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 |
|---|---|---|---|---|
| Clot factor xiii fibrin stab CPT 85290 | $44.40 | $120.00 | $14.38 – $40.85 | 36 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.35 – $45.98 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $258.58 – $546.49 | 32 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $495.83 – $1,047.90 | 32 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $233.57 – $493.62 | 32 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $233.57 – $493.62 | 32 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $233.57 – $493.62 | 32 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $233.57 – $493.62 | 32 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $233.57 – $493.62 | 32 |
| Cltx post ankle fx CPT 27767 | not published | not published | $233.57 – $493.62 | 32 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $233.57 – $493.62 | 32 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $365.73 – $1,091.85 | 34 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $363.45 – $363.45 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $994.88 – $994.88 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $33.10 – $122.22 | 34 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $33.13 – $122.22 | 34 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $10.27 | $27.75 | $12.38 – $35.18 | 36 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.74 – $22.00 | 36 |
| #cmvcul-virus inoculation shell CPT 87254 | $17.02 | $46.00 | $17.21 – $48.90 | 36 |
| Cmv pcr-sendout CPT 87496 | $86.58 | $234.00 | $30.88 – $87.73 | 36 |
| Co2 monitor per day CPT 94681 | not published | not published | $89.03 – $640.79 | 34 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $12,560.76 | $33,948.00 | $3.09 – $5.58 | 5 |
| Coagulation time activated teg CPT 85347 | $62.90 | $170.00 | $3.77 – $10.70 | 36 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.95 – $11.23 | 36 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $152.34 – $371.33 | 34 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $152.34 – $349.80 | 34 |
| Cold agglutinin screen (arc) CPT 86156 | $39.22 | $106.00 | $7.10 – $20.18 | 36 |
| Cold agglutinin titer CPT 86157 | $78.44 | $212.00 | $7.09 – $20.15 | 36 |
| Colistimethate sodium inj HCPCS J0770 | $116.39 | $314.57 | $14.57 – $26.63 | 5 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $125.51 – $265.25 | 32 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $125.51 – $265.25 | 32 |
| Collection of venous blood by venipuncture CPT 36415 | $5.00 | $13.50 | $3.00 – $18.63 | 33 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $303.20 – $640.79 | 34 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $887.71 – $5,727.00 | 33 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $887.71 – $5,727.00 | 33 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $887.71 – $5,727.00 | 33 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $887.71 – $5,727.00 | 33 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $5,727.00 – $5,727.00 | 1 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $847.81 – $1,791.76 | 32 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $195.87 – $413.96 | 32 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $195.87 – $413.96 | 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.