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 activated protein c resistance assay CPT 85307 | $35.71 | $96.50 | $13.48 – $38.30 | 35 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $57.08 | $154.28 | $33.94 – $96.43 | 35 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $33.68 – $33.68 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $62.16 | $168.00 | $56.25 – $56.25 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $5.55 | $15.00 | $13.01 – $36.95 | 35 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $25.90 | $70.00 | $56.25 – $56.25 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $15.73 | $42.50 | $11.83 – $33.60 | 35 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $80.38 | $217.25 | $13.27 – $37.70 | 35 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $32.50 – $32.50 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $172.05 | $465.00 | $107.03 – $304.08 | 35 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $96.57 | $261.00 | $80.66 – $229.15 | 35 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $202.76 | $548.00 | $120.56 – $342.50 | 35 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,020.80 – $2,900.00 | 4 |
| Mayo androstenedione CPT 82157 | not published | not published | $25.77 – $73.20 | 35 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $4.81 | $13.00 | $12.85 – $36.50 | 35 |
| Mayo antithrombin iii antigen CPT 85301 | $18.50 | $50.00 | $9.51 – $27.03 | 35 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $22.27 | $60.20 | $13.24 – $37.63 | 35 |
| Mayo avwpr vw factor activity CPT 85397 | $74.00 | $200.00 | $27.16 – $77.15 | 35 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $33.69 – $87.73 | 34 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $38.11 | $103.00 | $56.25 – $56.25 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $4.44 | $12.00 | $8.96 – $25.45 | 35 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $127.46 – $362.10 | 35 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $188.87 – $536.55 | 35 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $4.63 | $12.50 | $11.35 – $32.25 | 35 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $6.94 | $18.75 | $11.61 – $32.98 | 35 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $7.86 – $22.33 | 35 |
| Mayo c1 esterase inhibitor CPT 83883 | $45.88 | $124.00 | $11.97 – $34.00 | 35 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $9.44 | $25.50 | $14.84 – $42.18 | 35 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $23.57 – $66.95 | 35 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $107.56 – $305.55 | 35 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $9.45 – $26.85 | 35 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $24.24 | $65.50 | $12.43 – $35.30 | 35 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $37.00 | $100.00 | $11.33 – $32.20 | 35 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $10.40 – $29.55 | 35 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $11.16 – $31.70 | 35 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $71.04 | $192.00 | $102.51 – $291.23 | 35 |
| Mayo chromium CPT 82495 | $36.63 | $99.00 | $17.85 – $50.70 | 35 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $56.25 – $56.25 | 2 |
| Mayo coccidioides antibody CPT 86635 | $5.18 | $14.00 | $10.09 – $28.68 | 35 |
| Mayo cocou cortisone urine CPT 82542 | $35.65 | $96.36 | $21.20 – $60.23 | 35 |
| Mayo cortisol free CPT 82530 | $28.21 | $76.25 | $14.70 – $41.78 | 35 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $32.19 | $87.00 | $40.44 – $105.33 | 34 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $26.64 | $72.00 | $10.67 – $30.30 | 35 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $57.60 – $57.60 | 2 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $39.83 – $39.83 | 2 |
| Mayo cyanide CPT 82600 | $12.58 | $34.00 | $17.07 – $48.50 | 35 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $166.50 | $450.00 | $143.50 – $1,147.58 | 35 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $4.81 | $13.00 | $11.66 – $33.13 | 35 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $22.24 – $63.18 | 35 |
| Mayo dihydrotestosterone CPT 82642 | $43.33 | $117.12 | $25.77 – $73.20 | 35 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $8.48 – $24.10 | 35 |
| Mayo efpo chloride stool CPT 82438 | $22.57 | $61.00 | $4.40 – $12.50 | 35 |
| Mayo estriol CPT 82677 | $35.79 | $96.72 | $21.28 – $60.45 | 35 |
| Mayo estrone CPT 82679 | $36.93 | $99.80 | $21.96 – $62.38 | 35 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $14.38 – $40.85 | 35 |
| Mayo everolimus therapeutic drug level CPT 80169 | $35.52 | $96.00 | $12.08 – $34.33 | 35 |
| Mayo factor ii CPT 85210 | $70.30 | $190.00 | $11.42 – $32.45 | 35 |
| Mayo factor v CPT 85220 | $42.37 | $114.50 | $15.53 – $44.13 | 35 |
| Mayo factor vii CPT 85230 | $38.11 | $103.00 | $15.75 – $44.75 | 35 |
| Mayo factor viii vw factor antigen CPT 85246 | $60.59 | $163.75 | $20.19 – $57.35 | 35 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $20.35 | $55.00 | $20.19 – $57.35 | 35 |
| 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 |
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.