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 |
|---|---|---|---|---|
| Methotrexate therapeutic drug level CPT 80204 | $20.35 | $55.00 | $37.41 – $96.43 | 35 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $48.10 | $130.00 | $32.73 – $47.79 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.23 | $6.03 | $2.04 – $3.50 | 5 |
| Methylphenidate CPT 80360 | not published | not published | $56.25 – $56.25 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.71 | $4.63 | $0.29 – $0.55 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.90 | $5.13 | $0.13 – $0.26 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $6.04 | $16.31 | $0.31 – $0.59 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $48.10 | $130.00 | $1.38 – $2.26 | 5 |
| Metyrapone panel CPT 80436 | not published | not published | $80.22 – $227.90 | 36 |
| Mgmt promoter methylation analysis CPT 81287 | $118.40 | $320.00 | $109.68 – $311.60 | 36 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1.13 | $3.06 | $0.34 – $0.61 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.48 – $15.58 | 36 |
| Microbe susceptible mlc CPT 87187 | $30.90 | $83.50 | $35.35 – $100.43 | 36 |
| Microdissection laser CPT 88380 | not published | not published | $66.99 – $171.55 | 4 |
| Microdissection manual CPT 88381 | not published | not published | $131.12 – $393.20 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $19.78 – $56.20 | 36 |
| Microsatellite instability CPT 81301 | not published | not published | $306.73 – $871.40 | 36 |
| Microvolt t-wave assess CPT 93025 | $487.29 | $1,317.00 | $152.34 – $1,597.00 | 35 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $35.77 | $96.68 | $0.16 – $0.28 | 5 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $103.54 – $235.69 | 34 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $54.34 | $146.88 | $1.92 – $2.87 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,925.12 – $8,310.00 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $652.24 | $1,762.81 | $31.23 – $101.51 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $58.52 | $158.16 | $33.78 – $133.20 | 5 |
| Mlh1 gene CPT 81288 | not published | not published | $169.24 – $480.80 | 36 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $178.11 – $506.00 | 36 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $594.35 – $1,688.50 | 36 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $291.28 – $827.50 | 36 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $22.21 – $57.25 | 34 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.54 – $14.28 | 34 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $85.73 – $194.81 | 34 |
| Mnt subs tx for change dx HCPCS G0270 | $58.74 | $158.75 | $75.58 – $75.58 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $103.05 – $265.25 | 34 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $94.33 | 35 |
| Molecular pathology interpr HCPCS G0452 | $11.10 | $30.00 | $2.92 – $8.03 | 3 |
| Mopath procedure level 1 CPT 81400 | $121.73 | $329.00 | $56.28 – $159.90 | 36 |
| Mopath procedure level 3 CPT 81402 | $81.77 | $221.00 | $132.29 – $375.83 | 36 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $241.85 – $687.08 | 36 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $265.19 – $753.38 | 36 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $248.93 – $707.20 | 36 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $744.72 – $2,115.68 | 36 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,760.00 – $5,000.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $75.33 | $203.60 | $5.65 – $10.03 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $66.23 | $179.00 | $11.98 – $25.29 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $99.90 | $270.00 | $143.50 – $529.90 | 36 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $68.94 – $740.21 | 36 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $915.29 | $2,473.75 | $69.55 – $352.62 | 36 |
| Motion analysis video/3d CPT 96000 | not published | not published | $199.80 – $1,091.85 | 34 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $257.80 – $257.80 | 2 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $68.85 – $821.13 | 34 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $39.35 – $94.70 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $99.90 | $270.00 | $143.50 – $743.18 | 36 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $68.94 – $223.15 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $45.21 – $352.62 | 36 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $145.82 – $375.83 | 35 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $17.64 – $50.13 | 36 |
| M.pneumon dna quant CPT 87582 | not published | not published | $266.31 – $756.55 | 36 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $101.42 – $369.13 | 6 |
| MRA abdomen post contrast CPT 74185 | $606.25 | $1,638.50 | $581.29 – $865.50 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $606.25 | $1,638.50 | $573.93 – $854.15 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $590.15 | $1,595.00 | $577.60 – $860.33 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $584.24 – $861.36 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $598.97 – $894.37 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | $590.15 | $1,595.00 | $598.97 – $894.37 | 2 |
| Mr elastography CPT 76391 | not published | not published | $235.35 – $525.31 | 34 |
| MRI brain w/dye CPT 70558 | not published | not published | $173.33 – $1,084.00 | 34 |
| MRI brain without dye CPT 70557 | not published | not published | $533.86 – $1,182.67 | 34 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $173.33 – $1,084.00 | 34 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $235.35 – $525.31 | 34 |
| MRI breast c-+ w/cad uni CPT 77048 | $630.85 | $1,705.00 | $545.92 – $821.71 | 2 |
| MRI breast without cont bi CPT 77047 | $566.01 | $1,529.75 | $235.35 – $525.31 | 34 |
| MRI breast w IV cont bi CPT 77049 | $670.44 | $1,812.00 | $540.77 – $818.60 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $388.59 | $1,050.25 | $235.35 – $591.29 | 34 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $761.46 | $2,058.00 | $347.73 – $847.48 | 34 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $769.26 – $1,716.48 | 34 |
| MRI chest without contrast CPT 71550 | $590.15 | $1,595.00 | $235.35 – $665.52 | 34 |
| MRI chest without & w/contrast CPT 71552 | $654.35 | $1,768.50 | $347.73 – $1,092.34 | 34 |
| MRI chest w IV cont CPT 71551 | not published | not published | $769.26 – $1,716.48 | 34 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $395.38 – $395.38 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $235.35 – $665.52 | 34 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,138.24 – $1,138.24 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $1,084.00 – $1,084.00 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $622.25 | $1,681.75 | $347.73 – $824.45 | 34 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $590.15 | $1,595.00 | $235.35 – $551.57 | 34 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $654.35 | $1,768.50 | $347.73 – $824.45 | 34 |
| MRI orbit/face/neck without contrast CPT 70540 | $525.86 | $1,421.25 | $235.35 – $1,084.00 | 34 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $590.15 | $1,595.00 | $347.73 – $1,084.00 | 34 |
| MRI orbit fac&nck w IV cont CPT 70542 | $558.05 | $1,508.25 | $347.73 – $1,084.00 | 34 |
| MRI tmj CPT 70336 | $761.46 | $2,058.00 | $235.35 – $525.31 | 33 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $558.05 | $1,508.25 | $235.35 – $667.03 | 34 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $622.25 | $1,681.75 | $347.73 – $1,077.90 | 34 |
| MRI upper extremity w/dye CPT 73219 | $1,359.75 | $3,675.00 | $347.73 – $893.86 | 34 |
| Mr safety determination physician/other qhp CPT 76016 | $156.42 | $422.75 | $85.73 – $198.11 | 33 |
| Mr safety implant elec prepj CPT 76018 | $135.88 | $367.25 | $89.38 – $206.53 | 33 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.83 – $133.65 | 33 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.84 – $55.10 | 33 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $235.35 – $543.87 | 33 |
| Mr spectroscopy CPT 76390 | not published | not published | $85.73 – $1,029.48 | 34 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $187.71 – $533.25 | 36 |
| Msh2 gene full seq CPT 81295 | not published | not published | $335.90 – $954.25 | 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.