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 |
|---|---|---|---|---|
| Neutron beam tx complex CPT 77423 | not published | not published | $557.43 – $1,190.35 | 31 |
| New Patient Office Visit (level 2) CPT 99202 | $104.53 | $282.50 | $171.68 – $171.68 | 2 |
| New Patient Office Visit (level 3) CPT 99203 | $135.70 | $366.75 | $270.75 – $270.75 | 2 |
| New Patient Office Visit (level 4) CPT 99204 | $186.11 | $503.00 | $406.73 – $406.73 | 2 |
| New Patient Office Visit (level 5) CPT 99205 | $313.67 | $847.75 | $538.48 – $538.48 | 2 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $247.15 – $643.63 | 34 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $252.47 – $657.48 | 34 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $21.61 – $61.40 | 35 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $37.70 – $107.10 | 35 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,210.55 | $3,271.76 | $2,241.41 – $2,241.41 | 1 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $11.98 – $34.03 | 35 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $779.43 | $2,106.58 | $39.47 – $70.74 | 5 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $667.33 – $1,425.04 | 31 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $284.46 – $607.44 | 31 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $220.85 – $220.85 | 2 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $148.83 – $148.83 | 2 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $166.33 – $166.33 | 2 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $89.53 – $89.53 | 2 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $857.91 – $1,832.00 | 31 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $643.19 – $1,373.48 | 31 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,550.95 | $4,191.75 | $387.22 – $884.18 | 33 |
| Nm imaging bone/joint whole body CPT 78306 | $1,665.83 | $4,502.25 | $387.22 – $884.18 | 33 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,550.95 | $4,191.75 | $387.22 – $884.18 | 33 |
| Nm imaging gastric emptying study CPT 78264 | $1,550.95 | $4,191.75 | $387.22 – $884.18 | 33 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,550.95 | $4,191.75 | $387.22 – $887.09 | 33 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,550.95 | $4,191.75 | $518.69 – $1,178.35 | 33 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,550.95 | $4,191.75 | $351.98 – $1,158.73 | 33 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,550.95 | $4,191.75 | $518.69 – $1,158.73 | 33 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,550.95 | $4,191.75 | $387.22 – $884.18 | 33 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $147.37 – $533.34 | 33 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $387.22 – $884.18 | 33 |
| Non-imaging heart function CPT 78414 | not published | not published | $518.69 – $1,158.73 | 32 |
| Noninv pace analysis CPT 93724 | not published | not published | $106.08 – $617.13 | 33 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $1,886.37 – $5,359.00 | 4 |
| Npm1 gene CPT 81310 | $111.00 | $300.00 | $216.94 – $616.30 | 35 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $64.58 – $64.58 | 2 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $11.93 – $11.93 | 2 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | not published | $57.83 – $57.83 | 2 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $310.85 – $1,091.85 | 33 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $230.90 – $230.90 | 2 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $20.57 – $53.58 | 33 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $30.97 – $80.65 | 33 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $10.85 – $28.25 | 33 |
| Nras gene variants exon 2&3 CPT 81311 | $125.80 | $340.00 | $260.29 – $739.48 | 35 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $3,525.22 – $3,525.22 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $420.05 – $420.05 | 2 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $199.02 – $518.28 | 34 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $199.02 – $518.28 | 34 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $199.02 – $518.28 | 34 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $497.55 – $1,295.70 | 34 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $87.30 – $87.30 | 2 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $129.38 – $129.38 | 2 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $175.33 – $175.33 | 2 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | not published | not published | $82.63 – $82.63 | 2 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $43.28 – $43.28 | 2 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $84.15 – $84.15 | 2 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $557.43 – $1,190.35 | 31 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $557.43 – $1,190.35 | 31 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $387.22 – $884.18 | 33 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $19.17 – $54.45 | 35 |
| Nuclear rx intra-arterial CPT 79445 | $403.39 | $1,090.25 | $215.98 – $533.34 | 32 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $116.45 – $533.34 | 33 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $155.66 – $533.34 | 33 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $149.46 – $533.34 | 33 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,608.39 | $4,347.00 | $1,157.66 – $3,044.09 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $215.98 – $533.34 | 32 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $256.40 – $728.40 | 35 |
| Nursing fac care supervision CPT 99379 | not published | not published | $162.98 – $162.98 | 2 |
| Nursing fac care supervision CPT 99380 | not published | not published | $246.88 – $246.88 | 2 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $314.65 – $314.65 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $196.25 – $196.25 | 2 |
| Nushield 1 square cm HCPCS Q4160 | $8,322.32 | $22,492.75 | $113.03 – $231.63 | 6 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $71.59 | $193.49 | $91.76 – $163.88 | 5 |
| Observation care discharge CPT 99217 | not published | not published | $178.78 – $178.78 | 2 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $503.93 – $503.93 | 2 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $236.98 – $236.98 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $384.73 – $384.73 | 2 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $65.88 – $187.15 | 35 |
| Obstetrics panel CPT 80055 | not published | not published | $42.07 – $119.53 | 35 |
| Obtaining screen pap smear HCPCS Q0091 | $29.14 | $78.75 | $22.99 – $59.31 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $196.01 | $529.75 | $102.47 – $235.69 | 33 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $196.01 | $529.75 | $85.04 – $85.04 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $24.05 | $65.00 | $0.72 – $1.22 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $3,286.95 | $8,883.64 | $249.60 – $478.23 | 5 |
| Ocular function screen CPT 99172 | not published | not published | $32.03 – $32.03 | 2 |
| Ocular instrumnt screen bil CPT 99174 | $52.91 | $143.00 | $14.88 – $14.88 | 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.