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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $693.10 | $1,873.25 | $171.54 – $783.00 | 33 |
| Sinus CT scan (with contrast) CPT 70487 | $647.32 | $1,749.50 | $171.54 – $783.00 | 33 |
| Sinus CT scan (without contrast) CPT 70486 | $601.44 | $1,625.50 | $102.47 – $783.00 | 33 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $237.65 – $6,833.27 | 2 |
| Sirolimus, oral HCPCS J7520 | $9.81 | $26.50 | $1.39 – $1.59 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $26.64 | $72.00 | $56.25 – $56.25 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $29.48 – $29.48 | 2 |
| Skin Biopsy CPT 11102 | not published | not published | $191.47 – $408.87 | 31 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $4.65 – $50.39 | 35 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $153.83 – $437.03 | 35 |
| Sleep study attended CPT 95807 | not published | not published | $511.31 – $4,031.00 | 34 |
| Sleep Study (Polysomnography) CPT 95810 | $5,160.76 | $13,948.00 | $1,172.88 – $4,031.00 | 3 |
| Sleep study unattended CPT 95806 | $619.94 | $1,675.50 | $121.73 – $4,031.00 | 34 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $77.08 – $77.08 | 2 |
| Slp eval non-spch gen comm dev CPT 92605 | $118.77 | $321.00 | $220.38 – $220.38 | 2 |
| Slp pure tone screening CPT 92551 | not published | not published | $29.30 – $29.30 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $57.24 – $4,031.00 | 34 |
| Slp ther svc non-spch gen CPT 92606 | $104.90 | $283.50 | $188.08 – $188.08 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $14.82 – $42.10 | 35 |
| Small bowel endoscopy CPT 44360 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $903.46 – $5,618.00 | 32 |
| Small bowel endoscopy CPT 44384 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $903.46 – $5,618.00 | 32 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $453.60 | 35 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $27.47 | $74.25 | $4.74 – $13.48 | 35 |
| Smear gram stain CPT 87205 | $22.11 | $59.75 | $3.76 – $10.68 | 35 |
| Smear nasal eosinophil CPT 89190 | $23.68 | $64.00 | $5.09 – $14.48 | 35 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $26.92 | $72.75 | $5.27 – $14.98 | 35 |
| Smear wet mount CPT 87210 | $9.07 | $24.50 | $5.12 – $14.55 | 35 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $265.19 – $753.38 | 35 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $162.98 – $463.00 | 35 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $41.36 – $117.50 | 35 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $44.94 – $127.68 | 35 |
| Sodium 24 hour urine CPT 84300 | $30.34 | $82.00 | $4.45 – $12.65 | 35 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $86.27 | $233.15 | $3.01 – $3.75 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.45 | $185.00 | $1.51 – $1.88 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $61.41 | $165.97 | $0.76 – $0.95 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $48.29 | $130.50 | $0.23 – $0.23 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $9.71 | $26.24 | $2.37 – $2.99 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $6.85 | $18.50 | $4.23 – $12.03 | 35 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $3,363.28 | 3 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,989.58 | 3 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $8,221.28 | 3 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,615.88 | 3 |
| Somatosensory testing CPT 95927 | $971.44 | $2,625.50 | $300.08 – $640.79 | 33 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $7,473.88 | 3 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $861.00 – $2,242.18 | 34 |
| Special physics consult CPT 77370 | not published | not published | $127.94 – $367.30 | 32 |
| Special pump services CPT 99190 | not published | not published | $1,011.63 – $1,011.63 | 2 |
| Special pump services CPT 99191 | not published | not published | $709.80 – $709.80 | 2 |
| Special pump services CPT 99192 | not published | not published | $506.20 – $506.20 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $55.15 – $273.20 | 32 |
| Special radiation treatment CPT 77470 | not published | not published | $74.71 – $1,190.35 | 32 |
| Special teletx port plan CPT 77321 | not published | not published | $127.32 – $753.27 | 32 |
| Specific gravity body fluid CPT 84315 | $8.97 | $24.25 | $2.89 – $8.20 | 35 |
| Specimen fat stain CPT 89125 | $18.69 | $50.50 | $5.17 – $14.70 | 35 |
| Speech audiometry complete CPT 92556 | not published | not published | $57.24 – $122.22 | 33 |
| Speech evaluation complex CPT 70371 | not published | not published | $188.14 – $525.31 | 33 |
| Speech recep thresh CPT 92555 | not published | not published | $57.24 – $122.22 | 33 |
| Sperm antibody test CPT 89325 | not published | not published | $9.39 – $26.68 | 35 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.24 – $48.98 | 35 |
| Sperm identification CPT 89257 | not published | not published | $49.47 – $109.94 | 32 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.47 – $109.94 | 32 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.47 – $109.94 | 32 |
| Sperm washing 58323 CPT 58323 | not published | not published | $12.22 – $413.96 | 32 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $667.33 – $1,425.04 | 31 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $300.08 – $640.79 | 33 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $506.90 | $1,370.00 | $66.55 – $640.79 | 33 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $150.77 – $321.95 | 33 |
| Spleen imaging CPT 78185 | not published | not published | $387.22 – $884.18 | 33 |
| Split blood or products CPT 86985 | $240.87 | $651.00 | $42.58 – $352.62 | 34 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $37.30 – $37.30 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $319.62 – $682.53 | 31 |
| Sputum specimen collection CPT 89220 | not published | not published | $13.96 – $352.62 | 35 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $168.38 – $438.50 | 34 |
| Srs linear based CPT 77372 | not published | not published | $3,062.37 – $3,062.37 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $130.40 – $321.95 | 33 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $254.93 | $689.00 | $100.72 – $262.30 | 33 |
| Staph a dna amp probe CPT 87640 | $92.96 | $251.25 | $30.88 – $87.73 | 35 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $330.04 | $892.00 | $93.89 – $244.50 | 33 |
| Stem cells total count CPT 86367 | not published | not published | $68.45 – $194.45 | 35 |
| Stenger test pure tone CPT 92565 | not published | not published | $50.60 – $122.22 | 33 |
| Stenger test speech CPT 92577 | not published | not published | $52.88 – $1,091.85 | 33 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,327.84 – $1,327.84 | 1 |
| St evaluate speech sound production CPT 92522 | $254.93 | $689.00 | $102.63 – $267.28 | 33 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $247.90 | $670.00 | $210.49 – $548.15 | 33 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $149.30 | $403.50 | $83.59 – $217.68 | 33 |
| St evaluation swallow function CPT 92610 | $114.79 | $310.25 | $78.38 – $204.13 | 33 |
| Stimulants synthetic CPT 80371 | not published | not published | $56.25 – $56.25 | 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.