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 |
|---|---|---|---|---|
| Euflexxa inj per dose HCPCS J7323 | $351.50 | $950.00 | $157.03 – $181.02 | 4 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.40 – $21.03 | 35 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $150.77 – $321.95 | 33 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $156.23 | $422.25 | $113.27 – $294.98 | 33 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $154.66 | $418.00 | $86.34 – $245.28 | 35 |
| Evaluation heart device CPT 93640 | not published | not published | $2,402.35 – $24,882.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $254.93 | $689.00 | $122.92 – $320.10 | 33 |
| Evaluation psychiatric diagnostic CPT 90791 | $224.83 | $607.65 | $154.83 – $415.13 | 33 |
| Event monitor CPT 93270 | not published | not published | $18.68 – $1,636.00 | 34 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $11.83 – $640.79 | 33 |
| Evoked oa emissions ltd CPT 92587 | $130.98 | $354.00 | $8.78 – $640.79 | 33 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $62.13 – $62.13 | 2 |
| Evoked potentials upper limbs CPT 95925 | $940.63 | $2,542.25 | $289.38 – $640.79 | 33 |
| Evoked potential visual not glaucoma CPT 95930 | $272.41 | $736.25 | $109.88 – $640.79 | 33 |
| Evok oa screening qual CPT 92558 | not published | not published | $22.53 – $22.53 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $293.13 – $625.95 | 31 |
| Exam pelvic add-on CPT 99459 | not published | not published | $48.65 – $48.65 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $385.00 – $822.13 | 31 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $421.28 – $899.60 | 31 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $191.47 – $408.87 | 33 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $191.47 – $408.87 | 33 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $385.00 – $822.13 | 33 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $490.72 – $1,047.90 | 31 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $678.00 – $1,447.81 | 31 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $678.00 – $1,447.81 | 31 |
| Excision of rectal lesion CPT 45160 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $385.00 – $822.13 | 31 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $678.00 – $1,447.81 | 31 |
| Exercise tst brncspsm w/ecg CPT 94617 | $293.60 | $793.50 | $124.21 – $265.25 | 33 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $57.24 – $122.22 | 33 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $290.48 – $290.48 | 2 |
| Exome sequence analysis CPT 81415 | not published | not published | $4,206.40 – $11,950.00 | 4 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $288.06 – $615.12 | 31 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $490.72 – $1,047.90 | 31 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $124.21 – $1,636.00 | 34 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $124.21 – $1,636.00 | 34 |
| Extended culture of oocytes CPT 89272 | not published | not published | $628.20 – $1,680.98 | 32 |
| Extended visual field xm CPT 92083 | not published | not published | $84.05 – $265.25 | 33 |
| External chromosome analysis 20-25 cells CPT 88264 | $74.00 | $200.00 | $127.26 – $361.53 | 35 |
| External ocular photography CPT 92285 | not published | not published | $37.82 – $80.77 | 33 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $16.28 | $44.00 | $22.99 – $57.78 | 34 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,408.24 – $9,682.50 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $133.20 | $360.00 | $126.50 – $359.38 | 35 |
| Extnd color vision xm CPT 92283 | not published | not published | $57.24 – $122.22 | 33 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $26.54 | $71.72 | $15.78 – $44.83 | 35 |
| Eye allergy tests CPT 95060 | not published | not published | $90.88 – $265.25 | 33 |
| F9 full gene sequence CPT 81238 | not published | not published | $528.00 – $1,500.00 | 35 |
| Facial bones <3 CPT 70140 | not published | not published | $61.33 – $194.81 | 33 |
| Facial nerve function test CPT 92516 | not published | not published | $169.08 – $640.79 | 33 |
| Factor ix CPT 85250 | $49.95 | $135.00 | $16.76 – $47.60 | 35 |
| Factor ix non-recombinant HCPCS J7193 | $1.82 | $4.92 | $1.68 – $2.93 | 5 |
| Factor viii CPT 85240 | $31.91 | $86.25 | $15.75 – $44.75 | 35 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $154.83 – $330.62 | 33 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $154.83 – $330.62 | 33 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.60 | $1.63 | $0.01 – $0.01 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $151.64 | $409.85 | $35.26 – $63.09 | 5 |
| Fancc gene CPT 81242 | not published | not published | $32.23 – $91.55 | 35 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $4.49 – $12.75 | 35 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $16.52 – $46.93 | 35 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.01 – $11.40 | 35 |
| #fecal-sodium CPT 84302 | $24.88 | $67.25 | $4.28 – $12.15 | 35 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $207.72 – $540.93 | 33 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $17.89 – $46.60 | 34 |
| Feno poc CPT 95012 | $62.90 | $170.00 | $37.82 – $80.77 | 33 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $39.13 | $105.77 | $1.02 – $1.28 | 4 |
| Fern test HCPCS Q0114 | $5.74 | $15.50 | $8.57 – $9.74 | 2 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2.67 | $7.23 | $1.38 – $2.43 | 5 |
| Ferritin CPT 82728 | $82.33 | $222.50 | $11.99 – $34.08 | 35 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $27.55 | $74.46 | $0.40 – $2.96 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $616.05 | $1,665.00 | $102.47 – $235.69 | 33 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $667.96 – $1,897.63 | 35 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $193.85 – $413.96 | 31 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $293.13 – $625.95 | 31 |
| Fetal fibronectin CPT 82731 | $282.03 | $762.25 | $56.68 – $161.03 | 35 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $293.13 – $625.95 | 31 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $59.85 | $161.75 | $6.80 – $19.33 | 35 |
| Fetal hemoglobin rosette CPT 85461 | $18.69 | $50.50 | $8.24 – $23.40 | 35 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $17.00 – $48.30 | 35 |
| Fetal non stress test CPT 59025 | not published | not published | $193.85 – $413.96 | 31 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $293.13 – $625.95 | 31 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $293.13 – $625.95 | 31 |
| #_fet/norfentcnfrmur CPT 80354 | $22.20 | $60.00 | $56.25 – $56.25 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $27.20 | $73.50 | $8.96 – $25.45 | 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.