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 prostatic acid phosphatase (mayo) CPT 84066 | $49.77 | $134.50 | $8.50 – $24.15 | 36 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.94 – $14.03 | 36 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $12.63 – $35.88 | 36 |
| Ghs pr without cont pulse ox CPT 94625 | $162.43 | $439.00 | $57.83 – $179.80 | 34 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $10.78 – $30.63 | 36 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $394.70 – $394.70 | 2 |
| Ghs quinidine CPT 80194 | not published | not published | $12.85 – $36.50 | 36 |
| Ghs refill of implantable pump CPT 95990 | $458.99 | $1,240.50 | $200.10 – $682.53 | 34 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $125.51 – $265.25 | 32 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $388.53 – $821.13 | 32 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $16.65 | $45.00 | $13.98 – $39.73 | 36 |
| Ghs reticulocyte count CPT 85044 | $24.24 | $65.50 | $3.79 – $10.78 | 36 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $12.24 – $34.78 | 36 |
| Ghs sedimentation rate CPT 85651 | $17.48 | $47.25 | $3.76 – $10.68 | 36 |
| Ghs semen analysis fert CPT 89320 | $54.76 | $148.00 | $10.83 – $30.78 | 36 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.66 – $24.60 | 36 |
| Ghs sensitivity (per antimicro) CPT 87184 | $23.77 | $64.25 | $6.58 – $18.70 | 36 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $193.47 – $408.87 | 32 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $152.34 – $3,993.00 | 35 |
| Ghs somatosensory testing lower extremit CPT 95926 | $947.48 | $2,560.75 | $262.00 – $640.79 | 34 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $516.63 – $1,091.85 | 34 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.01 – $116.00 | 34 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $287.42 – $607.44 | 32 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $10.30 – $265.25 | 34 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $95.51 – $246.15 | 34 |
| Ghs st - eval for alt comm CPT 92567 | $57.72 | $156.00 | $37.88 – $80.77 | 34 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $125.51 – $265.25 | 32 |
| Ghs st - re-eval for alt comm CPT 92597 | $78.81 | $213.00 | $67.92 – $175.05 | 34 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.55 – $94.94 | 34 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $205.15 – $433.55 | 34 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $596.01 – $1,259.60 | 32 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $389.01 – $822.13 | 32 |
| Ghs trypsin (fecal) CPT 84488 | $12.95 | $35.00 | $6.43 – $18.25 | 36 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $233.57 – $493.62 | 32 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.39 – $60.75 | 36 |
| Ghs urine, porphyrins quant CPT 84120 | $8.14 | $22.00 | $12.94 – $36.78 | 36 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,511.45 | $4,085.00 | $516.63 – $2,591.15 | 34 |
| Ghs windowing of cast CPT 29730 | not published | not published | $153.64 – $324.70 | 32 |
| Giardia ag if CPT 87269 | not published | not published | $11.98 – $34.03 | 36 |
| Giardia lamblia antibody CPT 86674 | $23.31 | $63.00 | $12.95 – $36.80 | 36 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $235.35 – $525.31 | 33 |
| Gi inhouse confirmation CPT 87045 | $146.06 | $394.75 | $8.31 – $23.60 | 36 |
| Gi protein loss CPT 78282 | not published | not published | $391.25 – $884.18 | 33 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $912.87 – $1,929.25 | 34 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $887.71 – $1,876.08 | 34 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $912.87 – $1,929.25 | 34 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $912.87 – $3,238.30 | 34 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $88.99 – $252.80 | 36 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $54.14 – $153.80 | 36 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.80 – $87.50 | 36 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $194.99 | $527.00 | $276.27 – $403.35 | 4 |
| Glucagon plasma - sendout CPT 82943 | $6.94 | $18.75 | $12.58 – $35.73 | 36 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.54 – $115.18 | 36 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $44.44 – $126.25 | 36 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.64 – $44.43 | 36 |
| Glucose 1 hr post dose CPT 82950 | $29.14 | $78.75 | $4.18 – $11.88 | 36 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.32 – $15.13 | 36 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.45 | $28.25 | $2.89 – $8.20 | 36 |
| Glucose blood quantitative CPT 82947 | $6.85 | $18.50 | $3.46 – $9.83 | 36 |
| Glucose body fluid CPT 82945 | $43.01 | $116.25 | $3.46 – $9.83 | 36 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $57.83 – $152.23 | 34 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $79.27 | $214.25 | $11.32 – $32.18 | 36 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $10.92 | $29.50 | $3.45 – $9.80 | 36 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $38.93 | $105.21 | $15.81 – $23.08 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $55.59 | $150.25 | $16.35 – $46.45 | 36 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $130.60 – $371.03 | 36 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $49.30 | $133.25 | $16.30 – $46.30 | 36 |
| Gonioscopy CPT 92020 | not published | not published | $63.80 – $265.25 | 34 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,478.52 | $3,996.00 | $860.27 – $1,539.70 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,874.90 | $7,770.00 | $37.04 – $91.98 | 7 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $9,693.72 | $26,199.25 | $77.62 – $159.05 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $20,559.61 | $55,566.50 | $46.67 – $77.78 | 3 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $39,172.83 | $105,872.50 | $79.80 – $163.51 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $12,026.39 | $32,503.75 | $128.66 – $337.00 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,329.68 | $17,107.25 | $166.37 – $398.55 | 7 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,589.48 | $12,404.00 | $45.75 – $346.18 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $233.57 – $493.62 | 32 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $52.63 | $142.25 | $40.40 – $40.40 | 2 |
| Growth hormone antibody CPT 86277 | $51.06 | $138.00 | $13.85 – $39.35 | 36 |
| Growth hormone panel CPT 80428 | not published | not published | $58.70 – $166.75 | 36 |
| Growth hormone panel CPT 80430 | not published | not published | $113.81 – $323.33 | 36 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $66.53 – $189.00 | 36 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $13.13 – $61.29 | 34 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $11.33 – $61.29 | 34 |
| G-tube reposition CPT 43761 | not published | not published | $236.81 – $500.47 | 32 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $211.85 – $4,366.49 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $685.06 – $1,447.81 | 32 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $596.01 – $1,259.60 | 32 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $389.01 – $822.13 | 32 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $389.01 – $822.13 | 32 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $46.16 | $124.75 | $8.33 – $12.15 | 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.