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 |
|---|---|---|---|---|
| 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 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $102.63 – $102.63 | 2 |
| Ghs myocardial strain img spckl track CPT 93356 | $503.85 | $1,361.75 | $84.88 – $84.88 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $674.29 – $1,425.04 | 32 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $866.85 – $1,832.00 | 32 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $674.29 – $1,425.04 | 32 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $674.29 – $1,425.04 | 32 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs o2 saturation CPT 82810 | not published | not published | $8.60 – $24.43 | 36 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $92.83 – $321.95 | 34 |
| Ghs o2 uptake rest & indirect CPT 94690 | $228.20 | $616.75 | $57.83 – $122.22 | 34 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.92 – $94.94 | 32 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $601.98 – $1,272.23 | 32 |
| Ghs optokenetic CPT 92544 | not published | not published | $8.78 – $321.95 | 34 |
| Ghs oscillating trac CPT 92545 | not published | not published | $8.78 – $640.79 | 34 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $24.64 – $74.98 | 34 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $24.64 – $108.53 | 34 |
| Ghs ot dds rom CPT 95851 | not published | not published | $22.00 – $56.70 | 34 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $20.65 – $53.23 | 34 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $37.98 – $285.00 | 35 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $56.22 – $144.90 | 34 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $156.55 – $156.55 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $2.75 – $1,346.54 | 34 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $48.10 | $130.00 | $22.52 – $58.70 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $226.11 – $477.85 | 32 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.84 – $13.75 | 36 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.79 – $10.78 | 36 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,547.54 | $6,885.25 | $1,953.35 – $3,993.00 | 3 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $9.55 – $265.25 | 34 |
| Ghs ppd (tb intradermal) CPT 86580 | $11.66 | $31.50 | $7.96 – $50.39 | 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.