Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.)
4201 Belfort Rd, Jacksonville, FL · Ascension · · NPI 1396926747
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 |
|---|---|---|---|---|
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $256.40 – $728.40 | 35 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $153.83 – $437.03 | 35 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $396.80 – $1,127.28 | 35 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $153.83 – $437.03 | 35 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $153.83 – $437.03 | 35 |
| Cystatin c CPT 82610 | $44.40 | $120.00 | $16.30 – $46.30 | 35 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $439.12 – $1,247.50 | 35 |
| Cystine urine quantitative CPT 82131 | not published | not published | $20.22 – $57.45 | 35 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $70.60 – $824.45 | 33 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $643.19 – $1,373.48 | 31 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $643.19 – $5,618.00 | 32 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $643.19 – $5,618.00 | 32 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $643.19 – $5,618.00 | 32 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $31.38 | $84.80 | $0.99 – $1.19 | 4 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $37.30 – $105.95 | 35 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.82 – $101.75 | 35 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,020.80 – $2,900.00 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $792.00 – $2,250.00 | 35 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $16.37 | $44.25 | $12.66 – $35.98 | 35 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $23.68 | $64.00 | $14.83 – $42.13 | 35 |
| Cytomegalovirus dfa CPT 87271 | $5.18 | $14.00 | $11.81 – $33.55 | 35 |
| Cyto/molecular report CPT 88291 | $18.50 | $50.00 | $30.17 – $80.90 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.33 – $63.43 | 35 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $12.89 – $36.63 | 35 |
| Cytopath fl nongyn filter CPT 88106 | $18.22 | $49.25 | $22.99 – $120.95 | 35 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $52.08 | $140.75 | $33.19 – $109.94 | 35 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $23.42 – $66.53 | 35 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $23.68 | $64.00 | $17.83 – $50.65 | 35 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $26.46 | $71.50 | $33.19 – $110.65 | 35 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $17.11 | $46.25 | $33.43 – $121.70 | 35 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $78.90 | $213.25 | $6.01 – $19.78 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $89.73 | $242.50 | $16.37 – $352.62 | 35 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $137.55 | $371.75 | $49.47 – $238.88 | 35 |
| Cytopath smear other source CPT 88160 | not published | not published | $22.99 – $133.88 | 35 |
| Cytopath smear other source CPT 88162 | $91.70 | $247.85 | $49.47 – $215.63 | 35 |
| Cytopath smear oth prep screen & interp CPT 88161 | $71.50 | $193.25 | $22.99 – $136.15 | 35 |
| Cytopath tbs c/v manual CPT 88164 | $12.40 | $33.50 | $13.31 – $45.48 | 35 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $69.21 – $196.63 | 35 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.12 – $74.20 | 35 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $166.50 | $450.00 | $165.13 – $818.03 | 35 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $12.67 | $34.25 | $5.49 – $6.26 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $5.82 | $15.72 | $0.04 – $0.06 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $335.77 | $907.49 | $64.65 – $112.54 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3.55 | $9.60 | $3.56 – $6.50 | 5 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $3.45 | $9.31 | $3.56 – $6.50 | 5 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $191.47 – $621.55 | 33 |
| Dch glucoscan CPT 82948 | not published | not published | $4.44 – $12.60 | 35 |
| Dch pulmonary stress test CPT 94621 | $964.41 | $2,606.50 | $203.48 – $640.79 | 33 |
| Dch validity tests CPT 81002 | $4.90 | $13.25 | $3.06 – $8.70 | 35 |
| Deamidated gliadin antibody iga CPT 86258 | $17.06 | $46.12 | $11.53 – $30.13 | 34 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $589.86 – $1,259.60 | 31 |
| Debridement (>20 cm) charge pt CPT 97598 | $168.81 | $456.25 | $106.43 – $106.43 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $385.00 – $822.13 | 31 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $57.24 – $122.22 | 31 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $57.24 – $122.22 | 31 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $678.00 – $1,447.81 | 31 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $191.47 – $408.87 | 31 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $678.00 – $1,447.81 | 31 |
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.