healthcosts.net

Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.)

1 Shircliff Way, Jacksonville, FL · Ascension · · NPI 1134117575

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

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
Debrid mastoidectomy cavity simple 69220 CPT 69220 not published not published $193.47 – $408.87 32
Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 not published not published $685.06 – $1,447.81 32
Debr musc/fascia 20sq cm/< 11043 CPT 11043 not published not published $596.01 – $1,259.60 32
Decalcification CPT 88311 $14.34 $38.75 $7.66 – $19.43 4
Decitabine 50 mg intravenous solution HCPCS J0894 $1,606.17 $4,341.00 $2.16 – $5.10 5
Declotting thrombolytic agent implanted vas access device 36 CPT 36593 not published not published $322.95 – $682.53 32
Deferoxamine 500 mg solution for injection HCPCS J0895 $46.09 $124.57 $10.02 – $19.58 5
Degarelix 120 mg subcutaneous solution HCPCS J9155 $5.69 $15.38 $5.32 – $9.37 5
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 $141.62 $382.75 $41.90 – $418.53 34
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 $12.84 $34.70 $33.93 – $33.93 1
Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 not published not published $125.51 – $265.25 32
Dermabrasion segmental face 15781 CPT 15781 not published not published $685.06 – $1,447.81 32
Dermabrasion suprfl any site CPT 15783 not published not published $389.01 – $822.13 32
Dermagraft HCPCS Q4106 $2,312.50 $6,250.00 $62.15 – $112.36 7
Design mlc device for imrt CPT 77338 $916.68 $2,477.50 $356.43 – $760.70 33
Desmopressin 4 mcg/ml injection solution HCPCS J2597 $38.63 $104.40 $7.43 – $10.84 4
Desoxycorticosterone CPT 82633 not published not published $27.26 – $77.45 36
Dest mal lesion feenlm <0.5cm 17280 CPT 17280 not published not published $193.47 – $408.87 32
Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 not published not published $193.47 – $408.87 32
Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 not published not published $193.47 – $408.87 32
Dest mal lesion snhfg <0.5cm 17270 CPT 17270 not published not published $193.47 – $408.87 32
Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 not published not published $193.47 – $408.87 32
Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 not published not published $193.47 – $408.87 32
Dest mal lesion tal <0.5 17260 CPT 17260 not published not published $193.47 – $408.87 32
Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 not published not published $193.47 – $408.87 32
Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 not published not published $193.47 – $408.87 32
Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 not published not published $193.47 – $408.87 32
Destroy premlg lesns;1st lesn 17000 CPT 17000 not published not published $193.47 – $408.87 32
Destruct ben lesion 15/> 17111 CPT 17111 not published not published $193.47 – $408.87 32
Destruct cut vasl lesions 10-50cm 17107 CPT 17107 not published not published $596.01 – $1,259.60 32
Destruct cut vasl lesions <10cm 17106 CPT 17106 not published not published $389.01 – $822.13 32
Destruction anal lesion(s) smpl chem 46900 CPT 46900 not published not published $389.01 – $822.13 32
Destruction benign lesions < 14 lesions CPT 17110 not published not published $193.47 – $408.87 32
Destruction by injection tx of nerve 64630 CPT 64630 not published not published $866.85 – $1,832.00 32
Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 not published not published $193.47 – $408.87 32
Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 not published not published $389.01 – $822.13 32
Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 not published not published $389.01 – $822.13 32
Destruction mal lsn t/a/l 3.1-4cm CPT 17264 not published not published $389.01 – $822.13 32
Destruction mal lsn t/a/l >4cm CPT 17266 not published not published $389.01 – $822.13 32
Destruction penis lesion(s) chem 54050 CPT 54050 not published not published $389.01 – $822.13 32
Destruction premal lesions 15/> 17004 CPT 17004 not published not published $389.01 – $822.13 32
Destruction rectal tumor 45190 CPT 45190 not published not published $5,727.00 – $5,727.00 1
Detect agent nos dna dir CPT 87797 not published not published $26.43 – $75.08 36
Detect agnt mult dna direc CPT 87800 not published not published $38.43 – $109.18 36
Developmental screen/score/document 96110 CPT 96110 not published not published $27.03 – $27.03 2
Devel tst phys/qhp 1st hr CPT 96112 not published not published $152.34 – $321.95 34
Dev tst admin phys/qhp ea addl 30 min CPT 96113 not published not published $132.75 – $132.75 2
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 $162.06 $438.00 $64.42 – $194.81 34
Dexamethasone 4 mg tablet HCPCS J8540 $19.37 $52.35 $0.07 – $0.13 5
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 $110.00 $297.31 $0.11 – $0.24 5
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 $133.66 $361.25 $98.77 – $177.13 5
Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 $57.07 $154.25 $1.77 – $2.58 4
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 $80.91 $218.67 $12.21 – $20.98 4
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 $67.83 $183.33 $2.22 – $3.94 5
Dextrose 5 % IV bolus HCPCS J7070 $80.07 $216.40 $4.44 – $7.88 5
Dhea-s (dehydroepiand sulfate) CPT 82627 $58.28 $157.50 $19.56 – $55.58 36
Diabetes (HbA1c) Test CPT 83036 $11.38 $30.75 $8.54 – $24.28 36
Diag bronchoscope/catheter CPT 31643 not published not published $5,727.00 – $5,727.00 1
Diagnostic anoscopy CPT 46601 not published not published $388.53 – $5,727.00 33
Diagnostic anoscopy & biopsy CPT 46607 not published not published $5,727.00 – $5,727.00 1
Diagnostic anoscopy spx 46600 CPT 46600 not published not published $125.51 – $5,727.00 33
Diagnostic digital breast tomosynthesis bil CPT 77062 $114.15 $308.50 $247.55 – $247.55 1
Diagnostic digital breast tomosynthesis unil CPT 77061 $78.63 $212.50 $193.03 – $193.03 1
Diagnostic laryngoscopy 31505 CPT 31505 not published not published $189.02 – $399.48 32
Diagnostic laryngoscopy 31575 CPT 31575 not published not published $189.02 – $5,727.00 33
Diagnostic Mammogram (both breasts) CPT 77066 $303.96 $821.50 $99.13 – $344.86 34
Diagnostic Mammogram (one breast) CPT 77065 $301.55 $815.00 $77.90 – $270.63 34
Diagnostic radio unlisted proc CPT 76499 not published not published $85.73 – $194.81 33
Dialysis one evaluation CPT 90945 $925.74 $2,502.00 $207.18 – $876.23 34
Diathermy eg microwave CPT 97024 not published not published $6.77 – $17.45 34
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 $26.31 $71.12 $12.83 – $18.72 4
Dicyclomine injection HCPCS J0500 $121.18 $327.50 $22.35 – $32.63 4
Diffusing capacity CPT 94729 $462.13 $1,249.00 $108.38 – $108.38 2
Digital analysis of eeg CPT 95957 not published not published $437.25 – $437.25 2
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 $124.14 $335.50 $5.95 – $19.32 5
Digoxin total therapeutic drug level CPT 80162 $67.25 $181.75 $11.69 – $33.20 36
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 $235.32 $636.00 $61.56 – $104.62 5
Dilate esophagus 1/mult pass CPT 43450 not published not published $912.87 – $1,929.25 32
Dilate tear duct opening CPT 68801 not published not published $388.53 – $821.13 32
Dilate urethra stricture CPT 53600 not published not published $236.81 – $500.47 32
Dilate urethra stricture CPT 53601 not published not published $125.51 – $265.25 32
Dilate urethra stricture CPT 53621 not published not published $236.81 – $500.47 32
Dilation/female urethra/initial 53660 CPT 53660 not published not published $152.34 – $321.95 32
Dilation of salivary duct CPT 42660 not published not published $495.83 – $1,047.90 32
Dilation of urethra CPT 53661 not published not published $125.51 – $265.25 32
Dilation/urethral strict/male/ini 53620 CPT 53620 not published not published $649.89 – $1,373.48 32
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $58.05 $156.89 $1.10 – $1.60 4
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 not published not published $20.52 – $187.65 6
Dir nsl mucous membrane test CPT 95065 not published not published $38.22 – $80.77 34
Disability dlco CPT 94727 $369.08 $997.50 $76.43 – $321.95 34
Disaccharidases CPT 82657 $29.60 $80.00 $19.51 – $55.43 36
Discography cerv/thor spine CPT 72285 not published not published $182.98 – $4,139.17 2
Dissolve clot heart vessel CPT 92975 not published not published $938.25 – $938.25 2
#d/lmeth-l-methamphetamine CPT 80374 not published not published $56.25 – $56.25 2
Dmd dup/delet analysis CPT 81161 not published not published $245.52 – $697.50 36
Dmpk gene detc abnor allele CPT 81234 not published not published $120.56 – $342.50 36
Dna antibody native/double stranded CPT 86225 not published not published $12.09 – $34.35 36
Dna gardnerella CPT 87510 not published not published $17.64 – $50.13 36
Dna probe chlamydia CPT 87490 not published not published $20.02 – $56.88 36
Dna probe gc CPT 87590 not published not published $23.65 – $67.20 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.