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 |
|---|---|---|---|---|
| Antibody bacterium, not elsewhere specified CPT 86609 | $19.06 | $51.52 | $11.33 – $32.20 | 35 |
| Antibody elution rbc reference CPT 86860 | $77.52 | $209.50 | $51.70 – $352.62 | 34 |
| Antibody htlv/hiv confirm test CPT 86689 | $24.42 | $66.00 | $17.03 – $48.38 | 35 |
| Antibody htlv-i CPT 86687 | not published | not published | $8.00 – $22.73 | 35 |
| Antibody htlv-ii CPT 86688 | not published | not published | $12.32 – $35.00 | 35 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $122.10 | $330.00 | $16.17 – $45.93 | 35 |
| Antibody id rbc panel CPT 86870 | $87.32 | $236.00 | $71.45 – $740.21 | 34 |
| Antibody influenza virus CPT 86710 | not published | not published | $11.92 – $33.88 | 35 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $11.32 – $32.18 | 35 |
| Antibody screen rbc CPT 86850 | $32.75 | $88.50 | $8.60 – $109.94 | 35 |
| Antibody tetanus CPT 86774 | not published | not published | $13.02 – $37.00 | 35 |
| Antidepressant not specified CPT 80338 | $12.95 | $35.00 | $31.88 – $31.88 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $44.46 – $94.94 | 33 |
| Antigen therapy services CPT 95146 | not published | not published | $44.46 – $147.43 | 33 |
| Antigen therapy services CPT 95147 | not published | not published | $68.58 – $146.45 | 33 |
| Antigen therapy services CPT 95148 | not published | not published | $68.58 – $210.53 | 33 |
| Antigen therapy services CPT 95149 | not published | not published | $68.58 – $279.70 | 33 |
| Antigen therapy services CPT 95165 | not published | not published | $33.40 – $94.94 | 33 |
| Antigen therapy services CPT 95170 | not published | not published | $25.05 – $94.94 | 33 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $24.09 | $65.10 | $1.77 – $3.18 | 5 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $11.57 – $30.13 | 34 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $11.57 – $30.13 | 34 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $17.83 | $48.20 | $11.57 – $30.13 | 34 |
| Antinuclear antibodies CPT 86038 | $116.09 | $313.75 | $10.64 – $30.23 | 35 |
| Antinuclear antibodies titer CPT 86039 | $15.82 | $42.75 | $9.82 – $27.90 | 35 |
| Antiphosphatidylserine antibody CPT 86148 | $38.11 | $103.00 | $14.14 – $40.18 | 35 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.08 – $14.43 | 35 |
| Antistreptolysin o titer CPT 86060 | not published | not published | $6.43 – $18.25 | 35 |
| Antithrombin iii activity CPT 85300 | $33.76 | $91.25 | $10.43 – $29.63 | 35 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $124.21 – $265.25 | 33 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $40.73 – $265.25 | 33 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $443.52 – $1,260.00 | 35 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,188.17 – $3,375.48 | 4 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $176.00 – $500.00 | 35 |
| Apc gene full sequence CPT 81201 | not published | not published | $686.40 – $1,950.00 | 35 |
| Apc gene known fam variants CPT 81202 | not published | not published | $246.40 – $700.00 | 35 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $27.03 – $122.22 | 33 |
| Apheresis platelets CPT 36513 | not published | not published | $421.28 – $899.60 | 31 |
| Apl(pml-rara) quant - sendout CPT 81315 | $90.65 | $245.00 | $182.43 – $518.28 | 35 |
| Appendectomy CPT 44950 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $152.05 – $324.70 | 31 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $255.92 – $546.49 | 31 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $255.92 – $546.49 | 31 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $255.92 – $546.49 | 31 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $255.92 – $546.49 | 31 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $255.92 – $546.49 | 31 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $255.92 – $546.49 | 31 |
| Appl halo type body cast CPT 29000 | not published | not published | $255.92 – $546.49 | 31 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $255.92 – $546.49 | 31 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $255.92 – $546.49 | 31 |
| Application clubfoot cast CPT 29450 | not published | not published | $152.05 – $324.70 | 31 |
| Application finger splntstatic 29130 CPT 29130 | not published | not published | $124.21 – $265.25 | 31 |
| Application long leg splint 29505 CPT 29505 | not published | not published | $152.05 – $324.70 | 31 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $152.05 – $324.70 | 31 |
| Application multi layer compression below knee (both sides) CPT 29581 | not published | not published | $152.05 – $324.70 | 31 |
| Application of body cast CPT 29010 | not published | not published | $255.92 – $546.49 | 31 |
| Application of body cast CPT 29015 | not published | not published | $255.92 – $546.49 | 31 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $255.92 – $546.49 | 31 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $255.92 – $546.49 | 31 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $255.92 – $546.49 | 31 |
| Application of long leg cast CPT 29355 | not published | not published | $255.92 – $546.49 | 31 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $255.92 – $546.49 | 31 |
| Application of paste boot 29580 CPT 29580 | not published | not published | $152.05 – $324.70 | 31 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $255.92 – $546.49 | 31 |
| Appl long leg cast brace CPT 29358 | not published | not published | $255.92 – $546.49 | 31 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $7.31 | $19.75 | $5.82 – $15.15 | 33 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $11.01 – $28.68 | 33 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.82 – $80.77 | 31 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $152.05 – $324.70 | 31 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $255.92 – $546.49 | 31 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $152.05 – $324.70 | 31 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $124.21 – $265.25 | 31 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $152.05 – $324.70 | 31 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $668.57 – $1,427.68 | 32 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $668.57 – $1,427.68 | 32 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $557.43 – $1,190.35 | 32 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $557.43 – $1,190.35 | 32 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $57.24 – $122.22 | 31 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $255.92 – $546.49 | 31 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $255.92 – $546.49 | 31 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $105.51 – $225.32 | 32 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $4.53 | $12.24 | $2.09 – $3.72 | 5 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $30.88 – $87.73 | 35 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $12.05 – $94.33 | 34 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $11.57 – $30.13 | 34 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.07 – $28.83 | 34 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $61.24 | $165.50 | $34.04 – $88.65 | 33 |
| Aquatic exercise - group charge CPT 97150 | $24.79 | $67.00 | $16.46 – $42.88 | 33 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $1,104.45 | $2,985.00 | $1.16 – $8.28 | 5 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $686.72 | $1,856.00 | $5.84 – $10.25 | 5 |
| Artery xray each vessel 7577426 CPT 75774 | $995.21 | $2,689.75 | $171.66 – $171.66 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | $1,320.35 | $3,568.50 | $250.00 – $11,780.82 | 2 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $308.22 – $6,833.27 | 2 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $327.28 – $6,833.27 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,729.01 | $4,673.00 | $225.26 – $6,833.27 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $1,990.79 | $5,380.50 | $230.91 – $6,833.27 | 2 |
| Artery x-rays chest CPT 75756 | $1,745.20 | $4,716.75 | $313.39 – $6,833.27 | 2 |
| Artery x-rays lung CPT 75741 | $907.06 | $2,451.50 | $231.45 – $6,833.27 | 2 |
| Artery x-rays lung CPT 75746 | $2,211.12 | $5,976.00 | $258.76 – $6,833.27 | 2 |
| Artery x-rays lungs CPT 75743 | $2,192.25 | $5,925.00 | $234.53 – $6,833.27 | 2 |
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.