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 |
|---|---|---|---|---|
| Fibrin degradation products CPT 85362 | not published | not published | $6.06 – $17.23 | 36 |
| Fibrin degrade semiquant CPT 85378 | $47.36 | $128.00 | $8.55 – $24.30 | 36 |
| Fibrinogen activity CPT 85384 | $38.11 | $103.00 | $8.55 – $24.30 | 36 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $12.95 | $35.00 | $13.62 – $38.70 | 36 |
| Fibrinolytic antiplasmin CPT 85410 | $18.50 | $50.00 | $6.78 – $19.28 | 36 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $15.13 – $42.98 | 36 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $18.50 | $50.00 | $5.75 – $16.33 | 36 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $221.81 | $599.48 | $0.40 – $0.83 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $38.22 – $80.77 | 34 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $685.06 – $1,447.81 | 32 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $389.01 – $822.13 | 32 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $57.83 – $122.22 | 34 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $57.83 – $122.22 | 34 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $32.35 – $80.77 | 34 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $38.22 – $80.77 | 34 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $195.87 – $413.96 | 32 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $912.87 – $1,929.25 | 32 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.08 – $46.60 | 35 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $235.35 – $497.39 | 32 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $887.71 – $5,727.00 | 33 |
| Flow cytometry interp 16 or more CPT 88189 | $101.38 | $274.00 | $78.11 – $197.48 | 4 |
| Flow cytometry marker each additional CPT 88185 | $135.42 | $366.00 | $18.63 – $51.70 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $33.67 | $91.00 | $57.07 – $740.21 | 36 |
| #flow interp 9 - 15 markers CPT 88188 | $102.86 | $278.00 | $57.89 – $144.78 | 4 |
| Flt3 gene CPT 81245 | $55.50 | $150.00 | $145.65 – $413.78 | 36 |
| Flt3 gene analysis CPT 81246 | $55.50 | $150.00 | $73.04 – $207.50 | 36 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $84.72 | $228.98 | $3.59 – $5.23 | 5 |
| Fluidotherapy charges pt CPT 97022 | $17.11 | $46.25 | $14.65 – $37.75 | 34 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $685.06 – $1,447.81 | 32 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $292.70 – $1,091.85 | 34 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $264.20 – $640.79 | 34 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $303.20 – $640.79 | 34 |
| Fluorescent antibody titer dna CPT 86256 | $62.90 | $170.00 | $10.60 – $30.13 | 36 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $303.03 | $819.00 | $206.69 – $206.69 | 1 |
| Fluoroguide needle placement CPT 77002 | $336.33 | $909.00 | $233.50 – $233.50 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $16.64 – $47.28 | 36 |
| Fluoroscopy up to 1 hour CPT 76000 | $248.27 | $671.00 | $76.80 – $525.31 | 34 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $39.20 | $105.94 | $2.70 – $4.88 | 5 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $235.35 – $525.31 | 33 |
| Fmri brain by tech CPT 70554 | not published | not published | $235.35 – $525.31 | 33 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $685.06 – $1,447.81 | 32 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $685.06 – $1,447.81 | 32 |
| Foam stability fetal lung CPT 83662 | not published | not published | $16.64 – $47.28 | 36 |
| Folic acid CPT 82746 | $38.48 | $104.00 | $12.94 – $36.75 | 36 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.10 | $0.26 | $0.07 – $0.07 | 1 |
| Follow-up angiography CPT 75898 | not published | not published | $6,833.27 – $6,833.27 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $8.93 | $24.13 | $19.34 – $19.34 | 3 |
| Fondaparinux sodium HCPCS J1652 | $10.65 | $28.79 | $1.01 – $1.47 | 5 |
| Foot X-ray CPT 73630 | $197.03 | $532.50 | $70.60 – $194.81 | 34 |
| Forensic cytopathology CPT 88125 | not published | not published | $10.66 – $109.94 | 36 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $236.81 – $500.47 | 32 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $4.75 | $12.84 | $0.15 – $0.26 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $24.14 | $65.25 | $5.48 – $9.37 | 6 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $25.08 – $71.25 | 36 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $75.77 – $194.81 | 34 |
| _fragile x methylation-sendout CPT 81244 | $175.75 | $475.00 | $39.50 – $112.23 | 36 |
| Frenotomy 40806 CPT 40806 | not published | not published | $495.83 – $1,047.90 | 32 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $78.53 | $212.25 | $210.73 – $210.73 | 2 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $32.68 – $352.62 | 35 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.43 – $163.43 | 35 |
| Frozen blood prep CPT 86930 | not published | not published | $166.85 – $352.62 | 35 |
| Frozen blood thaw CPT 86931 | $54.39 | $147.00 | $144.43 – $352.62 | 35 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.64 – $30.23 | 36 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $14.75 – $41.90 | 36 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $135.08 – $383.75 | 36 |
| Full field erg w/i&r CPT 92273 | not published | not published | $202.28 – $640.79 | 34 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $127.32 – $525.31 | 34 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $37.68 – $265.25 | 34 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $1.21 | $3.26 | $0.02 – $0.02 | 1 |
| G6pc gene CPT 81250 | not published | not published | $51.47 – $146.23 | 36 |
| G6pd full gene sequence CPT 81249 | not published | not published | $528.00 – $1,500.00 | 36 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $153.83 – $437.03 | 36 |
| G6pd known familial variant CPT 81248 | not published | not published | $330.22 – $938.13 | 36 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $156.23 | $422.25 | $26.84 – $206.58 | 6 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.74 | $2.00 | $0.32 – $0.66 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $24.72 | $66.81 | $0.15 – $0.29 | 6 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $18.54 – $52.68 | 36 |
| Galactokinase - sendout CPT 82759 | not published | not published | $18.90 – $53.70 | 36 |
| Galactose transferase test CPT 82776 | not published | not published | $10.33 – $29.35 | 36 |
| Galectin-3 CPT 82777 | not published | not published | $38.94 – $110.63 | 36 |
| Gammaglobulin iga CPT 82784 | $44.40 | $120.00 | $8.19 – $23.25 | 36 |
| Gammaglobulin ige CPT 82785 | $23.68 | $64.00 | $14.49 – $41.15 | 36 |
| Gamma glutamyltransferase CPT 82977 | $50.88 | $137.50 | $6.34 – $18.00 | 36 |
| Gamunex-c/gammaked HCPCS J1561 | $81.40 | $220.00 | $58.99 – $107.33 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $156.51 | $423.00 | $43.11 – $62.94 | 4 |
| Gardner vag dna quant CPT 87512 | $27.75 | $75.00 | $36.75 – $104.40 | 36 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.90 – $16.78 | 36 |
| Gastric emptying imag study CPT 78265 | not published | not published | $391.25 – $1,022.66 | 34 |
| Gastric emptying imag study CPT 78266 | not published | not published | $524.09 – $1,158.73 | 34 |
| Gastric motility studies CPT 91020 | not published | not published | $453.55 – $1,091.85 | 34 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $391.25 – $884.18 | 34 |
| Gastrin test CPT 82938 | not published | not published | $15.57 – $44.23 | 36 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $391.25 – $884.18 | 34 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $316.33 – $1,091.85 | 34 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $912.87 – $1,929.25 | 32 |
| Gated heart multiple CPT 78473 | not published | not published | $391.25 – $884.18 | 34 |
| Gba gene CPT 81251 | not published | not published | $41.58 – $118.13 | 36 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $32.93 | $89.00 | $3.64 – $6.29 | 5 |
| General health panel CPT 80050 | $148.74 | $402.00 | $47.28 – $91.98 | 3 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,154.73 – $6,121.40 | 4 |
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.