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 |
|---|---|---|---|---|
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $56.33 | $152.25 | $20.19 – $57.35 | 35 |
| Mayo factor x CPT 85260 | $44.31 | $119.75 | $15.75 – $44.75 | 35 |
| Mayo factor xi CPT 85270 | $52.08 | $140.75 | $15.75 – $44.75 | 35 |
| Mayo fat/lipids feces quantitative CPT 82710 | $11.10 | $30.00 | $14.78 – $42.00 | 35 |
| Mayo fbl culture fungi blood CPT 87103 | $104.53 | $282.50 | $18.01 – $51.15 | 35 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $46.25 | $125.00 | $70.81 – $201.15 | 35 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $6.88 – $19.55 | 35 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $12.73 – $36.15 | 35 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $19.07 – $54.18 | 35 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $213.86 | $578.00 | $25.00 – $25.00 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $3.42 | $9.25 | $4.18 – $11.88 | 35 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $62.35 | $168.50 | $30.88 – $87.73 | 35 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $62.35 | $168.50 | $30.88 – $87.73 | 35 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $12.13 – $34.48 | 35 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $62.16 | $168.00 | $22.71 – $64.53 | 35 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $102.77 | $277.75 | $7.82 – $22.23 | 35 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $39.78 | $107.50 | $11.90 – $33.80 | 35 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | not published | not published | $23.91 – $67.93 | 35 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $119.51 | $323.00 | $15.20 – $43.18 | 35 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $18.87 | $51.00 | $13.19 – $37.48 | 35 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | not published | not published | $18.31 – $52.03 | 35 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $26.64 | $72.00 | $18.31 – $52.03 | 35 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $33.69 – $87.73 | 34 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $35.24 | $95.25 | $14.14 – $40.18 | 35 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $18.50 | $50.00 | $10.54 – $29.95 | 35 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $35.89 | $97.00 | $30.88 – $87.73 | 35 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $30.88 – $87.73 | 35 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $17.76 | $48.00 | $30.88 – $87.73 | 35 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $33.69 – $87.73 | 34 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $54.02 | $146.00 | $37.70 – $107.10 | 35 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $63.53 – $180.48 | 35 |
| Mayo infliximab therapeutic drug level CPT 80230 | $111.00 | $300.00 | $33.94 – $96.43 | 35 |
| Mayo inhab inhibin a CPT 86336 | $7.03 | $19.00 | $13.72 – $38.98 | 35 |
| Mayo insft insulin free CPT 83527 | $4.44 | $12.00 | $11.40 – $32.38 | 35 |
| Mayo insulin antibodies CPT 86337 | $12.03 | $32.50 | $18.84 – $53.53 | 35 |
| Mayo iodine CPT 83789 | $41.44 | $112.00 | $21.22 – $60.28 | 35 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $26.03 – $67.78 | 34 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $23.86 – $67.78 | 35 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $5.18 | $14.00 | $11.66 – $33.13 | 35 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $11.25 – $31.98 | 35 |
| Mayo legionella antibody CPT 86713 | not published | not published | $13.47 – $38.25 | 35 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $14.26 – $40.50 | 35 |
| Mayo lipoprotein electrophoresis CPT 83700 | $24.05 | $65.00 | $9.91 – $28.15 | 35 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $22.93 | $61.96 | $13.63 – $38.73 | 35 |
| Mayo manganese CPT 83785 | not published | not published | $23.45 – $66.63 | 35 |
| Mayo metanephrines plasma CPT 83835 | $11.10 | $30.00 | $14.91 – $42.35 | 35 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $27.23 | $73.60 | $11.57 – $30.13 | 34 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $17.66 – $46.00 | 34 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $36.08 | $97.50 | $12.80 – $36.38 | 35 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $49.95 | $135.00 | $16.40 – $46.60 | 35 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $138.75 | $375.00 | $120.56 – $342.50 | 35 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $177.79 – $463.00 | 34 |
| Mayo muramidase CPT 85549 | $17.39 | $47.00 | $16.50 – $46.88 | 35 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $17.66 – $46.00 | 34 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $44.77 | $121.00 | $15.88 – $45.13 | 35 |
| Mayo myoglobin CPT 83874 | not published | not published | $11.37 – $32.30 | 35 |
| Mayo nickel CPT 83885 | $22.57 | $61.00 | $21.57 – $61.28 | 35 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $42.18 | $114.00 | $56.25 – $56.25 | 2 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $18.67 – $53.03 | 35 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $14.48 – $41.13 | 35 |
| Mayo oxalate 24 hour urine CPT 83945 | $6.66 | $18.00 | $12.72 – $36.13 | 35 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $10.15 – $28.83 | 35 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $5.18 | $14.00 | $13.23 – $37.58 | 35 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $129.87 | $351.00 | $10.60 – $30.13 | 35 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $14.80 | $40.00 | $30.88 – $87.73 | 35 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $44.40 | $120.00 | $15.82 – $44.95 | 35 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $7.40 | $20.00 | $12.11 – $34.40 | 35 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $8.88 | $24.00 | $7.43 – $21.10 | 35 |
| Mayo pregnenolone CPT 84140 | not published | not published | $18.19 – $51.68 | 35 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $14.60 – $41.48 | 35 |
| Mayo proinsulin CPT 84206 | $11.29 | $30.50 | $23.49 – $66.73 | 35 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $16.18 – $45.98 | 35 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $38.85 | $105.00 | $16.19 – $46.00 | 35 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $11.76 – $33.40 | 35 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $32.18 – $91.43 | 35 |
| Mayo renin CPT 84244 | not published | not published | $19.35 – $54.98 | 35 |
| Mayo repu protein electrophoresis urine CPT 84166 | $56.24 | $152.00 | $15.69 – $44.58 | 35 |
| Mayo selenium CPT 84255 | $9.99 | $27.00 | $22.47 – $63.83 | 35 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $13.64 – $38.75 | 35 |
| Mayo serotonin CPT 84260 | not published | not published | $27.26 – $77.45 | 35 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $17.03 – $48.38 | 35 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $4.81 | $13.00 | $12.08 – $34.33 | 35 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $36.72 | $99.25 | $3.76 – $10.68 | 35 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $120.25 | $325.00 | $183.85 – $522.30 | 35 |
| Mayo tgrp testosterone free CPT 84402 | $37.70 | $101.90 | $22.41 – $63.68 | 35 |
| Mayo tgrp testosterone total CPT 84403 | $75.39 | $203.75 | $22.71 – $64.53 | 35 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.28 – $55.43 | 34 |
| Mayo thyroglobulin CPT 84432 | $41.16 | $111.25 | $14.13 – $40.15 | 35 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.96 – $25.45 | 35 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $4.63 | $12.50 | $10.90 – $30.98 | 35 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $75.89 | $205.12 | $45.13 – $128.20 | 35 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $12.46 – $35.40 | 35 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $11.92 – $33.85 | 35 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $31.09 – $88.33 | 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.