Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.)
1 Shircliff Way, Jacksonville, FL · Ascension · · NPI 1134117575
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $25.77 – $73.20 | 36 |
| 17-hydroxypregnenolone CPT 84143 | $9.34 | $25.25 | $20.07 – $57.03 | 36 |
| 17-ketosteroids CPT 83586 | not published | not published | $11.26 – $32.00 | 36 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $125.48 – $265.19 | 34 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,147.75 – $2,147.75 | 2 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $52.13 – $265.25 | 34 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $126.53 – $1,597.00 | 3 |
| 3-d radiotherapy plan CPT 77295 | $5,399.69 | $14,593.75 | $761.80 – $761.80 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $892.81 | $2,413.00 | $38.63 – $38.63 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $4.44 | $12.00 | $9.81 – $27.88 | 36 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $14.34 | $38.75 | $15.02 – $44.08 | 4 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $260.03 – $260.03 | 2 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $273.53 – $273.53 | 2 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $283.88 – $283.88 | 2 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $233.10 – $233.10 | 2 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $248.60 – $248.60 | 2 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $248.60 – $248.60 | 2 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $272.48 – $272.48 | 2 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $321.58 – $321.58 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $32.13 | $86.83 | $65.70 – $65.70 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $10.57 – $30.03 | 36 |
| Abciximab injection HCPCS J0130 | $834.44 | $2,255.24 | $2,143.61 – $2,143.61 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $1,235.43 | $3,339.00 | $210.82 – $6,833.27 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $693.10 | $1,873.25 | $173.33 – $521.67 | 34 |
| Abdominal CT scan (with contrast) CPT 74160 | $647.32 | $1,749.50 | $173.33 – $521.16 | 34 |
| Abdominal CT scan (without contrast) CPT 74150 | $601.44 | $1,625.50 | $103.54 – $259.30 | 34 |
| Abdominal MRI (with and without contrast) CPT 74183 | $622.25 | $1,681.75 | $347.73 – $824.45 | 34 |
| Abdominal MRI (with contrast) CPT 74182 | $590.15 | $1,595.00 | $347.73 – $824.45 | 34 |
| Abdominal MRI (without contrast) CPT 74181 | $558.05 | $1,508.25 | $235.35 – $525.31 | 34 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $912.87 – $1,929.25 | 32 |
| Abdominal Ultrasound (complete) CPT 76700 | $897.07 | $2,424.50 | $103.54 – $238.67 | 34 |
| Abdominal Ultrasound (limited) CPT 76705 | $875.70 | $2,366.75 | $103.54 – $235.69 | 34 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $912.87 – $1,929.25 | 32 |
| Abl1 gene CPT 81170 | not published | not published | $264.00 – $750.00 | 36 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $762.58 – $39,982.00 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $1,444.18 – $39,982.00 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $152.34 – $321.95 | 32 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $912.87 – $1,929.25 | 32 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $233.57 – $493.62 | 32 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $425.67 – $899.60 | 32 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $233.57 – $493.62 | 32 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $287.42 – $607.44 | 32 |
| Abortion (mpr) CPT 59866 | not published | not published | $296.18 – $625.95 | 32 |
| Abrasion lesion single CPT 15786 | not published | not published | $193.47 – $408.87 | 32 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $89.91 | $243.00 | $0.08 – $0.11 | 4 |
| Acetaminophen level CPT 80143 | $117.11 | $316.50 | $18.08 – $46.60 | 35 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $47.84 | $129.30 | $32.43 – $47.35 | 4 |
| Acetone qualitative CPT 82009 | not published | not published | $3.98 – $11.30 | 36 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $11.69 – $30.13 | 35 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.82 – $30.73 | 36 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $5.21 | $14.07 | $0.55 – $1.20 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $225.08 – $1,091.85 | 34 |
| Acne surgery 10040 CPT 10040 | not published | not published | $193.47 – $408.87 | 32 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $253.36 | $684.75 | $396.48 – $396.48 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $171.03 | $462.25 | $312.08 – $312.08 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $134.31 | $363.00 | $90.06 – $190.34 | 34 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $113.05 – $113.05 | 2 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $173.13 – $173.13 | 2 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $156.44 – $330.62 | 34 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $125.48 – $329.33 | 34 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $28.68 | $77.50 | $15.68 – $40.40 | 34 |
| Acoustic immitance testing CPT 92570 | not published | not published | $76.50 – $321.95 | 34 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $36.05 – $80.77 | 34 |
| Actigraphy testing CPT 95803 | not published | not published | $57.83 – $204.13 | 34 |
| Actinotherapy uv light CPT 96900 | not published | not published | $38.22 – $80.77 | 34 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.84 – $126.15 | 34 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.84 – $109.58 | 34 |
| Acute hepatitis panel CPT 80074 | $163.91 | $443.00 | $41.91 – $119.08 | 36 |
| Acute venous thrombus image CPT 78456 | not published | not published | $770.58 – $3,044.09 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $48.29 | $130.50 | $0.05 – $0.11 | 5 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $14.84 – $42.18 | 36 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.51 – $41.23 | 36 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $80.93 – $330.62 | 34 |
| Adding walker to prev cast CPT 29440 | not published | not published | $153.64 – $324.70 | 32 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $84.01 | $227.05 | $0.48 – $0.70 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.54 – $29.95 | 36 |
| Adenovirus antibody,serum - quest CPT 86603 | $29.23 | $79.00 | $11.32 – $32.18 | 36 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $19.15 – $54.40 | 36 |
| Adh-sendout CPT 84588 | not published | not published | $29.87 – $84.85 | 36 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $912.87 – $1,929.25 | 32 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $50.14 | $135.50 | $0.35 – $0.68 | 5 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $349.19 | $943.75 | $61.40 – $146.45 | 35 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $483.59 | $1,307.00 | $69.30 – $146.45 | 35 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $977.91 | $2,643.00 | $284.40 – $682.53 | 35 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $419.03 | $1,132.50 | $220.70 – $682.53 | 35 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $207.94 | $562.00 | $68.07 – $146.45 | 35 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $218.30 | $590.00 | $69.30 – $168.65 | 35 |
| Administration immunization 1 vaccine CPT 90471 | $53.37 | $144.25 | $48.38 – $146.45 | 34 |
| Administration immunization each additional component CPT 90461 | not published | not published | $21.08 – $21.08 | 2 |
| Administration immunization each additional vaccine CPT 90472 | $52.63 | $142.25 | $34.60 – $34.60 | 2 |
| Administration immunization first component each vaccine CPT 90460 | $51.80 | $140.00 | $54.48 – $54.48 | 2 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $39.25 – $146.45 | 34 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $11.10 | $30.00 | $28.53 – $28.53 | 2 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $54.05 – $54.05 | 2 |
| Administration vaccine pneumococcal HCPCS G0009 | $52.63 | $142.25 | $83.60 – $83.60 | 2 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $46.10 – $46.10 | 2 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $38.47 | $103.97 | $61.46 – $89.72 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,216.48 – $3,044.09 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $172.98 – $172.98 | 2 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $186.70 – $640.79 | 34 |
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.