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 |
|---|---|---|---|---|
| Echo exam uterus 76831- CPT 76831 | $460.93 | $1,245.75 | $232.92 – $525.31 | 33 |
| Echograp trans r pros study CPT 76873 | $1,963.78 | $5,307.50 | $102.47 – $283.00 | 33 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $73.69 – $73.69 | 1 |
| Echo guide for amniocentesis CPT 76946 | $389.15 | $1,051.75 | $39.68 – $39.68 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $300.08 – $672.89 | 33 |
| Echo stress CPT 93350 | not published | not published | $263.13 – $1,636.00 | 34 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $61.63 – $1,636.00 | 34 |
| Echo tee guidance CPT 93355 | $4,111.35 | $11,111.75 | $538.38 – $538.38 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,200.69 | $8,650.50 | $293.95 – $1,636.00 | 34 |
| Echo transesophageal CPT 93313 | not published | not published | $27.20 – $1,636.00 | 34 |
| Echo transesophageal CPT 93314 | not published | not published | $309.15 – $1,636.00 | 3 |
| Echo transesophageal CPT 93315 | not published | not published | $528.36 – $1,636.00 | 34 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $528.36 – $1,636.00 | 34 |
| Echo transthoracic CPT 93303 | not published | not published | $354.73 – $1,636.00 | 34 |
| Echo transthoracic CPT 93304 | not published | not published | $266.90 – $1,636.00 | 34 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,194.18 | $3,227.50 | $211.40 – $1,636.00 | 34 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.93 – $255.88 | 33 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $11.14 – $31.65 | 35 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $72.30 – $72.30 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $559.44 | $1,512.00 | $300.08 – $667.60 | 33 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $289.25 | $781.75 | $162.58 – $1,091.85 | 33 |
| Eeg during surgery CPT 95955 | not published | not published | $295.38 – $295.38 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,120.80 – $1,120.80 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | $1,303.05 | $3,521.75 | $511.31 – $1,091.85 | 33 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $536.22 | $1,449.25 | $300.08 – $758.80 | 33 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $505.51 | $1,366.25 | $300.08 – $821.15 | 33 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $559.72 | $1,512.75 | $300.08 – $826.48 | 33 |
| Eeg recording awake and asleep CPT 95819 | $559.72 | $1,512.75 | $300.08 – $904.43 | 33 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $300.08 – $1,347.40 | 33 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $413.94 | $1,118.75 | $259.13 – $640.79 | 33 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $511.31 – $2,692.20 | 33 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $511.31 – $2,153.25 | 33 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $413.94 | $1,118.75 | $300.08 – $1,077.93 | 33 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $763.31 | $2,063.00 | $388.68 – $1,091.85 | 33 |
| E equine encephalitis igg CPT 86652 | $4.44 | $12.00 | $11.61 – $32.98 | 35 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $1,147.66 | $3,101.80 | $39.50 – $71.07 | 5 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $903.46 – $1,929.25 | 31 |
| Egd guide wire insertion CPT 43248 | not published | not published | $903.46 – $5,618.00 | 32 |
| Egd injection varices CPT 43243 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $903.46 – $5,618.00 | 32 |
| Egd remove lesion snare CPT 43251 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Egfr gene com variants CPT 81235 | $163.91 | $443.00 | $285.63 – $811.45 | 35 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $33.69 – $87.73 | 34 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $34.38 – $1,636.00 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $289.00 – $617.13 | 31 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $289.00 – $617.13 | 31 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $289.00 – $617.13 | 31 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $79.67 – $170.13 | 31 |
| Electrical stimulation/unattended 97014 CPT 97014 | $40.15 | $108.50 | $30.18 – $30.18 | 2 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $111.75 – $111.75 | 2 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $110.73 – $110.73 | 2 |
| Electrocochleography CPT 92584 | not published | not published | $150.77 – $321.95 | 33 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $407.88 – $1,091.85 | 33 |
| Electrocorticography durng sx CPT 95829 | $1,517.83 | $4,102.25 | $3,234.88 – $3,234.88 | 2 |
| Electrode stimulation brain CPT 95961 | $707.16 | $1,911.25 | $387.78 – $387.78 | 2 |
| Electroejaculation CPT 55870 | not published | not published | $839.07 – $1,791.76 | 31 |
| Electrogastrography CPT 91132 | not published | not published | $300.08 – $892.85 | 33 |
| Electrogastrography w/test CPT 91133 | not published | not published | $124.21 – $924.00 | 33 |
| Electrolyte panel CPT 80051 | $38.48 | $104.00 | $6.17 – $17.53 | 35 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $104.93 – $104.93 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $88.45 – $188.89 | 33 |
| Electron microscopy diagnostic CPT 88348 | $210.16 | $568.00 | $262.54 – $1,680.98 | 35 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $124.21 – $265.25 | 33 |
| Electrophysiologic study CPT 93624 | not published | not published | $8,304.80 – $8,304.80 | 2 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $16,849.98 – $16,849.98 | 2 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $16,274.33 – $16,274.33 | 2 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $17,588.18 – $24,882.00 | 3 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $17,371.40 – $24,882.00 | 3 |
| Electrophysiology evaluation CPT 93641 | $4,458.41 | $12,049.75 | $2,082.30 – $24,882.00 | 3 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $187.53 – $24,882.00 | 3 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $113.68 – $24,882.00 | 3 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $722.13 – $24,882.00 | 3 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $10.46 | $28.28 | $9.43 – $16.91 | 5 |
| Embryo hatching CPT 89253 | not published | not published | $143.50 – $352.62 | 32 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $839.07 – $1,791.76 | 31 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $193.85 – $413.96 | 31 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $124.21 – $265.25 | 33 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $150.77 – $321.95 | 33 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $147.88 – $640.79 | 33 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $124.21 – $265.25 | 33 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $150.77 – $321.95 | 33 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $163.10 – $640.79 | 33 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $11.61 – $32.98 | 35 |
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.