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 |
|---|---|---|---|---|
| Genome sequence analysis CPT 81425 | not published | not published | $4,427.46 – $12,578.00 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $80.61 | $217.86 | $3.01 – $5.41 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $54.02 | $146.00 | $14.42 – $40.95 | 36 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $516.63 – $1,091.85 | 34 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $887.71 – $1,876.08 | 32 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.63 – $24.53 | 36 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $29.60 | $80.00 | $15.06 – $42.78 | 36 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $89.99 – $255.65 | 36 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $332.45 | $898.50 | $45.55 – $265.25 | 34 |
| Ghs antibodies (torch) igm CPT 86694 | $11.84 | $32.00 | $12.66 – $35.98 | 36 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $236.81 – $500.47 | 32 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $152.34 – $321.95 | 32 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.24 – $12.05 | 36 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $674.29 – $1,425.04 | 32 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $236.81 – $500.47 | 32 |
| Ghs chemo >8 hrs CPT 96416 | $621.23 | $1,679.00 | $279.08 – $682.53 | 35 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $322.95 – $682.53 | 35 |
| Ghs chemo IV push, ea addtl CPT 96411 | $419.03 | $1,132.50 | $69.30 – $146.45 | 35 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $16.65 | $45.00 | $30.88 – $87.73 | 36 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $29.97 – $77.25 | 34 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $125.51 – $265.25 | 32 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $125.51 – $265.25 | 32 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $226.11 – $477.85 | 32 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $125.51 – $265.25 | 32 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $13.39 – $38.03 | 36 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $912.87 – $1,929.25 | 32 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $258.58 – $546.49 | 32 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $674.29 – $1,425.04 | 32 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $498.67 | $1,347.75 | $152.34 – $647.80 | 34 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $20.20 – $321.95 | 34 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $152.34 – $321.95 | 34 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $23.58 – $23.58 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs eye exam CPT 92002 | not published | not published | $125.48 – $265.19 | 34 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $291.06 – $615.12 | 32 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.27 – $12.13 | 36 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.14 – $17.45 | 36 |
| Ghs fish cytogen CPT 88271 | $41.07 | $111.00 | $18.85 – $53.55 | 36 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $41.44 | $112.00 | $45.05 – $127.98 | 36 |
| Ghs flow volume loop CPT 94375 | not published | not published | $57.45 – $640.79 | 34 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $303.20 – $640.79 | 32 |
| Ghs hcv amplificaiton CPT 87521 | $81.77 | $221.00 | $30.88 – $87.73 | 36 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $20.21 – $57.43 | 36 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $22.20 | $60.00 | $13.63 – $38.73 | 36 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.33 – $23.68 | 36 |
| Ghs histoplasma antigen CPT 87385 | $32.19 | $87.00 | $11.66 – $33.13 | 36 |
| Ghs HIV antibody CPT 86703 | $50.88 | $137.50 | $12.06 – $34.28 | 36 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $407.19 | $1,100.50 | $93.40 – $265.35 | 36 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $685.06 – $1,447.81 | 32 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $685.06 – $1,447.81 | 32 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $26.33 – $74.80 | 36 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $236.81 – $500.47 | 32 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $189.02 – $5,727.00 | 33 |
| Ghs inhibitor screen CPT 85335 | $74.00 | $200.00 | $11.32 – $32.18 | 36 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $287.42 – $607.44 | 32 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $236.81 – $500.47 | 32 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $42.30 – $94.94 | 34 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $322.95 – $682.53 | 32 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $54.02 | $146.00 | $7.57 – $21.50 | 36 |
| Ghs mbp CPT 83873 | $8.88 | $24.00 | $15.14 – $43.00 | 36 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $197.67 | $534.25 | $139.78 – $139.78 | 2 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $197.67 | $534.25 | $205.18 – $205.18 | 2 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $197.67 | $534.25 | $182.05 – $182.05 | 2 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $73.35 | $198.25 | $28.23 – $28.23 | 2 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $73.35 | $198.25 | $141.60 – $141.60 | 2 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $111.75 – $111.75 | 2 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $95.03 – $95.03 | 2 |
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.