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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
Plasma volume single CPT 78110 not published not published $182.92 – $3,044.09 2
Platelet aggregation each agent teg CPT 85576 $44.22 $119.50 $21.92 – $62.28 35
Platelet automated CPT 85049 $30.34 $82.00 $3.94 – $11.20 35
Platelet deplete of harvest CPT 38213 not published not published $421.28 – $899.60 31
Platelets leukocytes reduced each unit HCPCS P9031 $144.49 $390.50 $314.43 – $314.43 2
Platelets leukocytes reduced irradiated each unit HCPCS P9033 $205.54 $555.50 $513.48 – $513.48 2
Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 $235.69 $637.00 $568.13 – $568.13 2
Platelet survival CPT 78191 not published not published $297.32 – $884.18 33
Plcg2 gene common variants CPT 81320 not published not published $256.40 – $728.40 35
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 not published not published $678.00 – $1,447.81 31
Plethysmography lung volumes/airway resistance CPT 94726 $616.98 $1,667.50 $103.48 – $640.79 33
Pm device progr eval dual CPT 93280 $129.13 $349.00 $35.93 – $1,636.00 34
Pm device progr eval multi CPT 93281 $129.13 $349.00 $35.93 – $1,636.00 34
Pml/raralpha 1 breakpoint CPT 81316 not published not published $182.43 – $518.28 35
Pmp22 gene dup/delet CPT 81324 not published not published $667.36 – $1,895.90 35
Pmp22 gene full sequence CPT 81325 not published not published $677.23 – $1,923.95 35
Pmp22 gene known fam variant CPT 81326 not published not published $41.01 – $116.50 35
Pm phone r-strip device eval CPT 93293 not published not published $35.93 – $1,636.00 34
Pms2 gene dup/delet variants CPT 81319 not published not published $179.08 – $508.75 35
Pms2 gene full seq analysis CPT 81317 not published not published $595.32 – $1,691.25 35
Pms2 known familial variants CPT 81318 not published not published $291.28 – $827.50 35
Pneumothrx tx-intraplrl inj ai CPT 32960 not published not published $595.78 – $1,272.23 31
#pnh-flow cytometry interp CPT 88187 $68.17 $184.25 $34.73 – $85.45 4
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $112.39 $303.75 $22.94 – $65.18 35
Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 $116.44 $314.69 $161.93 – $291.09 5
Polysom <6 yrs cpap/bilvl CPT 95783 $2,739.48 $7,404.00 $2,061.70 – $4,031.00 3
Polysom any age 1-3> param CPT 95808 not published not published $942.13 – $4,031.00 3
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $5,143.00 $13,900.00 $1,229.13 – $4,031.00 3
Polyvalent mult org ea ag ia CPT 87451 not published not published $9.25 – $26.28 35
Positional nystagmus test CPT 92532 not published not published $42.73 – $42.73 2
Potassium 24 hour urine CPT 84133 $34.69 $93.75 $4.16 – $11.83 35
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $16.24 $43.88 $0.15 – $0.26 4
Potassium serum/plasma/whole blood CPT 84132 $7.96 $21.50 $4.19 – $11.90 35
Ppp2r2b gen detc abnor allel CPT 81343 not published not published $120.56 – $342.50 35
Pq dr cath chg w cont s&i CPT 75984 not published not published $186.10 – $186.10 1
Pq thr inj ext pse CPT 36002 not published not published $595.78 – $1,272.23 31
Pr application of long arm splint CPT 29105 not published not published $152.05 – $324.70 31
Pr application splint static short arm CPT 29125 not published not published $124.21 – $265.25 31
Pr assessment emotional/behavioral per instrument brief CPT 96127 $62.81 $169.75 $11.08 – $80.77 33
Pr biopsy skin punch single lesion CPT 11104 not published not published $385.00 – $822.13 31
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $50.04 $135.25 $28.70 – $61.29 33
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published $5,618.00 – $5,618.00 1
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $180.10 $486.75 $191.47 – $408.87 33
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 not published not published $196.35 – $196.35 2
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 not published not published $277.23 – $277.23 2
Prealbumin CPT 84134 $29.51 $79.75 $12.84 – $36.48 35
Pr ecg 12 lead report only CPT 93010 not published not published $19.50 – $1,636.00 3
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 not published not published $43.38 – $1,636.00 3
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.34 $3.62 $0.59 – $0.86 4
Prednisone 1 mg tablet HCPCS J7512 $1.85 $5.00 $0.02 – $1.74 4
Pregabalin - sendout CPT 80366 not published not published $56.25 – $56.25 2
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 not published not published $5,618.00 – $5,618.00 1
Pregnancy associated plasma protein-a CPT 84163 $5.92 $16.00 $13.24 – $37.63 35
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $340.96 $921.50 $102.47 – $262.37 33
Pregnancy Ultrasound (first trimester) CPT 76801 $542.33 $1,465.75 $102.47 – $235.69 33
Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 not published not published $320.05 – $320.05 2
Preparation palate mold CPT 42280 not published not published $490.72 – $1,047.90 31
Prepare embryo for transfer CPT 89255 not published not published $49.47 – $109.94 32
Prep skin to 100cm2 other CPT 15004 not published not published $589.86 – $1,259.60 31
Pressure max expiratory/inspiratory CPT 94799 not published not published $150.77 – $321.95 31
Pressure velocity wire add ves CPT 93572 not published not published $225.35 – $225.35 2
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 $35.80 $96.75 $57.78 – $352.62 34
Pretreat rbc absorption reference CPT 86978 $86.21 $233.00 $33.43 – $122.22 34
Pretreat rbc density gradient separation reference CPT 86972 $47.18 $127.50 $67.65 – $352.62 34
Pretreat rbc w chem/drugs reference CPT 86970 $86.21 $233.00 $33.43 – $122.22 34
Pretreat rbc w enzyme reference CPT 86971 not published not published $38.78 – $352.62 34
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 not published not published $154.83 – $468.65 33
Preventive counseling group CPT 99411 not published not published $46.00 – $46.00 2
Preventive counseling group CPT 99412 not published not published $58.33 – $58.33 2
Prev med cnsl indiv apprx 15 CPT 99401 not published not published $91.03 – $91.03 2
Prev med cnsl indiv apprx 30 CPT 99402 not published not published $149.03 – $149.03 2
Prev med cnsl indiv apprx 45 CPT 99403 not published not published $205.10 – $205.10 2
Prev med cnsl indiv apprx 60 CPT 99404 not published not published $265.85 – $265.85 2
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 not published not published $385.00 – $822.13 31
Prgrmg dev eval impltbl sys CPT 93260 not published not published $35.93 – $1,636.00 34
Prgrmg dev eval pm/ldls pm CPT 93279 $129.13 $349.00 $35.93 – $1,636.00 34
Prgrmg dev eval scrms ip CPT 93285 not published not published $35.93 – $1,636.00 34
Prgrmg eval implantable dfb CPT 93282 $129.13 $349.00 $35.93 – $1,636.00 34
Prgrmg eval implantable dfb CPT 93283 $129.13 $349.00 $35.93 – $1,636.00 34
Prgrmg eval implantable dfb CPT 93284 $129.13 $349.00 $35.93 – $1,636.00 34
Prgr stim/pace a/iv drug CPT 93623 not published not published $5,202.68 – $24,882.00 3
Pr hospital ip/obs care initial high level per day CPT 99223 not published not published $421.90 – $421.90 2
Pr hospital ip/obs care initial moderate level per day CPT 99222 not published not published $316.93 – $316.93 2
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 not published not published $202.15 – $202.15 2
Pr hospital ip/obs care subsequent high level per day CPT 99233 not published not published $286.45 – $286.45 2
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 not published not published $192.65 – $192.65 2
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 not published not published $119.25 – $119.25 2
Prin care mgmt staff 1st 30 CPT 99426 not published not published $89.14 – $190.34 33
Pr incision & drainage abscess complicated/multiple CPT 10061 not published not published $385.00 – $822.13 31
Pr incision & drainage abscess simple/single CPT 10060 not published not published $191.47 – $408.87 31
Pr incision & drainage abscess vulva/perineal CPT 56405 not published not published $293.13 – $625.95 31
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 not published not published $385.00 – $822.13 31
Pr management transitional care high w/in 7 days of discharge CPT 99496 not published not published $124.19 – $669.43 33
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 not published not published $124.19 – $493.55 33
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $197.67 $534.25 $116.53 – $116.53 2
Probe nasolacrimal duct CPT 68810 not published not published $288.06 – $615.12 31
Procalcitonin CPT 84145 $78.90 $213.25 $23.96 – $68.05 35
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $47.96 $129.62 $4.43 – $4.43 3
Proctosigmoidoscopy ablate CPT 45320 not published not published $5,618.00 – $5,618.00 1
Proctosigmoidoscopy control bleed 45317 CPT 45317 not published not published $5,618.00 – $5,618.00 1

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.