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 |
|---|---|---|---|---|
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $63.60 | $171.88 | $25.11 – $45.86 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $7.47 | $20.20 | $0.14 – $0.20 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $24.14 | $65.25 | $18.47 – $26.96 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $15.75 – $44.75 | 36 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $261.95 – $261.95 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $15.07 | $40.72 | $8.96 – $25.45 | 36 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $675.54 – $2,173.85 | 33 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $256.05 – $1,151.04 | 33 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $563.24 – $1,535.64 | 33 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $563.24 – $1,788.23 | 33 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $563.24 – $2,830.46 | 33 |
| Hypnotherapy CPT 90880 | not published | not published | $90.06 – $246.13 | 34 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $516.13 – $516.13 | 2 |
| Hysterosalpingography s&i CPT 74740 | $739.45 | $1,998.50 | $206.69 – $525.31 | 34 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $332.48 – $439.65 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $81.12 | $219.25 | $146.63 – $146.63 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $476.28 | $1,287.25 | $28.22 – $100.23 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $11.81 – $33.55 | 36 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $30.88 – $87.73 | 36 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $15.92 – $45.23 | 36 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.92 – $113.20 | 35 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $6,121.40 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $355.39 | $960.50 | $465.92 – $800.27 | 4 |
| Icatibant injection HCPCS J1744 | $492.10 | $1,330.00 | $142.59 – $244.91 | 4 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $303.20 – $640.79 | 34 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $28.55 – $80.77 | 34 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $17.95 – $122.22 | 34 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $11.13 – $50.39 | 34 |
| Idarubicin hcl injection HCPCS J9211 | $36.63 | $99.00 | $53.08 – $70.20 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.47 – $109.94 | 33 |
| Idh1 common variants CPT 81120 | not published | not published | $170.06 – $483.13 | 36 |
| Idh2 common variants CPT 81121 | not published | not published | $260.29 – $739.48 | 36 |
| I&d lacrimal gland CPT 68400 | not published | not published | $943.03 – $1,993.01 | 32 |
| Ifnl3 gene CPT 81283 | not published | not published | $64.57 – $183.43 | 36 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $45.20 | $122.16 | $30.04 – $54.90 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $201.09 – $518.28 | 35 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $60.32 – $171.38 | 36 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $174.23 – $494.98 | 36 |
| Igh@ var region somatic mutation analy CPT 81263 | $143.84 | $388.75 | $259.18 – $736.30 | 36 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $152.00 – $431.83 | 36 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $915.29 | $2,473.75 | $53.78 – $157.35 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $134.03 | $362.25 | $112.81 – $740.21 | 36 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $915.29 | $2,473.75 | $58.73 – $352.62 | 36 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $32.56 | $88.00 | $15.71 – $43.10 | 6 |
| Ikbkap gene CPT 81260 | not published | not published | $34.59 – $98.28 | 36 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $113.19 | $305.92 | $67.72 – $138.17 | 5 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $40.73 – $122.22 | 34 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $30.83 – $80.77 | 34 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $57.83 – $122.22 | 34 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $52.05 – $52.05 | 2 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $95.58 – $95.58 | 2 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $113.83 – $113.83 | 2 |
| Immune complex assay CPT 86332 | not published | not published | $21.45 – $60.93 | 36 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $1,077.68 | $2,912.64 | $69.69 – $101.75 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $63.83 | $172.51 | $98.83 – $122.15 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $3,132.49 | $8,466.18 | $58.63 – $107.97 | 5 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $72.88 – $183.60 | 6 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $39.59 | $107.00 | $18.31 – $52.03 | 36 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $51.62 | $139.50 | $18.31 – $52.03 | 36 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.50 – $63.93 | 36 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $17.73 | $47.92 | $10.54 – $29.95 | 36 |
| Immunodiffusion nes CPT 86329 | $22.20 | $60.00 | $12.36 – $35.13 | 36 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $26.33 – $74.80 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $116.18 | $314.00 | $19.66 – $55.85 | 36 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $53.32 – $188.18 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $36.08 | $97.50 | $75.86 – $352.62 | 36 |
| Immunoglobulin assay CPT 86023 | $12.58 | $34.00 | $10.97 – $31.15 | 36 |
| Immunology procedure CPT 86849 | not published | not published | not published | 0 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $37.30 – $37.30 | 2 |
| Impedence cardiogram CPT 93701 | $116.74 | $315.50 | $60.48 – $265.25 | 34 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $388.53 – $821.13 | 32 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $226.11 – $477.85 | 32 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,930.36 | $16,028.00 | $942.62 – $5,809.75 | 6 |
| In-111 pentetreotide HCPCS A9572 | $10,737.22 | $29,019.50 | $11,610.00 – $11,610.00 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $372.97 – $649.63 | 6 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $943.03 – $1,993.01 | 32 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $534.15 – $1,128.87 | 32 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $291.06 – $615.12 | 32 |
| Incision of burn scab initi CPT 16035 | not published | not published | $389.01 – $822.13 | 32 |
| Incision of eardrum CPT 69420 | not published | not published | $226.11 – $477.85 | 32 |
| Incision of eyelid CPT 67710 | not published | not published | $943.03 – $1,993.01 | 32 |
| Induction of vomiting CPT 99175 | not published | not published | $68.85 – $68.85 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $68.09 – $175.50 | 35 |
| Infect ag drug suscept pheno predict CPT 87900 | $46.25 | $125.00 | $114.71 – $325.88 | 36 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $13.20 – $37.50 | 36 |
| Infect ag eia influenza a or b ea CPT 87400 | $44.31 | $119.75 | $12.44 – $35.33 | 36 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $226.56 – $643.63 | 36 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $226.56 – $643.63 | 36 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $46.25 | $125.00 | $113.28 – $321.83 | 36 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $138.75 | $375.00 | $226.56 – $643.63 | 36 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $28.84 – $81.93 | 36 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $31.06 – $88.23 | 36 |
| Infect ag ia optc obs influenza CPT 87804 | $24.33 | $65.75 | $14.56 – $41.38 | 36 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.54 – $29.95 | 36 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $16.16 – $45.90 | 36 |
| Infect ag if influenza a CPT 87276 | not published | not published | $14.14 – $40.18 | 36 |
| Infect ag if influenza b CPT 87275 | not published | not published | $10.78 – $30.63 | 36 |
| Infect ag if legionella pneumophila CPT 87278 | $12.21 | $33.00 | $13.73 – $39.00 | 36 |
| Infect ag if nos ea CPT 87299 | $12.21 | $33.00 | $14.17 – $40.25 | 36 |
| Infect ag if pneumocystis carinii CPT 87281 | $9.62 | $26.00 | $10.54 – $29.95 | 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.