healthcosts.net

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
Rtm dev sply cbt 16-30 d CPT 98978 not published not published $35.93 – $101.53 33
Rtm dev sply mscskl 16-30 d CPT 98977 $66.23 $179.00 $35.93 – $101.53 33
Rtm dev sply resp sys 16-30d CPT 98976 not published not published $35.93 – $101.53 33
Rtm tx mgmt 1st 20 min CPT 98980 not published not published $122.53 – $122.53 2
Rtm tx mgmt ea addl 20 min CPT 98981 not published not published $96.65 – $96.65 2
Rubella antibody igg CPT 86762 $10.36 $28.00 $12.66 – $35.98 35
Rubeola ag if CPT 87283 not published not published $53.50 – $152.00 35
Rubeola antibody igg CPT 86765 $30.71 $83.00 $11.33 – $32.20 35
Runx1 gene targeted seq alys CPT 81334 not published not published $289.97 – $823.78 35
Russell viper venom diluted CPT 85613 $36.72 $99.25 $8.43 – $23.95 35
Rx metab gen seq alys pnl 6 CPT 81418 not published not published $880.40 – $2,292.70 34
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 $747.34 $2,019.84 $43.68 – $77.61 5
Salivary gland function exam CPT 78232 not published not published $249.91 – $884.18 33
Salivary gland imaging CPT 78230 not published not published $387.22 – $884.18 33
Salivary glnd img serial img CPT 78231 not published not published $249.91 – $884.18 33
Salmonella antibody CPT 86768 not published not published $11.61 – $32.98 35
Same day nb discharge 99463 CPT 99463 not published not published $124.19 – $265.19 33
Sars-cov-2 antb quantitative CPT 86413 not published not published $42.13 – $128.58 34
Sarscov2 vac 5mcg/0.5ml im CPT 91304 not published not published $197.08 – $403.85 6
Sarscov coronavirus ag ia CPT 87426 not published not published $33.92 – $88.33 35
Sarscov & inf vir a&b ag ia CPT 87428 $76.26 $206.10 $67.48 – $175.73 34
S bowel endoscope w/stent CPT 44379 not published not published $5,618.00 – $5,618.00 1
Sbrt management CPT 77435 not published not published $2,004.56 – $2,004.56 1
Sbsq ic vlbw inf<1,500 gm CPT 99478 not published not published $319.00 – $319.00 2
Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 not published not published $371.03 – $371.03 2
Sbsq nursing facil care/day minor complj 15 min CPT 99308 not published not published $178.48 – $178.48 2
Sbsq nursing facil care/day new problem 25 min CPT 99309 not published not published $259.63 – $259.63 2
Sbsq nursing facility care/day e/m stable 10 min CPT 99307 not published not published $95.55 – $95.55 2
Sbsq psyc collab care mgmt CPT 99493 not published not published $89.14 – $330.28 33
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 $826.30 $2,233.25 $232.92 – $1,146.00 34
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 $902.89 $2,440.25 $102.47 – $1,146.00 34
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 $525.68 $1,420.75 $232.92 – $1,146.00 34
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 $311.27 $841.28 $102.47 – $1,146.00 34
Scan duplex extracranial arteries unilateral/limited study CPT 93882 $755.17 $2,041.00 $102.47 – $1,146.00 34
Scan duplex extremity veins unilateral/limited study CPT 93971 $691.07 $1,867.75 $102.47 – $1,146.00 34
Scan duplex lower extremity arteries complete bilateral CPT 93925 $856.00 $2,313.50 $232.92 – $1,146.00 34
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $527.25 $1,425.00 $102.47 – $1,146.00 34
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $530.12 $1,432.75 $102.47 – $1,146.00 34
Scope plantar fasciotomy CPT 29893 not published not published $5,618.00 – $5,618.00 1
Screening Mammogram CPT 77067 $287.12 $776.00 $81.01 – $234.00 33
Screen/visual acuity/bilat/quant 99173 CPT 99173 $183.15 $495.00 $8.03 – $8.03 2
Sc ther infusion reset pump CPT 96371 $109.89 $297.00 $68.58 – $146.45 33
Sedimentation rate erythrocyte automated CPT 85652 $42.00 $113.50 $2.38 – $6.75 35
Select picture audiometry CPT 92583 not published not published $57.24 – $135.73 33
Self-meas bp 2 readg bid 30d CPT 99474 not published not published $40.08 – $40.08 2
Self-meas bp pt educaj/train CPT 99473 not published not published $23.60 – $50.39 33
Self-mgmt educ/train 2-4 pt 30min CPT 98961 not published not published $34.63 – $34.63 2
Self-mgmt educ/train 5-8 pt 30min CPT 98962 not published not published $25.50 – $25.50 2
Semen analysis presence/motility CPT 89321 $30.34 $82.00 $10.60 – $30.13 35
Semen analysis w/count CPT 89310 not published not published $7.58 – $21.53 35
Sensorimotor examination CPT 92060 not published not published $57.24 – $122.22 33
Sensorineural acuity lvl tst CPT 92575 not published not published $37.82 – $169.60 33
Sept9 promoter methylation analysis CPT 81327 not published not published $168.96 – $480.00 35
Serial tonometry CPT 92100 not published not published $196.90 – $196.90 2
Serpina1 gene CPT 81332 $101.75 $275.00 $38.41 – $109.13 35
Sertraline (zoloft) - sendout CPT 80332 not published not published $56.25 – $56.25 2
Set radiation therapy field CPT 77280 not published not published $127.94 – $699.55 32
Set radiation therapy field CPT 77285 not published not published $352.75 – $1,186.68 32
Set radiation therapy field CPT 77290 not published not published $352.75 – $1,209.36 32
Set-up cardiovert-defibrill CPT 93745 not published not published $83.80 – $617.13 33
Sex chromatin identification CPT 88130 not published not published $15.82 – $44.95 35
Sex chromatin identification CPT 88140 not published not published $7.03 – $19.98 35
Sf3b1 gene common variants CPT 81347 not published not published $185.52 – $483.13 34
Sgmdsc w/band ligation CPT 45350 not published not published $5,618.00 – $5,618.00 1
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 not published not published $191.47 – $408.87 31
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 not published not published $191.47 – $408.87 31
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 not published not published $385.00 – $822.13 31
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 not published not published $385.00 – $822.13 31
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 not published not published $191.47 – $408.87 31
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 not published not published $191.47 – $408.87 31
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 not published not published $191.47 – $408.87 31
Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 not published not published $385.00 – $822.13 31
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 not published not published $385.00 – $822.13 31
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 not published not published $191.47 – $408.87 31
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 not published not published $191.47 – $408.87 31
Shigella antibody CPT 86771 not published not published $21.54 – $61.20 35
Shoulder MRI (with and without contrast) CPT 73223 $654.35 $1,768.50 $344.14 – $1,111.00 33
Shoulder MRI (with contrast) CPT 73222 $622.25 $1,681.75 $761.33 – $1,716.48 33
Shoulder MRI (without contrast) CPT 73221 $1,136.27 $3,071.00 $232.92 – $1,111.00 33
Shoulder X-ray CPT 73030 $263.63 $712.50 $68.56 – $194.81 33
Shuntogram nonvascular supervision & interpretation CPT 75809 $249.10 $673.25 $102.47 – $235.69 33
Sialidase enzyme assay CPT 87905 not published not published $10.76 – $30.55 35
Sialography s&i CPT 70390 not published not published $232.92 – $525.31 33
Sickling rbc CPT 85660 $29.97 $81.00 $4.85 – $13.78 35
Sigmoidoscopy and biopsy CPT 45331 not published not published $878.55 – $5,618.00 32
Sigmoidoscopy flex decompression 45337 CPT 45337 not published not published $878.55 – $5,618.00 32
Sigmoidoscopy for bleeding CPT 45334 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy/submucosal injection 45335 CPT 45335 not published not published $878.55 – $5,618.00 32
Sigmoidoscopy w/ablation CPT 45346 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy w/fb removal 45332 CPT 45332 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy w/plcmt stent CPT 45347 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy w/resection CPT 45349 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy w/tumr remove CPT 45338 not published not published $5,618.00 – $5,618.00 1
Sigmoidoscopy w/ultrasound CPT 45341 not published not published $878.55 – $5,618.00 32
Sigmoidoscopy w/us guide bx CPT 45342 not published not published $5,618.00 – $5,618.00 1
Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 not published not published $878.55 – $5,618.00 32
Signal avg ecg w or without ecg 93278 CPT 93278 $91.58 $247.50 $44.50 – $1,636.00 34
Sig w/tndsc balloon dilation CPT 45340 not published not published $5,618.00 – $5,618.00 1
Simple cystometrogram 51725 CPT 51725 not published not published $234.36 – $500.47 31
Sincalide 5 mcg solution for injection HCPCS J2805 $86.95 $235.00 $171.59 – $174.78 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.