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 |
|---|---|---|---|---|
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $47.27 | $127.75 | $22.15 – $22.15 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $257.24 | $695.25 | $81.55 – $433.55 | 34 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $157.25 | $425.00 | $33.93 – $146.45 | 34 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $24.14 | $65.25 | $3.29 – $7.82 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $866.85 – $1,832.00 | 32 |
| Injection treatment of nose CPT 30200 | not published | not published | $495.83 – $1,047.90 | 32 |
| Inject/treat eye socket CPT 67500 | not published | not published | $291.06 – $615.12 | 32 |
| Inject/treat eye socket CPT 67505 | not published | not published | $291.06 – $615.12 | 32 |
| Inject/treat eye socket CPT 67515 | not published | not published | $291.06 – $615.12 | 32 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $674.29 – $1,425.04 | 32 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $866.85 – $1,832.00 | 32 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $151.90 | $410.55 | $1.48 – $2.65 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $116.08 – $116.08 | 2 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $126.45 – $126.45 | 2 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $137.95 – $137.95 | 2 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $900.86 | $2,434.75 | $68.78 – $68.78 | 2 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $63.60 – $63.60 | 2 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4.47 | $12.09 | $7.64 – $7.64 | 3 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $420.36 | $1,136.12 | $3.05 – $5.48 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $866.85 – $1,832.00 | 32 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $193.47 – $408.87 | 32 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $193.47 – $408.87 | 32 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $87.51 | $236.50 | $38.34 – $55.98 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $24.14 | $65.25 | $4.43 – $7.77 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $183.71 | $496.52 | $2.57 – $5.67 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $649.89 – $1,373.48 | 32 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $1,057.86 | $2,859.09 | $37.07 – $61.78 | 6 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $389.01 – $822.13 | 32 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $389.01 – $822.13 | 32 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $389.01 – $822.13 | 32 |
| Inj testosterone cypionate HCPCS J1071 | $37.37 | $101.00 | $0.05 – $0.07 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $12.96 | $35.02 | $4.97 – $10.16 | 6 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $205.15 – $433.55 | 32 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $12,348.67 | $33,374.78 | $3,242.92 – $5,821.30 | 5 |
| Inpatient consultation CPT 99251 | not published | not published | $123.68 – $123.68 | 2 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $296.18 – $625.95 | 32 |
| Insemination of oocytes CPT 89268 | not published | not published | $143.50 – $352.62 | 33 |
| Insert drug delivery implant CPT 11981 | not published | not published | $125.51 – $265.25 | 32 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $1,518.20 – $1,518.20 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $125.51 – $265.25 | 32 |
| Insertion catheter bladder temporary simple CPT 51702 | not published | not published | $125.51 – $265.25 | 32 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Insert pessary/other device CPT 57160 | not published | not published | $195.87 – $413.96 | 32 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Insert sq defib electrode CPT 33271 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Insert swan-ganz cath CPT 93503 | not published | not published | $213.08 – $213.08 | 2 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Insitu hybridization auto CPT 88367 | $49.95 | $135.00 | $66.24 – $740.21 | 36 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $166.85 – $476.38 | 36 |
| Insitu hybridization manual CPT 88368 | $130.33 | $352.25 | $75.70 – $740.21 | 36 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $86.97 – $220.10 | 4 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $80.29 | $217.00 | $115.35 – $352.62 | 36 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $601.98 – $1,272.23 | 32 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $70,611.00 – $70,611.00 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $17,570.00 – $17,570.00 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $601.98 – $1,272.23 | 32 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $601.98 – $1,272.23 | 32 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,370.59 | $6,407.00 | $1,681.66 – $3,446.03 | 6 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $101.11 – $1,373.48 | 33 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $236.81 – $500.47 | 32 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $601.98 – $1,272.23 | 32 |
| Insulin suppression panel CPT 80432 | not published | not published | $145.74 – $414.03 | 36 |
| Insulin tolerance panel CPT 80434 | not published | not published | $250.83 – $712.58 | 36 |
| Insulin tolerance panel CPT 80435 | not published | not published | $90.64 – $257.50 | 36 |
| Insulin total CPT 83525 | $31.45 | $85.00 | $10.06 – $28.58 | 36 |
| Ins vag brachytx device CPT 57156 | not published | not published | $296.18 – $625.95 | 32 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $9,666.81 | $26,126.50 | $2,400.92 – $3,735.87 | 5 |
| Integra meshed bil wound mat HCPCS C9363 | $12,045.26 | $32,554.75 | $97.80 – $97.80 | 3 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $685.06 – $1,447.81 | 32 |
| Intermediate visual field xm CPT 92082 | not published | not published | $57.83 – $122.22 | 34 |
| Interrogate subq defib CPT 93261 | not published | not published | $36.31 – $1,597.00 | 35 |
| Interrogation vad in person CPT 93750 | not published | not published | $89.38 – $188.89 | 34 |
| Interrog dev eval icpms ip CPT 93290 | $106.01 | $286.50 | $36.31 – $1,597.00 | 35 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $23.84 – $1,597.00 | 35 |
| Interrog device eval heart CPT 93289 | not published | not published | $36.31 – $1,597.00 | 35 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $36.31 – $1,597.00 | 35 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $89.38 – $1,597.00 | 35 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $292.01 – $1,597.00 | 35 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $89.38 – $1,597.00 | 35 |
| Interstitial brachy inter CPT 77799 | not published | not published | $106.61 – $225.32 | 32 |
| Intra-atrial pacing CPT 93610 | not published | not published | $8,499.18 – $24,882.00 | 3 |
| Intra-atrial recording CPT 93602 | not published | not published | $8,613.73 – $24,882.00 | 3 |
| Intracard echo interv w/s&i CPT 93662 | $4,328.45 | $11,698.50 | $754.43 – $754.43 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $235.35 – $1,140.00 | 35 |
| Intracranial limited study CPT 93888 | not published | not published | $103.54 – $1,140.00 | 35 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $16,815.90 – $24,882.00 | 3 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $918.65 – $918.65 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $495.83 – $1,047.90 | 32 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $134.03 – $418.53 | 34 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $425.67 – $899.60 | 32 |
| Intraventricular pacing CPT 93612 | not published | not published | $8,504.68 – $24,882.00 | 3 |
| Intrinsic factor antibody CPT 86340 | $43.94 | $118.75 | $13.27 – $37.70 | 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.