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Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.)

4201 Belfort Rd, Jacksonville, FL · Ascension · · NPI 1396926747

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

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
Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 $48.29 $130.50 $3.15 – $5.06 4
Methotrexate therapeutic drug level CPT 80204 $20.35 $55.00 $37.03 – $96.43 34
Methyldopate hcl injection HCPCS J0210 $48.29 $130.50 $61.00 – $63.60 4
Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 $47.98 $129.68 $32.73 – $32.73 3
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 $1.48 $4.00 $2.04 – $2.33 4
Methylphenidate CPT 80360 not published not published $56.25 – $56.25 2
Methylprednisolone 4 mg tablet HCPCS J7509 $1.72 $4.65 $0.29 – $0.38 4
Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 $1.21 $3.26 $0.13 – $0.26 5
Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 $9.46 $25.57 $0.31 – $0.59 5
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 $48.10 $130.00 $1.38 – $1.55 4
Metyrapone panel CPT 80436 not published not published $80.22 – $227.90 35
Mgmt promoter methylation analysis CPT 81287 $118.40 $320.00 $109.68 – $311.60 35
Micafungin 100 mg intravenous solution HCPCS J2248 $1.13 $3.06 $0.42 – $0.42 3
Microalbumin urine screen CPT 82044 not published not published $5.48 – $15.58 35
Microbe susceptible mlc CPT 87187 $30.90 $83.50 $35.35 – $100.43 35
Microdissection laser CPT 88380 not published not published $66.99 – $171.55 4
Microdissection manual CPT 88381 not published not published $131.12 – $393.20 4
Microfluid analy tears CPT 83861 not published not published $19.78 – $56.20 35
Microsatellite instability CPT 81301 not published not published $306.73 – $871.40 35
Microvolt t-wave assess CPT 93025 $487.29 $1,317.00 $150.77 – $1,636.00 34
Midazolam 1 mg/ml injection solution HCPCS J2250 $19.69 $53.22 $0.16 – $0.20 4
Middle cerebral artery echo CPT 76821 $196.01 $529.75 $102.47 – $235.69 33
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 $9.02 $24.38 $1.92 – $1.97 4
Mitochondrial gene CPT 81440 not published not published $2,925.12 – $8,310.00 4
Mitomycin 40 mg intravenous solution HCPCS J9280 $668.41 $1,806.52 $31.23 – $101.51 5
Mlh1 gene CPT 81288 not published not published $169.24 – $480.80 35
Mlh1 gene dup/delete variant CPT 81294 not published not published $178.11 – $506.00 35
Mlh1 gene full seq CPT 81292 not published not published $594.35 – $1,688.50 35
Mlh1 gene known variants CPT 81293 not published not published $291.28 – $827.50 35
Mlt fam grp bhv train 1st 60 CPT 96202 not published not published $21.98 – $57.25 33
Mlt fam grp bhv train ea add CPT 96203 not published not published $5.48 – $14.28 33
Mnl appl strs jt radiography CPT 77071 not published not published $84.84 – $194.81 33
Modification of contact lens CPT 92325 not published not published $103.05 – $265.25 33
Mog-igg1 antb flo cytmtry ea CPT 86363 not published not published $12.05 – $94.33 34
Molecular pathology interpr HCPCS G0452 $11.10 $30.00 $2.92 – $8.03 3
Monovisc inj per dose HCPCS J7327 $1,014.48 $2,741.85 $809.64 – $846.98 4
Mopath procedure level 1 CPT 81400 $121.73 $329.00 $56.28 – $159.90 35
Mopath procedure level 3 CPT 81402 $81.77 $221.00 $132.29 – $375.83 35
Mopath procedure level 5 CPT 81404 not published not published $241.85 – $687.08 35
Mopath procedure level 6 CPT 81405 not published not published $265.19 – $753.38 35
Mopath procedure level 7 CPT 81406 not published not published $248.93 – $707.20 35
Mopath procedure level 8 CPT 81407 not published not published $744.72 – $2,115.68 35
Mopath procedure level 9 CPT 81408 not published not published $1,760.00 – $5,000.00 4
Morphine 4 mg/ml injection (wrapper) HCPCS J2270 $53.56 $144.76 $5.65 – $6.87 4
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 $66.23 $179.00 $11.98 – $17.33 4
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 $99.90 $270.00 $143.50 – $529.90 35
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 not published not published $68.94 – $740.21 35
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 $915.29 $2,473.75 $69.55 – $352.62 35
Motion analysis video/3d CPT 96000 not published not published $199.80 – $1,091.85 33
Motion test w/ft press meas CPT 96001 not published not published $257.80 – $257.80 2
Motor &/ sens nrve cndj test CPT 95905 not published not published $68.85 – $821.13 33
M/phmtrc alys ishquant/semiq CPT 88373 not published not published $39.35 – $94.70 4
M/phmtrc alys ishquant/semiq CPT 88377 $99.90 $270.00 $143.50 – $743.18 35
M/phmtrc alysishquant/semiq CPT 88369 not published not published $68.94 – $223.15 4
M/phmtrc alys skeletal musc CPT 88355 not published not published $45.21 – $352.62 35
Mpl gene analysis common variants CPT 81338 not published not published $144.32 – $375.83 34
M.pneumon dna dir probe CPT 87580 not published not published $17.64 – $50.13 35
M.pneumon dna quant CPT 87582 not published not published $266.31 – $756.55 35
Mpsv4 vaccine subq CPT 90733 not published not published $101.42 – $369.13 6
MRA abdomen post contrast CPT 74185 $590.15 $1,595.00 $581.29 – $1,111.00 2
MRA aorta thoracic w/wo contrast CPT 71555 $590.15 $1,595.00 $573.93 – $1,111.00 2
MRA ext low(run-off)pst cntrst CPT 73725 $590.15 $1,595.00 $577.60 – $860.33 2
MRA pelvis CPT 72198 $590.15 $1,595.00 $584.24 – $861.36 2
MRA spinal canal CPT 72159 not published not published $598.97 – $894.37 2
MRA upper extremity post contrast-bil CPT 73225 not published not published $598.97 – $894.37 2
Mr elastography CPT 76391 not published not published $232.92 – $525.31 33
MRI brain w/dye CPT 70558 not published not published $171.54 – $1,111.00 33
MRI brain without dye CPT 70557 not published not published $528.36 – $1,182.67 33
MRI brain without & w/dye CPT 70559 not published not published $171.54 – $1,111.00 33
MRI breast c- unilateral CPT 77046 not published not published $232.92 – $1,111.00 33
MRI breast c-+ w/cad uni CPT 77048 $630.85 $1,705.00 $545.92 – $1,111.00 2
MRI breast without cont bi CPT 77047 $566.01 $1,529.75 $232.92 – $1,111.00 33
MRI breast w IV cont bi CPT 77049 $670.44 $1,812.00 $540.77 – $1,111.00 2
MRI cardiac morph & func wo IV cont CPT 75557 $485.72 $1,312.75 $232.92 – $591.29 33
MRI cardiac morph & func wwo IV cont CPT 75561 $951.83 $2,572.50 $344.14 – $1,111.00 33
MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 $1,100.75 $2,975.00 $761.33 – $1,716.48 33
MRI chest without contrast CPT 71550 $590.15 $1,595.00 $232.92 – $1,111.00 33
MRI chest without & w/contrast CPT 71552 $654.35 $1,768.50 $344.14 – $1,111.00 33
MRI chest w IV cont CPT 71551 not published not published $761.33 – $1,716.48 33
MRI fetal ea addl gestation CPT 74713 not published not published $1,111.00 – $1,111.00 1
MRI fetal sngl/1st gestation CPT 74712 not published not published $232.92 – $1,111.00 33
MRI guid ndl plc s&i CPT 77021 $590.15 $1,595.00 $1,111.00 – $1,111.00 1
MRI guid parenchymal tiss ablation CPT 77022 not published not published $1,111.00 – $1,111.00 1
MRI loex nonjt w IV cont CPT 73719 $622.25 $1,681.75 $344.14 – $1,111.00 33
MRI lower extremity other than joint without contrast (both sides) CPT 73718 $590.15 $1,595.00 $232.92 – $1,111.00 33
MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 $654.35 $1,768.50 $344.14 – $1,111.00 33
MRI orbit/face/neck without contrast CPT 70540 $525.86 $1,421.25 $232.92 – $1,111.00 33
MRI orbit/face/neck without & w/contrast CPT 70543 $590.15 $1,595.00 $344.14 – $1,111.00 33
MRI orbit fac&nck w IV cont CPT 70542 $558.05 $1,508.25 $344.14 – $1,111.00 33
MRI tmj CPT 70336 $590.15 $1,595.00 $232.92 – $525.31 32
MRI upper extremity other than joint without contrast (both sides) CPT 73218 $558.05 $1,508.25 $232.92 – $1,111.00 33
MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 $622.25 $1,681.75 $344.14 – $1,111.00 33
MRI upper extremity w/dye CPT 73219 $1,359.75 $3,675.00 $344.14 – $1,111.00 33
Mr safety determination physician/other qhp CPT 76016 $156.42 $422.75 $84.84 – $198.11 32
Mr safety implant elec prepj CPT 76018 $135.88 $367.25 $88.45 – $206.53 32
Mr safety implt pos&/immoblj CPT 76019 not published not published $57.24 – $133.65 32
Mr sfty implt&/fb asmt stf 1 CPT 76014 not published not published $23.60 – $55.10 32
Mr sfty med physics xm cstmz CPT 76017 not published not published $232.92 – $543.87 32
Mr spectroscopy CPT 76390 not published not published $84.84 – $1,029.48 33
Msh2 gene dup/delete variant CPT 81297 not published not published $187.71 – $533.25 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.