Ascension St. Vincent Randolph
Winchester, IN · Critical Access Hospital
Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,141.20 | $1,902 | 10.3× |
| MRI brain without contrast (70551) | $1,946.40 | $3,244 | 7.7× |
| MRI brain with contrast (70552) | $2,433.60 | $4,056 | 6.6× |
| MRI brain without and with contrast (70553) | $2,920.20 | $4,867 | 7.9× |
| X-ray lower spine, 4+ views (72110) | $457.20 | $762 | 4.1× |
| MRI lumbar spine without contrast (72148) | $1,996.80 | $3,328 | 7.9× |
| CT pelvis with contrast (72193) | $1,911.60 | $3,186 | 10.3× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,818.60–$3,637.20 | $3,031–$6,062 | varies |
| CT abdomen and pelvis with contrast (74177) | $3,174.60 | $5,291 | 8.6× |
| Ultrasound, abdomen complete (76700) | $888.60 | $1,481 | 8.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $761.40 | $1,269 | 6.9× |
| Ultrasound, transvaginal (76830) | $509.40 | $849 | 4.6× |
| Mammography, one breast (diagnostic) (77065) | $261.60 | $436 | 3.0× |
| Mammography, both breasts (diagnostic) (77066) | $361.80 | $603 | 3.3× |
| Mammography, screening (bilateral) (77067) | $295.20 | $492 | 3.2× |
| Basic metabolic panel (80048) | $187.20 | $312 | 22.1× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$60.60–$212.40 | $101–$354 | varies |
| Obstetric panel (80055) | $425.40 | $709 | 8.9× |
| Lipid panel (80061) | $243.60 | $406 | 18.2× |
| Renal function panel (80069) | $351 | $585 | 40.4× |
| Hepatic function panel (80076) | $294 | $490 | 36.0× |
| Urinalysis, non-automated, with microscopy (81000) | $82.20 | $137 | 20.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$106.20–$227.40 | $177–$379 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$96–$235.20 | $160–$392 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$44.40–$134.40 | $74–$224 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$37.20–$132.60 | $62–$221 | varies |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$13.80–$119.40 | $23–$199 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$34.80–$163.20 | $58–$272 | varies |
| Psychotherapy, 30 minutes (90832) | $229.80 | $383 | 1.2× |
| Psychotherapy, 45 minutes (90834) | $287.40 | $479 | 1.5× |
| Psychotherapy, 60 minutes (90837) | $314.40 | $524 | 1.7× |
| Family psychotherapy, without patient (50 min) (90846) | $204.60 | $341 | 1.1× |
| Family psychotherapy, with patient (50 min) (90847) | $228.60 | $381 | 1.2× |
| Group psychotherapy (90853) | $268.80 | $448 | 2.5× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,041.20–$4,082.40 | $3,402–$6,804 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $91.80 | $153 | 3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $430.20 | $717 | 3.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $570.60 | $951 | 4.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $819.60 | $1,366 | 5.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 225 codes with posted prices and Medicare benchmarks
- Lab & pathology: 726 codes with posted prices and Medicare benchmarks
- Visits & medical services: 152 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 47 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 15 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 25.4 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.