ER Visit (level 4) at Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.)

4201 Belfort Rd, Jacksonville, FL · Ascension · · NPI 1396926747

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$410.33 with HUMANA HMO CARDIOLOGY MCR REPLACEMENT vs $4,508.00 with CIGNA PPO — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
HUMANA HMO CARDIOLOGY MCR REPLACEMENT 1535_MEDICARE ADVANTAGE HUMANA HMO CARDIOLOGY INPATIENT 20251001 $410.33
HUMANA PPO MCR REPLACEMENT 1406_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 $418.88
MEDICARE OTHER (NO SEQ) 1527_MEDICARE (NO SEQ) INPATIENT 20251001 $427.43
HUMANA PPO MCR REPLACEMENT 1538_MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 $427.43
WELLCARE 1445_ MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 $427.43
WELLCARE 1542_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 $427.43
MEDICARE OTHER (NO SEQ) 1388_MEDICARE (NO SEQ) OUTPATIENT 20250101 $427.43
MEDICARE REPLACEMENT 1408_MEDICARE ADVANTAGE OUTPATIENT 20250101 $427.43
MEDICARE REPLACEMENT 1539_MEDICARE ADVANTAGE INPATIENT 20251001 $427.43
VETERANS ADMINISTRATION 1395_VETERANS ADMINISTRATION OUTPATIENT 20250101 $427.43
VETERANS ADMINISTRATION 1552_VETERANS ADMINISTRATION INPATIENT 20251001 $427.43
HAVEN HOSPICE 1404_MEDICARE ADVANTAGE HAVEN HOSPICE OUTPATIENT 20250101 $427.43
RESEARCH STUDY ENCORE BORLAND-GROOVER 1548_RESEARCH STUDY ENCORE-BORLAND-GROOVER INPATIENT 20251001 $427.43
RESEARCH STUDY ENCORE BORLAND-GROOVER 1451_RESEARCH STUDY ENCORE-BORLAND-GROOVER OUTPATIENT 20250301 $427.43
PACE PLACE 1547_PACE PROGRAM INPATIENT 2051001 $427.43
PACE PLACE 1480_PACE PROGRAM OUTPATIENT 20190301 $427.43
COMMUNITY HOSPICE 1402_MEDICARE ADVANTAGE COMMUNITY HOSPICE OUTPATIENT 20250101 $427.43
BLUE CROSS ALIGNMENT 1529_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE INPATIENT 20251001 $427.43
COVENTRY MCR REPLACEMENT HMO 1533_MEDICARE ADVANTAGE COVENTRY HMO INPATIENT 20251001 $427.43
COVENTRY MCR REPLACEMENT HMO 1403_MEDICARE ADVANTAGE COVENTRY HMO OUTPATIENT 20250101 $427.43
BLUE CROSS ALIGNMENT 1398_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE OUTPATIENT 20250101 $427.43
BC ADVANTAGE MCR REPLACEMENT 1530_MEDICARE ADVANTAGE BLUE CROSS INPATIENT 20251001 $427.43
BC ADVANTAGE MCR REPLACEMENT 1399_MEDICARE ADVANTAGE BLUE CROSS OUTPATIENT 20250101 $427.43
CIGNA HEALTHSPRING 1396_CIGNA HEALTHSPRING OUTPATIENT 20250101 $431.70
UHC WELLMED MCR REPLACEMENT 1541_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED INPATIENT 20251001 $431.70
UHC WELLMED MCR REPLACEMENT 1478_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED OUTPATIENT 20250501 $431.70
HUMANA HMO MCR REPLACEMENT 1537_MEDICARE ADVANTAGE HUMANA HMO INPATIENT 20251001 $431.70
HUMANA HMO MCR REPLACEMENT 1405_MEDICARE ADVANTAGE HUMANA HMO OUTPATIENT 20250101 $431.70
CIGNA HEALTHSPRING 1523_CIGNA HEALTHSPRING INPATIENT 20251001 $435.98
CAREPLUS MCR REPLACEMENT 1532_MEDICARE ADVANTAGE CAREPLUS INPATIENT 20251001 $435.98
CAREPLUS MCR REPLACEMENT 1401_MEDICARE ADVANTAGE CAREPLUS OUTPATIENT 20250101 $435.98
GOLD KIDNEY MEDICARE ADVANTAGE 1526_GOLD KIDNEY MEDICARE ADVANTAGE INPATIENT 20251001 $435.98
GOLD KIDNEY MEDICARE ADVANTAGE 1433_GOLD KIDNEY MEDICARE ADVANTAGE OUTPATIENT 20240101 $435.98
AETNA MCR REPLACEMENT 1528_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 $440.25
AETNA MCR REPLACEMENT 1397_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 $440.25
BRIGHT HEALTH 1531_MEDICARE ADVANTAGE BRIGHT HEALTH INPATIENT 20251001 $577.03
SMARTHEALTH 1549_SMARTHEALTH INPATIENT 20251001 $598.40
SMARTHEALTH 1411_SMARTHEALTH OUTPATIENT 20250101 $598.40
BRIGHT HEALTH 1400_MEDICARE ADVANTAGE BRIGHT HEALTH OUTPATIENT 20250101 $619.77
AETNA QUALIFIED HEALTH PLANS 1520_AETNA QUALIFIED HEALTH PLANS (QHP) INPATIENT 20251001 $662.52
AETNA QUALIFIED HEALTH PLANS 1385_AETNA QUALIFIED HEALTH PLANS (QHP) OUTPATIENT 20250101 $662.52
AETNA WHOLE HEALTH 1386_AETNA WHOLE HEALTH OUTPATIENT 20250101 $662.52
AETNA WHOLE HEALTH 1521_AETNA WHOLE HEALTH INPATIENT 20251001 $662.52
OSCAR HEALTH PLAN 1420_OSCAR HEALTH PLAN OUTPATIENT 20250401 $683.89
OSCAR HEALTH PLAN 1545_OSCAR HEALTH PLAN INPATIENT 20251001 $683.89
EMPLOYER DIRECT HEALTHCARE 1498_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101 $748.00
EMPLOYER DIRECT HEALTHCARE 1497_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001 $748.00
90 DEGREE BENEFITS 1518_90 DEGREE BENEFITS INPATIENT 20251001 $769.37
AVMED EXCHANGE 1482_AVMED EXCHANGE OUTPATIENT 20250201 $769.37
AVMED EXCHANGE 1522_AVMED EXCHANGE INPATIENT 20251001 $769.37
90 DEGREE BENEFITS 1387_90 DEGREE BENEFITS OUTPATIENT 20250101 $769.37
MOLINA EXCHANGE 1393_MOLINA EXCHANGE OUTPATIENT 20250101 $790.75
MOLINA EXCHANGE 1544_MOLINA EXCHANGE INPATIENT 20251001 $790.75
OCCUNET 1392_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101 $790.75
AMBETTER COMMERCIAL-EXCHANGE 1394_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101 $812.12
AMBETTER COMMERCIAL-EXCHANGE 1550_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001 $812.12
AETNA NEW BUSINESS 904_AETNA NEW BUSINESS DISCOUNT OUTPATIENT 20211015 $876.23
AETNA NEW BUSINESS 1519_AETNA NEW BUSINESS DISCOUNT INPATIENT 20251001 $876.23
HUMANA PPO 1444_HUMANA PPO 20250101 $934.00
HUMANA HMO 1443_HUMANA HMO 20250101 $934.00
OCCUNET 1540_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 $961.72
BLUE CROSS BSL 1454_BLUE CROSS BLUE SHIELD BSL 20250701 $1,465.00
BLUE CROSS MBN 1461_BLUE CROSS BLUE SHIELD MBN 20250701 $1,465.00
BLUE CROSS SBN 1462_BLUE CROSS BLUE SHIELD SBN 20250701 $1,800.00
BLUE CROSS HMO 1455_BLUE CROSS BLUE SHIELD HMO 20250701 $1,800.00
AETNA 1447_AETNA SOUTH 20250701 $1,834.00
BLUE CROSS NWB 1456_BLUE CROSS BLUE SHIELD NWB 20250701 $2,295.00
CIGNA NEW BUSINESS 1465_CIGNA NEW BUSINESS 20250701 $2,327.00
BLUE CROSS PPO 1458_BLUE CROSS BLUE SHIELD PPO 20250701 $2,785.00
UHC 1460_UNITED HEALTH CARE 20250701 $2,956.00
NORTHWELL DIRECT 1414_NORTHWELL DIRECT 20241001 $3,820.00
BLUE CROSS PHS 1457_BLUE CROSS BLUE SHIELD PHS 20250701 $3,952.00
OCCUNET 1342_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001 $4,485.00
CIGNA HMO 1463_CIGNA HMO 20250701 $4,508.00
CIGNA PPO 1464_CIGNA PPO 20250701 $4,508.00

Visitor-reported prices

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ER Visit (level 4) at other Florida hospitals

Hospital City Cash price Negotiated range
HCA FLORIDA MEMORIAL HOSPITAL JACKSONVILLE not published $130.15 – $132.89
Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) Jacksonville not published $414.61 – $876.23
Adventhealth Daytona Beach Daytona Beach $2,233.14 $413.95 – $727.25
Adventhealth Lake Wales Lake Wales $1,991.01 $435.74 – $967.34
Adventhealth Palm Coast Parkway Palm Coast $1,946.01 $413.95 – $930.69
Adventhealth Tampa Tampa $2,959.97 $435.74 – $967.34
AdventHealth New Smyrna Beach New Smyrna Beach $2,469.48 $413.95 – $951.87
Adventhealth Port Charlotte Port Charlotte $5,468.64 $435.74 – $795.66

All Florida hospitals for this procedure →