Supplies, drugs & other prices at Ascension St. Vincent Randolph

Winchester, IN · every code in this section with a posted price and a Medicare benchmark.

15 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Catheterize for urine spec (P9612) $119.40 $199 12.8×
Cbc without platelet (G0307) $116.40 $194 18.0×
Cbc/diffwbc w/o platelet (G0306) $135.60 $226 17.5×
Demonstrate use home inr mon (G0248) $407.40 $679 2.9×
Devlopment test interpt&rep (G0451) $236.40 $394 2.2×
Direct refer hospital observ (G0379) $313.80 $523 0.5×
Drug test def 1-7 classes (G0480) $393 $655 3.4×
Drug test def 8-14 classes (G0481) $393 $655 2.5×
Ed svc ckd ind per session (G0420) $108 $180 1.0×
Fecal blood scrn immunoassay (G0328) $127.20 $212 7.0×
Home sleep test/type 3 porta (G0399) $785.40 $1,309 3.4×
Mnt subs tx for change dx (G0270) $42 $70 1.3×
Oth resp proc, group (G0239) $235.80 $393 6.0×
Oth resp proc, indiv (G0238) $104.40 $174 3.4×
Psa screening (G0103) $235.20 $392 12.2×