherapy puva CPT 96912 | not published | not published | $14.36 – $217.07 | 19 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $19.43 – $1,348.78 | 19 |
| Photo patch test CPT 95052 | not published | not published | $1.19 – $9.60 | 19 |
| Photopheresis CPT 36522 | not published | not published | $25.36 – $2,350.28 | 38 |
| Photosensitivity tests CPT 95056 | not published | not published | $4.11 – $28.99 | 19 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $3.71 – $121.32 | 24 |
| Phys blood bank serv reactj CPT 86078 | $524.40 | $874.00 | $3.69 – $121.32 | 24 |
| Phys blood bank serv xmatch CPT 86077 | $206.40 | $344.00 | $3.66 – $121.32 | 24 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $133.36 | $222.26 | $2.90 – $9.26 | 15 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $4.71 – $50.00 | 13 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $109.93 – $3,756.81 | 22 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $69.66 – $388.17 | 38 |
| Pin finger dislocation CPT 26776 | not published | not published | $85.73 – $1,487.08 | 38 |
| Pin finger fracture each CPT 26756 | not published | not published | $80.87 – $1,487.08 | 38 |
| Pin hand dislocation CPT 26676 | not published | not published | $97.01 – $1,487.08 | 38 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $85.42 – $1,487.08 | 38 |
| Pinworm exam CPT 87172 | $72.00 | $120.00 | $2.02 – $9.74 | 24 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $104.73 | $174.55 | $1.18 – $3.86 | 21 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $52.03 – $12,816.43 | 39 |
| Place cath intracranial art CPT 36228 | not published | not published | $57.18 – $801.50 | 19 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $27.98 – $171.09 | 19 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $53.01 – $2,545.04 | 39 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $63.86 – $3,871.01 | 39 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $235.59 – $963.30 | 19 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $58.23 – $3,871.01 | 39 |
| Placement bile duct support CPT 47801 | not published | not published | $242.88 – $965.20 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,329.40 | $5,549.00 | $16.37 – $3,551.36 | 21 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $3,329.40 | $5,549.00 | $8.19 – $3,551.36 | 21 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,985.40 | $3,309.00 | $13.93 – $2,117.76 | 21 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $48.18 – $4,769.51 | 39 |
| Placement of seton CPT 46020 | not published | not published | $48.07 – $1,320.79 | 38 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $113.34 – $6,472.96 | 38 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $65.06 – $7,470.11 | 39 |
| Place needles h&n for right CPT 41019 | not published | not published | $114.75 – $5,391.91 | 39 |
| Place needles pelvic for right CPT 55920 | not published | not published | $97.50 – $5,325.53 | 39 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $53.19 – $5,367.06 | 20 |
| Placental lactogen CPT 83632 | not published | not published | $9.26 – $46.10 | 24 |
| Place po breast cath for rad CPT 19296 | not published | not published | $33.00 – $4,280.36 | 38 |
| Place right device/marker pros CPT 55876 | not published | not published | $24.55 – $901.25 | 38 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $88.28 – $9,644.91 | 20 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $72.76 – $5,367.06 | 20 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $79.50 – $9,644.91 | 20 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $78.50 – $5,367.06 | 20 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $88.47 – $9,644.91 | 20 |
| Plasma volume multiple CPT 78111 | not published | not published | $7.82 – $859.35 | 41 |
| Plasma volume single CPT 78110 | not published | not published | $6.79 – $859.35 | 41 |
| Platelet aggregation each agent teg CPT 85576 | $356.40 | $594.00 | $2.52 – $41.84 | 24 |
| Platelet automated CPT 85049 | $120.00 | $200.00 | $2.12 – $10.21 | 24 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $2.39 – $8.40 | 13 |
| Platelets each unit HCPCS P9019 | $313.20 | $522.00 | $114.49 – $500.00 | 13 |
| Platelets irradiated ea unit HCPCS P9032 | $792.60 | $1,321.00 | $30.00 – $154.32 | 13 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,122.20 | $3,537.00 | $500.00 – $573.24 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,542.20 | $4,237.00 | $30.00 – $473.64 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,336.40 | $3,894.00 | $30.00 – $622.59 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $711.00 | $1,185.00 | $343.54 – $343.54 | 11 |
| Platelet survival CPT 78191 | not published | not published | $22.07 – $284.23 | 41 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $87.29 – $7,256.67 | 39 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $46.18 – $179.94 | 13 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $47.65 – $7,373.42 | 39 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $78.19 – $7,373.42 | 39 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $196.33 – $734.57 | 13 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,907.00 | $4,845.00 | $13.93 – $3,100.80 | 21 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $2,181.60 | $3,636.00 | $7.01 – $2,327.04 | 21 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $79.22 – $295.00 | 13 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $10.46 – $469.39 | 19 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $8.27 – $138.99 | 19 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,985.40 | $3,309.00 | $7.01 – $2,117.76 | 21 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $8.68 – $42.30 | 19 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $218.29 – $1,301.00 | 19 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $80.88 – $7,256.67 | 39 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $115.90 – $7,256.67 | 39 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $59.40 – $4,769.51 | 39 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $61.58 – $7,373.42 | 39 |
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.