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 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 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $11.66 | $31.50 | $17.81 – $50.60 | 35 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $15.01 – $42.65 | 35 |
| Mayo vitamin k CPT 84597 | $9.62 | $26.00 | $12.07 – $34.30 | 35 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $5.55 | $15.00 | $11.66 – $33.13 | 35 |
| Mcoln1 gene CPT 81290 | not published | not published | $34.59 – $98.28 | 35 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $19.16 – $52.25 | 3 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $45.08 – $1,091.85 | 33 |
| Measure kidney pressure CPT 50396 | not published | not published | $643.19 – $1,373.48 | 31 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $57.24 – $122.22 | 31 |
| Measure ureter pressure CPT 50686 | not published | not published | $150.77 – $321.95 | 31 |
| #mec-opiates CPT 80356 | not published | not published | $56.25 – $56.25 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $132.00 – $375.00 | 35 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $464.52 – $1,319.68 | 35 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $105.60 – $300.00 | 35 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $119.53 – $119.53 | 2 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Medical services after hrs CPT 99050 | not published | not published | $42.73 – $42.73 | 2 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $511.31 – $1,149.03 | 32 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.36 | $0.98 | $0.86 – $0.86 | 3 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $42.73 – $42.73 | 2 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $42.73 – $42.73 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $883.48 – $883.48 | 2 |
| Meg evoked single CPT 95966 | not published | not published | $998.35 – $998.35 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $1,928.80 – $1,928.80 | 2 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,696.01 | $7,286.50 | $32.10 – $65.77 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $336.72 – $387.66 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $39.65 | $107.16 | $10.44 – $15.24 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $67.33 | $181.99 | $37.26 – $67.21 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $47.38 | $128.04 | $0.52 – $0.59 | 4 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $24.24 | $65.51 | $1.66 – $2.37 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $71.50 | $193.25 | $7.45 – $21.15 | 35 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $122.38 | $330.75 | $9.29 – $26.40 | 35 |
| Metabolic panel ionized ca CPT 80047 | $90.10 | $243.50 | $12.08 – $34.33 | 35 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $77.68 | $209.94 | $9.86 – $9.86 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $2.59 | $7.00 | $0.24 – $0.27 | 4 |
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.