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 |
|---|---|---|---|---|
| Creatinine 24 hour urine CPT 82570 | $32.84 | $88.75 | $4.56 – $12.95 | 36 |
| Creatinine clearance urine CPT 82575 | $67.99 | $183.75 | $8.33 – $23.65 | 36 |
| #creutz-prot.,western blot CPT 84182 | $18.50 | $50.00 | $25.71 – $73.03 | 36 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $156.44 – $369.80 | 34 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $181.55 – $181.55 | 2 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $664.65 – $1,733.89 | 34 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $291.23 – $291.23 | 2 |
| Crotalidae poly immune fab HCPCS J0840 | $1,995.87 | $5,394.26 | $2,142.09 – $3,897.41 | 5 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $296.18 – $625.95 | 32 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $50.88 | $137.50 | $12.44 – $35.35 | 36 |
| Cryoprecipitate each unit HCPCS P9012 | $103.88 | $280.75 | $158.93 – $158.93 | 2 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $628.20 – $1,680.98 | 33 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $143.50 – $352.62 | 33 |
| Cryopreservation sperm CPT 89259 | not published | not published | $143.50 – $352.62 | 33 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $425.67 – $899.60 | 32 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.47 – $109.94 | 33 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $193.47 – $408.87 | 32 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $57.83 – $122.22 | 32 |
| Cryptococcus abs qn - sendout CPT 86641 | $17.39 | $47.00 | $12.68 – $36.03 | 36 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $10.54 – $29.95 | 36 |
| Crystal identification light microscopy CPT 89060 | $36.91 | $99.75 | $6.45 – $18.33 | 36 |
| Csf leakage imaging CPT 78650 | not published | not published | $740.69 – $3,044.09 | 2 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $292.01 – $617.13 | 32 |
| Csf ventriculography CPT 78635 | not published | not published | $524.09 – $1,158.73 | 34 |
| CT 3d report other modality w/workstation CPT 76377 | $892.81 | $2,413.00 | $93.28 – $93.28 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| Cta neck without &/or w/contrast CPT 70498 | $647.32 | $1,749.50 | $173.33 – $764.00 | 34 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $647.32 | $1,749.50 | $347.73 – $857.26 | 34 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| CT Angiogram of the Head CPT 70496 | $647.32 | $1,749.50 | $173.33 – $764.00 | 34 |
| CT angio hrt w/3d image CPT 75574 | $647.32 | $1,749.50 | $347.73 – $734.88 | 34 |
| CT angio pelvis CPT 72191 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $647.32 | $1,749.50 | $173.33 – $521.67 | 34 |
| CT bone density axial CPT 77078 | not published | not published | $85.73 – $228.35 | 34 |
| CT colonography dx CPT 74261 | not published | not published | $103.54 – $321.15 | 34 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $173.33 – $521.16 | 34 |
| CT colonography screening CPT 74263 | not published | not published | $235.35 – $1,846.55 | 34 |
| CT guidance for needle placement CPT 77012 | $647.32 | $1,749.50 | $223.21 – $223.21 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $770.99 | $2,083.75 | $182.98 – $182.98 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $233.57 – $493.62 | 32 |
| CT guid parench tis ablat CPT 77013 | $647.32 | $1,749.50 | $764.00 – $764.00 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $85.73 – $220.09 | 34 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $347.73 – $734.88 | 34 |
| CT hrt w/3d image CPT 75572 | $647.32 | $1,749.50 | $347.73 – $734.88 | 34 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $85.73 – $228.35 | 34 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $601.44 | $1,625.50 | $173.33 – $393.89 | 34 |
| CT lower extremity without contrast (both sides) CPT 73700 | $833.24 | $2,252.00 | $103.54 – $303.63 | 34 |
| CT lwr extremity w/o&w/dye CPT 73702 | $647.32 | $1,749.50 | $173.33 – $499.51 | 34 |
| CT neck soft tissue w/contrast CPT 70491 | $647.32 | $1,749.50 | $173.33 – $764.00 | 34 |
| CT neck soft tissue without contrast CPT 70490 | $601.44 | $1,625.50 | $103.54 – $764.00 | 34 |
| CT neck soft tissue without & w/contrast CPT 70492 | $693.10 | $1,873.25 | $173.33 – $764.00 | 34 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $670.16 | $1,811.25 | $173.33 – $764.00 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $624.28 | $1,687.25 | $173.33 – $764.00 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $578.40 | $1,563.25 | $103.54 – $764.00 | 34 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $226.11 – $477.85 | 32 |
| CT scan for therapy guide CPT 77014 | $647.32 | $1,749.50 | $224.24 – $224.24 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $738.98 | $1,997.25 | $347.73 – $824.45 | 34 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $693.10 | $1,873.25 | $347.73 – $824.45 | 34 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $647.32 | $1,749.50 | $235.35 – $525.31 | 34 |
| CT thoracic spine w/contrast CPT 72129 | $624.28 | $1,687.25 | $173.33 – $393.89 | 34 |
| CT thoracic spine without contrast CPT 72128 | $578.40 | $1,563.25 | $103.54 – $305.68 | 34 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $647.32 | $1,749.50 | $103.54 – $764.00 | 34 |
| CT t-spine w /wo contrast CPT 72130 | $670.16 | $1,811.25 | $173.33 – $484.05 | 34 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $647.32 | $1,749.50 | $347.73 – $824.45 | 34 |
| CT upper extremity without contrast (both sides) CPT 73200 | $601.44 | $1,625.50 | $103.54 – $321.15 | 34 |
| CT uppr extremity w/o&w/dye CPT 73202 | $693.10 | $1,873.25 | $173.33 – $521.67 | 34 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $143.50 – $2,548.00 | 35 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $143.50 – $2,649.85 | 35 |
| Culture aerobic additional method definitive id each CPT 87077 | $25.90 | $70.00 | $7.11 – $20.20 | 36 |
| Culture afb any source CPT 87116 | $134.31 | $363.00 | $9.50 – $27.00 | 36 |
| Culture anaerobic additional method definitive id each CPT 87076 | $47.36 | $128.00 | $7.11 – $20.20 | 36 |
| Culture anaerobic except blood CPT 87075 | $34.60 | $93.50 | $8.33 – $23.68 | 36 |
| Culture bact stool aero addl path ea CPT 87046 | $11.47 | $31.00 | $8.31 – $23.60 | 36 |
| Culture body fluid CPT 87070 | $160.49 | $433.75 | $7.59 – $21.55 | 36 |
| Culture fungi definitive id mold CPT 87107 | $42.00 | $113.50 | $9.08 – $25.80 | 36 |
| Culture fungi definitive id yeast CPT 87106 | $14.80 | $40.00 | $9.08 – $25.80 | 36 |
| Culture fungi other (except blood) CPT 87102 | $111.09 | $300.25 | $7.40 – $21.03 | 36 |
| Culture fungi skin/hair/nail CPT 87101 | $18.22 | $49.25 | $6.78 – $19.28 | 36 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $19.43 | $52.50 | $12.86 – $36.53 | 36 |
| Culture mycoplasma any source CPT 87109 | $46.62 | $126.00 | $13.54 – $38.48 | 36 |
| Culture quantitative aerobic other source CPT 87071 | $107.21 | $289.75 | $8.70 – $24.73 | 36 |
| Culture screening strep group a CPT 87081 | $39.22 | $106.00 | $5.83 – $16.58 | 36 |
| Culture typing added method CPT 87158 | $25.90 | $70.00 | $6.81 – $19.35 | 36 |
| Culture typing immunologic CPT 87147 | $8.14 | $22.00 | $4.56 – $12.95 | 36 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $211.52 – $545.15 | 35 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $81.40 | $220.00 | $30.88 – $87.73 | 36 |
| Culture urine each isolate CPT 87088 | $17.85 | $48.25 | $7.12 – $20.23 | 36 |
| Culture virus isolation CPT 87250 | not published | not published | $17.21 – $48.90 | 36 |
| Curette/treat cornea CPT 65435 | not published | not published | $943.03 – $1,993.01 | 32 |
| Cv stress test i&r only 93018 CPT 93018 | $73.82 | $199.50 | $33.80 – $1,597.00 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $49.75 – $1,597.00 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.60 – $35.80 | 36 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $48.29 | $130.50 | $1.91 – $2.78 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $11.40 – $32.38 | 36 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $4.28 | $11.58 | $0.98 – $1.93 | 5 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1.85 | $5.00 | $1.26 – $1.84 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $58.28 | $157.50 | $87.11 – $156.28 | 5 |
| Cyclosporine 2 hour CPT 80158 | $73.45 | $198.50 | $15.88 – $45.13 | 36 |
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.