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 |
|---|---|---|---|---|
| Psytx pt w/e&m 38-52 min CPT 90836 | $137.40 | $229.00 | $27.89 – $116.98 | 19 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $41.37 – $187.76 | 19 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $106.80 | $178.00 | $2.04 – $14.87 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $30.00 | $50.00 | $4.15 – $6.30 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $123.60 | $206.00 | $2.91 – $24.52 | 20 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $106.80 | $178.00 | $1.46 – $11.10 | 20 |
| Pt application of modality traction mechanical CPT 97012 | $150.00 | $250.00 | $1.85 – $15.77 | 20 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $52.56 – $684.00 | 22 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.42 – $1,368.00 | 22 |
| Pten gene known fam variant CPT 81322 | not published | not published | $21.14 – $106.25 | 22 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $171.94 – $2,702.95 | 38 |
| Pt evaluation high complexity patient/family CPT 97163 | $285.60 | $476.00 | $10.90 – $65.00 | 14 |
| Pt evaluation low complexity patient/family CPT 97161 | $191.40 | $319.00 | $10.90 – $65.00 | 14 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $236.40 | $394.00 | $10.90 – $65.00 | 14 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $4.37 – $33.10 | 19 |
| Pt re-evaluation patient/family CPT 97164 | $174.00 | $290.00 | $7.38 – $39.73 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $86.40 | $144.00 | $6.41 – $84.24 | 19 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $81.00 | $135.00 | $3.86 – $22.22 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $98.40 | $164.00 | $3.56 – $20.49 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | $91.80 | $153.00 | $4.18 – $22.35 | 19 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $136.19 – $1,035.70 | 19 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $67.24 – $447.90 | 19 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $406.54 – $2,963.94 | 19 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $235.82 – $1,351.20 | 19 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $17.09 – $332.83 | 39 |
| Pulse ox continuous overnight monitoring CPT 94762 | $576.60 | $961.00 | $3.96 – $32.60 | 19 |
| Pulse ox multiple CPT 94761 | $299.40 | $499.00 | $0.79 – $7.46 | 19 |
| Pulse ox single CPT 94760 | $172.80 | $288.00 | $0.50 – $4.09 | 19 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $16.27 – $351.21 | 38 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $124.80 | $208.00 | $3.91 – $141.72 | 20 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | not published | not published | $15.03 – $89.05 | 38 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $11.62 – $1,291.25 | 38 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $16.41 – $351.21 | 38 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $13.93 – $73.42 | 19 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $21.55 – $351.21 | 38 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $22.09 – $351.21 | 38 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $207.07 – $845.10 | 19 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $43.24 | $72.06 | $11.26 – $39.69 | 20 |
| Pyruvate CPT 84210 | $233.40 | $389.00 | $5.14 – $33.01 | 24 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.66 – $21.52 | 24 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $29.36 – $545.26 | 39 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $25.39 – $341.48 | 39 |
| Quest t3 uptake CPT 84479 | $189.60 | $316.00 | $3.06 – $14.75 | 24 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $446.50 – $1,135.20 | 41 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $239.92 – $597.40 | 39 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,401.91 | $9,003.18 | $335.22 – $986.93 | 41 |
| Rabies vaccine id CPT 90676 | not published | not published | $195.94 – $325.71 | 32 |
| Radiation handling CPT 77790 | not published | not published | $2.24 – $84.53 | 20 |
| Radiation physics consult CPT 77336 | not published | not published | $10.66 – $306.85 | 41 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $10.12 – $81.12 | 41 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $10.55 – $155.05 | 41 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $6.17 – $155.05 | 41 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $22.55 – $172.90 | 41 |
| Radiation treatment delivery CPT 77401 | not published | not published | $3.64 – $274.05 | 41 |
| Radiation treatment delivery CPT 77402 | not published | not published | $72.56 – $390.35 | 41 |
| Radiation treatment delivery CPT 77412 | not published | not published | $124.64 – $753.36 | 41 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $362.44 – $2,222.77 | 19 |
| Radical resection of elbow CPT 24149 | not published | not published | $229.56 – $3,321.81 | 38 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $237.58 – $1,550.50 | 19 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $205.05 – $1,218.88 | 38 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $280.90 – $1,643.93 | 38 |
| Radiology port images(s) CPT 77417 | not published | not published | $1.65 – $101.59 | 20 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $260.88 – $3,093.31 | 41 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $29.78 – $859.35 | 41 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $37.09 – $1,054.82 | 41 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $82.38 – $1,722.55 | 39 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $37.14 – $859.35 | 41 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $22.43 – $321.84 | 41 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $13.96 – $74.28 | 13 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $248.12 – $1,347.90 | 19 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $223.92 – $1,308.50 | 38 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $258.82 – $1,515.81 | 38 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $202.29 – $1,132.89 | 38 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $145.53 – $1,132.89 | 38 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $260.10 – $1,579.87 | 38 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $146.08 – $1,132.89 | 38 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $205.29 – $1,243.55 | 38 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $183.63 – $4,415.83 | 38 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $147.18 – $1,132.89 | 38 |
| Rapid desensitization CPT 95180 | not published | not published | $16.85 – $100.80 | 19 |
| Rapid Strep Test CPT 87880 | $121.80 | $203.00 | $15.83 – $37.69 | 24 |
| Rbc count only automated CPT 85041 | $59.40 | $99.00 | $1.36 – $6.89 | 24 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $8.40 – $14.72 | 13 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $10.58 – $117.00 | 24 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $427.36 – $2,775.50 | 19 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $147.18 – $1,291.25 | 38 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $176.48 – $2,702.95 | 38 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $188.58 – $2,702.95 | 38 |
| Realignment of knee CPT 27457 | not published | not published | $185.42 – $1,288.30 | 19 |
| Realignment of tendons CPT 26437 | not published | not published | $118.81 – $1,487.08 | 38 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $163.95 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $159.03 – $2,702.95 | 38 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $210.31 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $165.57 – $2,702.95 | 38 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $234.65 – $2,702.95 | 38 |
| Rechanneling of artery CPT 35361 | not published | not published | $382.88 – $1,982.00 | 19 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $306.42 – $2,509.22 | 19 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $340.43 – $2,034.10 | 19 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $319.95 – $2,610.35 | 19 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $360.96 – $1,838.00 | 19 |
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.