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 |
|---|---|---|---|---|
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $63.30 | 34 |
| Hepatitis b surface antibody CPT 86706 | $51.25 | $138.50 | $9.45 – $26.85 | 35 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $171.72 – $351.88 | 6 |
| Hepatitis c antibody CPT 86803 | $46.62 | $126.00 | $12.56 – $35.68 | 35 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $27.48 – $78.05 | 35 |
| Hepatitis d quantification CPT 87523 | not published | not published | $41.13 – $107.10 | 34 |
| Hepatobiliary system imaging CPT 78226 | $1,550.95 | $4,191.75 | $387.22 – $884.18 | 33 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $514.71 – $3,259.88 | 4 |
| Herpes simplex 1 ag if CPT 87274 | $41.44 | $112.00 | $10.54 – $29.95 | 35 |
| Herpes simplex 2 ag if CPT 87273 | $9.44 | $25.50 | $10.54 – $29.95 | 35 |
| Herpes simplex type 1 antibody igg CPT 86695 | $19.52 | $52.76 | $11.61 – $32.98 | 35 |
| Herpes simplex type 2 antibody igg CPT 86696 | $28.64 | $77.40 | $17.03 – $48.38 | 35 |
| Herpes simplex virus isolation CPT 87255 | $97.50 | $263.50 | $29.80 – $84.65 | 35 |
| Heterophile antibodies screening CPT 86308 | $69.93 | $189.00 | $4.56 – $12.95 | 35 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $5.69 – $16.18 | 35 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $6.49 – $18.43 | 35 |
| Hexa gene CPT 81255 | not published | not published | $45.28 – $128.63 | 35 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $36.75 – $104.40 | 35 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Hip X-ray CPT 73502 | $219.23 | $592.50 | $84.84 – $194.81 | 33 |
| Histamine CPT 83088 | $15.54 | $42.00 | $25.99 – $73.83 | 35 |
| Histochemical stains add-on CPT 88314 | $31.64 | $85.50 | $62.94 – $152.13 | 4 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $5.85 – $80.77 | 35 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $21.17 – $60.15 | 35 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $19.29 – $54.80 | 35 |
| Hla class i high defin qual CPT 86832 | not published | not published | $284.90 – $809.38 | 35 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $286.70 – $814.50 | 35 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $56.49 – $160.48 | 35 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $56.49 – $160.48 | 35 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $72.05 – $204.70 | 35 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $284.20 – $807.40 | 35 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $84.06 – $238.80 | 35 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $314.65 – $893.90 | 35 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $355.98 – $1,011.30 | 35 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $304.10 – $863.93 | 35 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $353.87 – $1,005.30 | 35 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $108.84 – $309.20 | 35 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $194.25 – $551.85 | 35 |
| Hla i low res one antigen equiv ea CPT 81374 | $110.01 | $297.32 | $65.41 – $185.83 | 35 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $155.98 – $443.13 | 35 |
| Hla i typing complete hr CPT 81379 | not published | not published | $295.14 – $838.45 | 35 |
| Hla i typing complete lr CPT 81372 | $166.50 | $450.00 | $355.16 – $1,008.98 | 35 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $149.51 – $424.75 | 35 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $112.14 – $318.58 | 35 |
| Hla typing a b or c CPT 86813 | $221.82 | $599.50 | $51.04 – $145.00 | 35 |
| Hla typing dr/dq CPT 86816 | not published | not published | $26.55 – $75.43 | 35 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $32.15 – $91.33 | 35 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $96.35 – $273.73 | 35 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $89.14 – $246.33 | 33 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $28.70 – $179.48 | 33 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $25.88 – $61.29 | 33 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $154.83 – $330.62 | 33 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $184.75 – $184.75 | 2 |
| Homocysteine CPT 83090 | $46.25 | $125.00 | $15.77 – $44.80 | 35 |
| Homogenization tissue CPT 87176 | $8.51 | $23.00 | $5.17 – $14.70 | 35 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $19.72 – $56.03 | 35 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $107.56 – $305.55 | 35 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $107.56 – $305.55 | 35 |
| Hpv low-risk types CPT 87623 | not published | not published | $30.88 – $87.73 | 35 |
| Hpv types 16 & 18 only CPT 87625 | $32.56 | $88.00 | $35.68 – $101.38 | 35 |
| H pylori ag ia CPT 87339 | not published | not published | $14.08 – $40.00 | 35 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $59.28 – $168.40 | 35 |
| H pylori (c-13) breath CPT 83013 | $29.60 | $80.00 | $59.28 – $168.40 | 35 |
| H pylori drug admin CPT 83014 | not published | not published | $6.92 – $19.65 | 35 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $514.71 – $1,462.25 | 35 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $514.71 – $1,462.25 | 35 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $120.56 – $342.50 | 35 |
| Human epididymis protein 4 (he4) CPT 86305 | $100.27 | $271.00 | $18.31 – $52.03 | 35 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4,190.44 | $11,325.50 | $1.89 – $4.82 | 4 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $152.81 | $413.00 | $85.38 – $85.38 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $100.27 | $271.00 | $5.37 – $6.12 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $94.63 | $255.75 | $28.23 – $94.94 | 34 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $727.14 | $1,965.25 | $71.95 – $433.55 | 34 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $59.54 | $160.91 | $25.11 – $31.41 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $48.17 | $130.20 | $0.14 – $0.20 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $24.14 | $65.25 | $18.47 – $21.67 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $15.75 – $44.75 | 35 |
| Hyoscyamine sulfate inj HCPCS J1980 | $12.03 | $32.53 | $11.05 – $11.05 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $15.07 | $40.72 | $8.96 – $25.45 | 35 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $668.57 – $2,173.85 | 32 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $253.41 – $1,151.04 | 32 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $557.43 – $1,535.64 | 32 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $557.43 – $1,788.23 | 32 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $557.43 – $2,830.46 | 32 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $206.69 – $525.31 | 33 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $174.31 | $471.10 | $332.48 – $439.65 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $81.12 | $219.25 | $136.15 – $146.63 | 4 |
| I131 iodide cap, rx HCPCS A9517 | $476.28 | $1,287.25 | $28.22 – $100.23 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $11.81 – $33.55 | 35 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $30.88 – $87.73 | 35 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $15.92 – $45.23 | 35 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.47 – $113.20 | 34 |
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.