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 |
|---|---|---|---|---|
| Infect ag if varicella zoster CPT 87290 | $17.39 | $47.00 | $11.81 – $33.55 | 36 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $47.05 – $133.68 | 36 |
| Infect ag na hep b amp CPT 87516 | $34.78 | $94.00 | $30.88 – $87.73 | 36 |
| Infect ag na herpes simplex quant CPT 87530 | $57.35 | $155.00 | $37.70 – $107.10 | 36 |
| Infect ag na hpv high-risk types CPT 87624 | $62.99 | $170.25 | $30.88 – $87.73 | 36 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $186.48 | $504.00 | $84.30 – $239.50 | 36 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $45.15 – $128.28 | 36 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $31.45 | $85.00 | $49.77 – $128.28 | 35 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $366.77 – $1,041.95 | 36 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $430.02 – $1,221.65 | 36 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $36.63 | $99.00 | $22.94 – $65.18 | 36 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $40.14 – $103.45 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $31.64 | $85.50 | $10.54 – $29.95 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $11.81 – $33.55 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $43.48 | $117.50 | $12.16 – $34.55 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $43.48 | $117.50 | $10.54 – $29.95 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $16.28 | $44.00 | $12.66 – $35.95 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $32.47 | $87.75 | $9.09 – $25.83 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $6.29 | $17.00 | $9.09 – $25.83 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $40.79 | $110.25 | $21.19 – $60.20 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $51.43 | $139.00 | $10.54 – $29.95 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $54.02 | $146.00 | $10.54 – $29.95 | 36 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $10.92 | $29.50 | $10.54 – $29.95 | 36 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $117.29 | $317.00 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $49.21 | $133.00 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $68.73 | $185.75 | $32.80 – $93.18 | 36 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $366.77 – $1,041.95 | 36 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $361.58 | $977.25 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $54.39 | $147.00 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $63.73 | $172.25 | $36.68 – $104.20 | 36 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $49.21 | $133.00 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $25.53 | $69.00 | $35.09 – $105.19 | 44 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $138.35 – $356.58 | 35 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $211.09 | $570.50 | $138.35 – $356.58 | 35 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $62.35 | $168.50 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $51.80 | $140.00 | $30.88 – $87.73 | 36 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $74.47 – $191.93 | 35 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $366.77 – $1,041.95 | 36 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $122.10 | $330.00 | $112.90 – $320.73 | 36 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $467.13 | $1,262.50 | $231.43 – $657.48 | 36 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $131.72 | $356.00 | $37.70 – $107.10 | 36 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $35.89 | $97.00 | $37.70 – $107.10 | 36 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $156.14 | $422.00 | $37.70 – $107.10 | 36 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $36.63 | $99.00 | $74.89 – $212.75 | 36 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $303.59 | $820.50 | $125.51 – $356.58 | 36 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $135.03 | $364.95 | $37.23 – $66.86 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $485.43 | $1,311.97 | $17.33 – $66.86 | 7 |
| Influenza dna amp prob addl CPT 87503 | $54.85 | $148.25 | $25.72 – $73.05 | 36 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $101.86 – $208.73 | 6 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $35.22 – $72.18 | 6 |
| Infuse radioactive materials CPT 77750 | not published | not published | $256.05 – $541.14 | 33 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $204.95 – $204.95 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $293.70 – $1,091.85 | 34 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $205.35 | $555.00 | $76.00 – $418.53 | 34 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $815.75 – $815.75 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $320.73 – $320.73 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $438.35 – $438.35 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $194.83 – $194.83 | 2 |
| Initial observation care CPT 99218 | not published | not published | $247.75 – $247.75 | 2 |
| Initial observation care CPT 99219 | not published | not published | $333.45 – $333.45 | 2 |
| Initial observation care CPT 99220 | not published | not published | $449.53 – $449.53 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $340.22 | $919.50 | $154.80 – $418.53 | 34 |
| Init nb em per day non-fac CPT 99461 | $109.15 | $295.00 | $217.80 – $217.80 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $389.90 – $389.90 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $126.64 | $342.27 | $248.84 – $248.84 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $33.74 | $91.20 | $59.81 – $87.32 | 4 |
| Inj, bupivacaine liposome HCPCS J0666 | $3.22 | $8.71 | $1.73 – $3.18 | 5 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $4.83 | $13.05 | $1.45 – $2.61 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $40.70 | $110.00 | $2.78 – $4.99 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | $376.11 | $1,016.50 | $9.81 – $17.85 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,074.85 | $2,905.00 | $1,540.76 – $2,249.50 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $287.42 – $607.44 | 32 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection, cangrelor HCPCS C9460 | $34.76 | $93.94 | $22.83 – $29.21 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $287.42 – $607.44 | 32 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $93.83 – $93.83 | 2 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection eye drug CPT 67028 | not published | not published | $322.95 – $682.53 | 32 |
| Injection glatiramer acetate HCPCS J1595 | $458.43 | $1,239.00 | $87.98 – $197.86 | 5 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $32.79 | $88.63 | $14.97 – $26.89 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection into brain canal CPT 61055 | not published | not published | $287.42 – $607.44 | 32 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $887.71 – $1,876.08 | 32 |
| Injection into spinal artery CPT 62294 | not published | not published | $866.85 – $1,832.00 | 32 |
| Injection into vocal cord CPT 31513 | not published | not published | $378.09 – $5,727.00 | 33 |
| Injection, isavuconazonium HCPCS J1833 | $17.18 | $46.42 | $1.21 – $2.72 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | $16.14 | $43.63 | $7.91 – $14.17 | 5 |
| Injection px peyronie ds CPT 54200 | not published | not published | $236.81 – $500.47 | 32 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $391.25 – $826.87 | 32 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $866.85 – $1,832.00 | 32 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $866.85 – $1,832.00 | 32 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $866.85 – $1,832.00 | 32 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $674.29 – $1,425.04 | 32 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $287.42 – $607.44 | 32 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $287.42 – $607.44 | 32 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $287.42 – $607.44 | 32 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $238.00 | $643.25 | $34.35 – $94.94 | 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.