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 |
|---|---|---|---|---|
| Biopsy roof of mouth CPT 42100 | not published | not published | $24.86 – $105.92 | 38 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $9.58 – $115.06 | 32 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $31.11 – $668.59 | 38 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $77.40 – $1,132.89 | 38 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $25.36 – $131.68 | 38 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $24.75 – $1,553.00 | 38 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $23.54 – $130.69 | 38 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $82.22 – $3,321.81 | 38 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $75.65 – $1,487.08 | 38 |
| Biospy of bladder CPT 53899 | not published | not published | $0.01 – $1,629.12 | 17 |
| Biotinidase - quest CPT 82261 | $243.60 | $406.00 | $1.70 – $38.46 | 24 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $17.56 – $113.69 | 13 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $560.40 | $934.00 | $9.67 – $923.77 | 39 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $30.90 – $220.47 | 38 |
| Bld prd mix CPT 86965 | not published | not published | $5.29 – $78.00 | 24 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $13.30 – $220.47 | 38 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $465.62 | $776.03 | $21.02 – $100.86 | 23 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $79.50 – $926.15 | 38 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $61.00 – $926.15 | 38 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $85.22 – $926.15 | 38 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $84.96 – $926.15 | 38 |
| Blink reflex test CPT 95933 | not published | not published | $12.44 – $275.41 | 20 |
| Blm gene CPT 81209 | not published | not published | $15.72 – $89.63 | 15 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $22.76 – $462.90 | 38 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $20.53 – $632.83 | 38 |
| Block paracervical nrv CPT 64435 | not published | not published | $18.03 – $93.61 | 38 |
| Block plantar digital nerve CPT 64455 | not published | not published | $9.55 – $34.14 | 38 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $20.17 – $106.57 | 19 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $16.07 – $86.60 | 19 |
| Blood Clotting (PT/INR) Test CPT 85610 | $119.40 | $199.00 | $1.32 – $9.78 | 24 |
| Blood Clotting (PTT) Test CPT 85730 | $163.20 | $272.00 | $2.65 – $13.70 | 24 |
| Blood Count (CBC) Test CPT 85025 | $134.40 | $224.00 | $3.68 – $17.72 | 24 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $132.60 | $221.00 | $3.06 – $14.75 | 24 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $1.32 – $15.96 | 24 |
| Blood Culture Test CPT 87040 | $316.20 | $527.00 | $3.97 – $23.53 | 24 |
| Blood draw capillary 36416 CPT 36416 | $43.80 | $73.00 | $0.23 – $11.70 | 22 |
| Blood gases o2 saturation direct measurement CPT 82805 | $407.40 | $679.00 | $5.29 – $179.60 | 24 |
| Blood gases ph venous CPT 82800 | $149.40 | $249.00 | $3.97 – $25.08 | 24 |
| Blood, l/r, irradiated HCPCS P9056 | $696.00 | $1,160.00 | $123.59 – $650.00 | 13 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $138.60 | $231.00 | $7.86 – $36.30 | 24 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $57.60 | $96.00 | $1.63 – $9.64 | 24 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $86.40 | $144.00 | $1.32 – $9.99 | 24 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $78.00 | $130.00 | $1.63 – $12.13 | 22 |
| Blood smear interpretation CPT 85060 | not published | not published | $1.77 – $56.34 | 24 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $86.40 | $144.00 | $1.32 – $8.66 | 24 |
| Blood typing abo CPT 86900 | $96.00 | $160.00 | $1.41 – $6.82 | 24 |
| Blood typing ag donor ea ag CPT 86902 | $166.80 | $278.00 | $2.15 – $14.48 | 22 |
| Blood typing patient serum CPT 86904 | not published | not published | $3.97 – $37.26 | 24 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $187.80 | $313.00 | $1.32 – $8.73 | 24 |
| Blood typing rh (d) CPT 86901 | $84.60 | $141.00 | $1.48 – $6.82 | 24 |
| Blood typing rh phenotype complete reference CPT 86906 | $474.00 | $790.00 | $2.65 – $17.67 | 24 |
| Blood volume CPT 78122 | not published | not published | $14.16 – $327.11 | 41 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $30.59 – $1,132.89 | 38 |
| Bone Density Scan (DEXA) CPT 77080 | $483.00 | $805.00 | $7.29 – $250.00 | 42 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $26.60 – $388.63 | 41 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $19.62 – $306.73 | 41 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $11.69 – $113.18 | 38 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $14.40 – $143.56 | 38 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $37.81 – $779.23 | 38 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $37.69 – $2,350.28 | 38 |
| Bone marrow imaging body CPT 78104 | not published | not published | $27.26 – $418.82 | 41 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $17.97 – $291.65 | 41 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $24.86 – $384.34 | 41 |
| Bone marrow interpretation CPT 85097 | not published | not published | $3.68 – $155.40 | 24 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $525.08 – $4,073.30 | 38 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $475.07 – $3,645.50 | 38 |
| Bone survey-lead poisoning CPT 77074 | $628.20 | $1,047.00 | $8.56 – $98.17 | 22 |
| Boot softgait shrt m HCPCS L4387 | $88.20 | $147.00 | $11.23 – $127.78 | 19 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $118.80 | $198.00 | $18.94 – $189.42 | 17 |
| Borrelia antibody CPT 86619 | not published | not published | $3.97 – $30.51 | 24 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $371.40 | $619.00 | $5.29 – $38.83 | 24 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $14.04 – $136.85 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $107.97 | $179.95 | $1.05 – $139.46 | 42 |
| (both sides) smear without diff wbc count CPT 85008 | $63.00 | $105.00 | $1.32 – $7.82 | 24 |
| Bowel imaging CPT 78290 | not published | not published | $24.13 – $614.92 | 41 |
| Brace afo lg left 6607 HCPCS L1930 | $47.40 | $79.00 | $16.10 – $16.10 | 8 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $49.20 | $82.00 | $8.22 – $77.00 | 15 |
| Brace wrist classic lft sm HCPCS L3908 | $22.20 | $37.00 | $4.01 – $4.01 | 8 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $118.88 – $1,132.89 | 38 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $58.67 – $754.85 | 19 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $68.13 – $851.31 | 19 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $81.07 – $1,461.78 | 19 |
| Brach/thor cath addl CPT 36218 | not published | not published | $13.15 – $137.58 | 19 |
| Brachytx isodose complex CPT 77318 | not published | not published | $50.04 – $422.41 | 39 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $34.49 – $311.29 | 39 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $26.36 – $238.47 | 39 |
| Braf gene CPT 81210 | $321.60 | $536.00 | $70.16 – $399.91 | 15 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $273.98 – $1,734.80 | 19 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $235.61 – $1,279.40 | 19 |
| Brain flow imaging only CPT 78610 | not published | not published | $10.62 – $327.11 | 41 |
| Brain image < 4 views CPT 78600 | not published | not published | $15.47 – $330.45 | 41 |
| Brain image 4+ views CPT 78605 | not published | not published | $19.10 – $350.58 | 41 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $18.10 – $462.93 | 41 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $22.13 – $611.35 | 41 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,406.80 | $5,678.00 | $64.53 – $1,048.58 | 42 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,920.20 | $4,867.00 | $42.97 – $700.00 | 42 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,433.60 | $4,056.00 | $42.97 – $700.00 | 42 |
| Brain MRI (with and without contrast) CPT 70553 | $2,920.20 | $4,867.00 | $59.48 – $700.00 | 42 |
| Brain MRI (with contrast) CPT 70552 | $2,433.60 | $4,056.00 | $50.29 – $700.00 | 42 |
| Brain MRI (without contrast) CPT 70551 | $1,946.40 | $3,244.00 | $36.33 – $700.00 | 42 |
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.