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 |
|---|---|---|---|---|
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $191.95 – $640.79 | 34 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $257.30 – $640.79 | 34 |
| _afb id by dna probe rflx ast CPT 87149 | $53.28 | $144.00 | $17.64 – $50.13 | 36 |
| #afb mycobacteria suscep. #1 CPT 87190 | $5.46 | $14.75 | $6.43 – $18.28 | 36 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $45.88 | $124.00 | $101.52 – $288.40 | 36 |
| After cataract laser surgery CPT 66821 | not published | not published | $534.15 – $1,128.87 | 32 |
| Air conduction bilat CPT 92552 | $214.79 | $580.50 | $91.65 – $265.25 | 34 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $332.54 | $898.75 | $74.18 – $321.95 | 34 |
| Albumin body fluid quantitative each specimen CPT 82042 | $76.04 | $205.50 | $6.85 – $19.45 | 36 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $84.36 | $228.00 | $64.76 – $132.69 | 6 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $253.51 | $685.17 | $64.76 – $132.69 | 6 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.87 – $84.85 | 36 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.88 | $80.75 | $5.09 – $14.45 | 36 |
| Albumin serum plasma or whole blood CPT 82040 | $19.61 | $53.00 | $4.36 – $12.38 | 36 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $62.16 | $168.00 | $16.75 – $43.18 | 35 |
| Alcohol/sub misuse assess HCPCS G2011 | $24.05 | $65.00 | $40.88 – $40.88 | 2 |
| Alkaline phosphatase CPT 84075 | $7.77 | $21.00 | $4.56 – $12.95 | 36 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $15.78 – $44.83 | 36 |
| Allergen egg white ige CPT 86003 | $44.03 | $119.00 | $4.60 – $13.05 | 36 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.01 – $19.93 | 36 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $28.55 – $94.94 | 34 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $24.75 – $94.94 | 34 |
| Allergy Skin Testing CPT 95004 | $127.19 | $343.75 | $8.83 – $8.83 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $11.83 – $11.83 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $2,959.72 | $7,999.25 | $124.66 – $257.79 | 7 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $35,164.80 | $95,040.00 | $29.85 – $61.17 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $3,035.85 | $8,205.00 | $193.16 – $471.09 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $11,539.93 | $31,189.00 | $128.94 – $166.49 | 6 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $7,255.61 | $19,609.75 | $156.68 – $321.08 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $5,849.05 | $15,808.25 | $364.10 – $617.54 | 5 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $38.22 – $80.77 | 34 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $19.78 – $50.39 | 34 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $6.36 | $17.20 | $6.30 – $11.15 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $56.68 – $161.03 | 36 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $14.96 – $42.50 | 36 |
| Alpha-fetoprotein tumor marker CPT 82105 | $27.20 | $73.50 | $14.76 – $41.93 | 36 |
| Alprostadil for injection HCPCS J0270 | $0.24 | $0.64 | $0.57 – $0.57 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $192.51 | $520.31 | $111.58 – $200.34 | 5 |
| Alt/sgpt CPT 84460 | $21.09 | $57.00 | $4.67 – $13.25 | 36 |
| Aluminum - quest CPT 82108 | not published | not published | $22.42 – $63.70 | 36 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $89.38 – $188.89 | 34 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $56.25 – $56.25 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $13.35 – $265.25 | 34 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $20.46 | $55.30 | $0.73 – $1.18 | 5 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.20 – $34.68 | 36 |
| Amino acid single qual CPT 82127 | not published | not published | $12.48 – $35.45 | 36 |
| Amino acids quant 2-5 CPT 82136 | $40.15 | $108.50 | $17.26 – $49.03 | 36 |
| Aminolevulinic acid delta CPT 82135 | $15.73 | $42.50 | $14.48 – $41.13 | 36 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $48.61 | $131.37 | $7.76 – $13.48 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $15.40 | $41.61 | $0.40 – $0.85 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $56.25 – $56.25 | 2 |
| Ammonia CPT 82140 | $75.02 | $202.75 | $12.82 – $36.43 | 36 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $847.81 – $1,791.76 | 32 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $296.18 – $625.95 | 32 |
| Amniotic fluid scan CPT 82143 | not published | not published | $8.23 – $23.38 | 36 |
| Amphetamine confirm urine -sendout CPT 80324 | $42.37 | $114.50 | $56.25 – $56.25 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $23.08 – $23.08 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $356.64 | $963.90 | $61.09 – $109.65 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $51.04 | $137.94 | $35.97 – $52.52 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $89.83 | $242.79 | $0.73 – $1.55 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $114.93 | $310.63 | $1.92 – $3.59 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $255.10 – $657.48 | 35 |
| Amylase CPT 82150 | $58.09 | $157.00 | $5.70 – $16.20 | 36 |
| Ana ds-dna CPT 86226 | $5.92 | $16.00 | $10.66 – $30.28 | 36 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $117.11 | $316.50 | $56.25 – $56.25 | 2 |
| Anal pressure record CPT 91122 | not published | not published | $303.20 – $640.79 | 34 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $152.34 – $321.95 | 32 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $236.81 – $500.47 | 32 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $89.38 – $188.89 | 34 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $57.81 – $164.23 | 36 |
| Analysis gene f5 leiden variant CPT 81241 | not published | not published | $64.57 – $183.43 | 36 |
| Analysis nerve CPT 88356 | not published | not published | $49.47 – $271.98 | 36 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $36.31 – $91.58 | 34 |
| Analysis tumor CPT 88358 | $57.72 | $156.00 | $69.85 – $352.62 | 36 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $514.86 | $1,391.50 | $89.38 – $188.89 | 34 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $34.04 – $87.73 | 35 |
| Anca screen with reflex to titer -quest CPT 86021 | $19.89 | $53.75 | $13.24 – $37.63 | 36 |
| Androstanediol CPT 82154 | not published | not published | $25.37 – $72.08 | 36 |
| An fluoro guide for cvp CPT 77001 | $419.67 | $1,134.25 | $225.26 – $225.26 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $18.06 – $51.30 | 36 |
| Anidulafungin injection HCPCS J0348 | $1.60 | $4.32 | $0.57 – $1.12 | 5 |
| Ankle X-ray CPT 73610 | $206.83 | $559.00 | $75.77 – $194.81 | 34 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $292.01 – $617.13 | 32 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $281.18 – $281.18 | 2 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $299.05 – $299.05 | 2 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $311.30 – $311.30 | 2 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $359.00 – $359.00 | 2 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $16.68 – $16.68 | 2 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $195.87 – $413.96 | 34 |
| Anora (draw only) CPT 99001 | not published | not published | $6.14 – $15.15 | 3 |
| Anorectal myomectomy CPT 45108 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy CPT 46611 | not published | not published | $887.71 – $5,727.00 | 33 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $887.71 – $5,727.00 | 33 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Ans parasymp & symp w/tilt CPT 95924 | $158.82 | $429.25 | $143.75 – $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.