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 |
|---|---|---|---|---|
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $53.84 | $145.50 | $75.92 – $92.31 | 4 |
| Office consultation CPT 99241 | not published | not published | $115.20 – $115.20 | 2 |
| Office emergency care CPT 99058 | not published | not published | $49.70 – $49.70 | 2 |
| Off/op cnsltj new/est low 30 CPT 99243 | not published | not published | $270.78 – $270.78 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | not published | not published | $385.50 – $385.50 | 2 |
| Off/op consltj new/est hi 55 CPT 99245 | not published | not published | $504.18 – $504.18 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | $73.26 | $198.00 | $178.08 – $178.08 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $4.67 | $12.61 | $1.13 – $1.64 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | $35.13 | $94.94 | $3.56 – $6.39 | 5 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $71.03 – $71.03 | 2 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $111.25 – $111.25 | 2 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $36.28 – $36.28 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $32.22 | $87.07 | $48.95 – $82.69 | 5 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,408.24 – $9,682.50 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,208.99 – $6,275.53 | 4 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,408.24 – $9,682.50 | 4 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,408.24 – $9,682.50 | 4 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $9,682.50 | 3 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $17,982.50 | 3 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,742.08 – $7,790.00 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $447.80 – $1,272.18 | 36 |
| Oncology gynecologic CPT 81535 | not published | not published | $509.93 – $1,448.65 | 36 |
| Oncology gynecologic CPT 81536 | not published | not published | $156.25 – $443.90 | 36 |
| Oncology lung CPT 81538 | not published | not published | $2,526.48 – $7,177.50 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $668.80 – $1,900.00 | 36 |
| Oncology thyroid CPT 81545 | not published | not published | $9,000.00 – $9,000.00 | 2 |
| Oncology tissue of origin CPT 81504 | not published | not published | $457.60 – $1,300.00 | 36 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,300.00 – $9,375.00 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $789.36 – $2,242.50 | 36 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $229.24 – $651.25 | 36 |
| Oncoprotein dcp CPT 83951 | not published | not published | $56.68 – $161.03 | 36 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $56.68 – $161.03 | 36 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,786.40 – $5,075.00 | 4 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $9,682.50 | 3 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,408.24 – $9,682.50 | 4 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $9,000.00 | 3 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $19,440.00 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $13.26 | $35.83 | $0.20 – $1.22 | 4 |
| Oocyte identification CPT 89254 | not published | not published | $143.50 – $352.62 | 33 |
| Ophthalmic biometry CPT 92136 | not published | not published | $39.95 – $265.25 | 34 |
| Ophthalmic mitomycin HCPCS J7315 | $380.18 | $1,027.50 | $657.90 – $657.90 | 3 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $38.22 – $80.77 | 34 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $125.51 – $273.85 | 34 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $103.54 – $235.69 | 34 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $75.77 – $235.69 | 34 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $53.08 – $53.08 | 2 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $36.65 – $122.22 | 34 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $57.83 – $122.22 | 34 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $44.94 – $111.78 | 4 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $46.63 – $46.63 | 2 |
| Oral aprepitant HCPCS J8501 | $5.80 | $15.69 | $3.71 – $6.26 | 5 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $20.77 – $59.00 | 36 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $69.15 | $186.88 | $34.81 – $62.48 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $47.90 | $129.45 | $20.99 – $30.64 | 4 |
| Orthopantogram CPT 70355 | $145.13 | $392.25 | $25.25 – $194.81 | 34 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $16.73 – $16.73 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $57.83 – $122.22 | 34 |
| Oscillation chest wall mechanical per session CPT 94669 | $135.88 | $367.25 | $48.75 – $418.53 | 34 |
| Osmolality blood CPT 83930 | $40.79 | $110.25 | $5.82 – $16.53 | 36 |
| Osmolality urine CPT 83935 | $38.48 | $104.00 | $6.00 – $17.05 | 36 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.64 – $141.33 | 34 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.64 – $171.85 | 34 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.64 – $202.38 | 34 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $95.28 – $245.58 | 34 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $95.28 – $245.58 | 34 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $95.28 – $245.58 | 34 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $20.36 – $57.83 | 36 |
| Oth resp proc, group HCPCS G0239 | $114.15 | $308.50 | $30.83 – $30.83 | 2 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $46.78 – $120.58 | 34 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $42.99 – $285.00 | 35 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $36.26 | $98.00 | $25.75 – $66.38 | 34 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $66.68 – $66.68 | 2 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $65.72 – $169.38 | 34 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $32.55 – $83.90 | 34 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $24.88 | $67.25 | $19.94 – $51.40 | 34 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $24.88 | $67.25 | $20.86 – $53.78 | 34 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $32.10 | $86.75 | $27.26 – $70.25 | 34 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $39.59 | $107.00 | $30.30 – $78.10 | 34 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $30.22 – $77.88 | 34 |
| Out of office emerg med serv CPT 99060 | not published | not published | $57.13 – $57.13 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $11.18 – $31.75 | 36 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $129.52 | $350.04 | $0.78 – $2.34 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.90 | $10.55 | $0.12 – $0.18 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $48.29 | $130.50 | $2.15 – $3.68 | 5 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $120.56 – $342.50 | 36 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $25.11 | $67.87 | $0.17 – $0.24 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $15.71 | $42.47 | $15.93 – $29.65 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $248.93 – $1,691.25 | 36 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $265.19 – $753.38 | 36 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,235.84 | $6,042.81 | $698.27 – $4,464.55 | 38 |
| Palonosetron hcl HCPCS J2469 | $41.00 | $110.80 | $0.61 – $1.29 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $41.47 | $112.08 | $16.93 – $27.55 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $48.29 | $130.50 | $6.96 – $11.96 | 5 |
| Papaverin hcl injection HCPCS J2440 | $50.14 | $135.50 | $56.05 – $98.55 | 5 |
| Parathormone (pth) intact CPT 83970 | $104.90 | $283.50 | $36.33 – $103.20 | 36 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $524.09 – $1,158.73 | 34 |
| Parathyroid planar imaging CPT 78070 | $1,550.95 | $4,191.75 | $391.25 – $884.18 | 34 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,723.28 | $4,657.50 | $391.25 – $884.18 | 34 |
| Paricalcitol HCPCS J2501 | $9.63 | $26.02 | $0.99 – $1.97 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $193.47 – $408.87 | 32 |
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.