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 |
|---|---|---|---|---|
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $878.55 – $5,618.00 | 32 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Progesterone CPT 84144 | $15.91 | $43.00 | $18.36 – $52.15 | 35 |
| Prolactin CPT 84146 | $63.73 | $172.25 | $17.06 – $48.45 | 35 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $47.55 – $47.55 | 2 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $22.48 – $22.48 | 2 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $94.58 – $94.58 | 2 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $86.77 | $234.50 | $74.60 – $74.60 | 2 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $320.98 – $320.98 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $231.78 – $231.78 | 2 |
| Prolong service without contact CPT 99358 | $118.40 | $320.00 | $216.80 – $216.80 | 2 |
| Prolong serv without contact add CPT 99359 | not published | not published | $91.25 – $91.25 | 2 |
| Promethazine hcl injection HCPCS J2550 | $62.90 | $169.99 | $4.04 – $7.82 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $288.06 – $615.12 | 31 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $528.64 – $1,128.87 | 31 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $2.93 | $7.91 | $0.11 – $0.12 | 4 |
| _propoxygc/msur CPT 80367 | not published | not published | $56.25 – $56.25 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $33.78 | $91.30 | $12.32 – $14.91 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,513.58 | $4,090.75 | $283.41 – $442.60 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $9.90 | $26.76 | $1.71 – $1.71 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $23.08 – $65.55 | 4 |
| Protein c activity CPT 85303 | $35.34 | $95.50 | $12.18 – $34.60 | 35 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $105.27 | $284.50 | $9.45 – $26.85 | 35 |
| Protein s total CPT 85305 | $11.84 | $32.00 | $10.22 – $29.03 | 35 |
| Protein total 24 hour urine CPT 84156 | $33.49 | $90.50 | $3.23 – $9.18 | 35 |
| Protein total body fluid CPT 84157 | $36.17 | $97.75 | $3.52 – $10.00 | 35 |
| Protein total serum plasma whole blood CPT 84155 | $8.14 | $22.00 | $3.23 – $9.18 | 35 |
| Protein western blot tissue CPT 88371 | not published | not published | $19.56 – $55.58 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | $3.69 | $9.97 | $2.66 – $7.84 | 5 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $40.05 | $108.25 | $3.47 – $9.85 | 35 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $557.43 – $1,190.35 | 31 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.57 – $24.35 | 35 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $89.14 – $198.53 | 33 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $31,415.00 – $31,415.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $31,415.00 – $31,415.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $35,179.00 – $35,179.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $1,647.48 – $35,179.00 | 3 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $35,179.00 – $35,179.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $35,179.00 – $35,179.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $1,464.98 – $35,179.00 | 3 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $35,179.00 – $35,179.00 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $1,465.80 – $35,179.00 | 3 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $1,646.28 – $35,179.00 | 3 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $1,319.85 – $31,415.00 | 3 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $1,571.93 – $31,415.00 | 3 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $1,647.90 – $35,179.00 | 3 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $384.53 – $821.13 | 31 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $124.21 – $265.25 | 31 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $293.13 – $625.95 | 31 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $385.00 – $822.13 | 31 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $191.47 – $408.87 | 31 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $191.47 – $408.87 | 31 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $191.47 – $408.87 | 31 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $191.47 – $408.87 | 31 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $96.68 – $96.68 | 2 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $421.28 – $899.60 | 31 |
| PSA (Prostate) Test CPT 84153 | $12.67 | $34.25 | $16.18 – $45.98 | 35 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $5.75 – $50.39 | 33 |
| Psychoanalysis CPT 90845 | not published | not published | $154.83 – $330.62 | 33 |
| Psychophysiological therapy CPT 90875 | not published | not published | $141.40 – $141.40 | 2 |
| Psychophysiological therapy CPT 90876 | not published | not published | $251.18 – $251.18 | 2 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $70.15 – $190.34 | 33 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $154.83 – $330.62 | 33 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $224.83 | $607.65 | $154.83 – $330.62 | 33 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $224.83 | $607.65 | $154.83 – $383.60 | 33 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $293.90 – $640.79 | 33 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $205.80 – $205.80 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $79.48 – $821.13 | 33 |
| Psy evaluation of records CPT 90885 | not published | not published | $113.25 – $113.25 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $99.73 – $265.25 | 33 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $87.03 – $87.03 | 2 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $79.48 – $79.48 | 2 |
| Psytx complex interactive CPT 90785 | not published | not published | $35.48 – $35.48 | 2 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $181.55 – $181.55 | 2 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $230.90 – $230.90 | 2 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $307.70 – $307.70 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $46.62 | $126.00 | $13.47 – $35.08 | 33 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $21.18 | $57.25 | $15.93 – $15.93 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $56.33 | $152.25 | $17.58 – $45.78 | 33 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $44.68 | $120.75 | $13.10 – $34.13 | 33 |
| Pt application of modality traction mechanical CPT 97012 | $40.24 | $108.75 | $13.47 – $35.08 | 33 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $157.88 – $157.88 | 2 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $264.00 – $750.00 | 35 |
| Pten gene full sequence CPT 81321 | not published | not published | $528.00 – $1,500.00 | 35 |
| Pten gene known fam variant CPT 81322 | not published | not published | $41.01 – $116.50 | 35 |
| Pt evaluation high complexity patient/family CPT 97163 | $100.92 | $272.75 | $91.97 – $239.50 | 33 |
| Pt evaluation low complexity patient/family CPT 97161 | $100.92 | $272.75 | $91.97 – $239.50 | 33 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $100.92 | $272.75 | $91.97 – $239.50 | 33 |
| Pt-focused hlth risk assmt CPT 96160 | $15.54 | $42.00 | $6.85 – $61.29 | 33 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $22.31 – $58.10 | 33 |
| Pt re-evaluation patient/family CPT 97164 | not published | not published | $63.12 – $164.38 | 33 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $38.96 – $101.45 | 33 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $55.50 | $150.00 | $30.18 – $30.18 | 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.