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Ascension St Vincent Randolph

473 E Greenville Ave, Winchester, IN 47394 · (765) 584-0004

Critical Access HospitalsVoluntary non-profit - PrivateWebsite ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-01-01

5,307 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$187
cash
$3,175
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,141
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$1,912
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines

$105
cash
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cash
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cash
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cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$44
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$61
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 5 lines

$362
cash
—
cash
$74
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines

$229
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$205
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$105
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines

$269
cash
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cash
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cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$244
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$294
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$2,920
cash
$1,819
cash
$1,997
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,218
cash
—
cash
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cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines

$430
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines

$571
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines

$820
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$106
cash
$35
cash
$92
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$761
cash
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cash
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cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines

$14
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$230
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$287
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$314
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$295
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines

$2,041
cash
—
cash
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cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines

$96
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$509
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$889
cash
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Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$127
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$457
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.