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 |
|---|---|---|---|---|
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $295.68 – $770.00 | 34 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $316.33 – $823.78 | 34 |
| Tpmt gene com vrnts CPT 81335 | $74.00 | $200.00 | $153.83 – $437.03 | 35 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $234.36 – $500.47 | 31 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $528.64 – $1,128.87 | 31 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $490.72 – $5,618.00 | 32 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $293.13 – $625.95 | 31 |
| Transcath closure of asd CPT 93580 | not published | not published | $2,427.43 – $2,427.43 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $3,306.00 – $3,306.00 | 2 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $8.25 – $23.43 | 35 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.42 – $12.55 | 35 |
| Transcutaneous methb CPT 88741 | not published | not published | $8.25 – $23.43 | 35 |
| Transfer of embryo CPT 58976 | not published | not published | $293.13 – $625.95 | 31 |
| Transferrin CPT 84466 | $36.17 | $97.75 | $11.23 – $31.90 | 35 |
| Transfusion blood/blood component(s) CPT 36430 | not published | not published | $421.28 – $899.60 | 31 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $123.56 | $333.95 | $92.34 – $168.74 | 5 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $918.89 | $2,483.49 | $34.05 – $237.73 | 7 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $108.27 | $292.62 | $28.46 – $62.33 | 7 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $43.64 – $123.98 | 35 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $231.16 – $493.62 | 31 |
| Treat eyelid by injection CPT 68200 | not published | not published | $384.53 – $821.13 | 31 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $933.31 – $1,993.01 | 31 |
| Treat foot dislocation CPT 28540 | not published | not published | $231.16 – $493.62 | 31 |
| Treat foot dislocation CPT 28570 | not published | not published | $231.16 – $493.62 | 31 |
| Treat foot dislocation CPT 28600 | not published | not published | $231.16 – $493.62 | 31 |
| Treat foot dislocation CPT 28605 | not published | not published | $231.16 – $493.62 | 31 |
| Treat fracture of ulna CPT 25535 | not published | not published | $231.16 – $493.62 | 31 |
| Treat kneecap dislocation CPT 27562 | not published | not published | $231.16 – $493.62 | 31 |
| Treat knee fracture 27530 CPT 27530 | not published | not published | $231.16 – $493.62 | 31 |
| Treat knee fracture(s) CPT 27538 | not published | not published | $231.16 – $493.62 | 31 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $117.01 | $316.25 | $124.21 – $265.25 | 33 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $80.57 | $217.75 | $39.20 – $39.20 | 2 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $61.05 | $165.00 | $18.68 – $418.53 | 33 |
| Treatment of anal fissure CPT 46942 | not published | not published | $878.55 – $1,876.08 | 31 |
| Treatment of ankle fracture 27786 CPT 27786 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $528.64 – $1,128.87 | 31 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $288.06 – $615.12 | 31 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $288.06 – $615.12 | 31 |
| Treatment of fibula fracture 27780 CPT 27780 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment of heel fracture 28400 CPT 28400 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $878.55 – $1,876.08 | 31 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $288.06 – $615.12 | 31 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $528.64 – $1,128.87 | 31 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment of thigh fracture CPT 27508 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment of toe fracture 28510 CPT 28510 | not published | not published | $231.16 – $493.62 | 31 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $253.41 – $541.14 | 31 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $528.64 – $1,128.87 | 31 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $857.91 – $1,832.00 | 31 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $857.91 – $1,832.00 | 31 |
| Treat sternum fracture CPT 21820 | not published | not published | $231.16 – $493.62 | 31 |
| Treat thigh fracture CPT 27230 | not published | not published | $231.16 – $493.62 | 31 |
| Treat thigh fracture CPT 27246 | not published | not published | $231.16 – $493.62 | 31 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $231.16 – $493.62 | 31 |
| Treat toe dislocation CPT 28665 | not published | not published | $255.92 – $546.49 | 31 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $193.85 – $413.96 | 31 |
| Treat wrist dislocation CPT 25675 | not published | not published | $231.16 – $493.62 | 31 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $10.72 – $30.45 | 35 |
| Treponema pallidum antibody CPT 86780 | $23.50 | $63.50 | $11.65 – $33.10 | 35 |
| Trg gene rearrangement anal CPT 81342 | $120.25 | $325.00 | $177.32 – $503.75 | 35 |
| Trh stimulation panel CPT 80439 | not published | not published | $59.15 – $168.03 | 35 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $48.22 | $130.32 | $1.06 – $1.35 | 4 |
| Trichinella antibody CPT 86784 | not published | not published | $11.05 – $31.40 | 35 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $13.46 – $38.23 | 35 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $25.88 – $25.88 | 2 |
| Triglycerides CPT 84478 | $68.08 | $184.00 | $5.05 – $14.35 | 35 |
| Trimethobenzamide hcl inj HCPCS J3250 | $56.24 | $152.00 | $76.43 – $76.43 | 3 |
| Trim nondyst nails CPT 11719 | not published | not published | $57.24 – $122.22 | 31 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $231.16 – $493.62 | 31 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $615.10 – $1,601.83 | 34 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $8,100.00 | 3 |
| Troponin quantitative CPT 84484 | $55.96 | $151.25 | $10.97 – $31.18 | 35 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $528.64 – $1,128.87 | 31 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $476.75 | $1,288.50 | $164.33 – $164.33 | 2 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $138.84 | $375.25 | $165.83 – $165.83 | 2 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $421.28 – $899.60 | 31 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $2,351.98 – $39,982.00 | 3 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $231.16 – $493.62 | 31 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $231.16 – $493.62 | 31 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $231.16 – $493.62 | 31 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $589.86 – $1,259.60 | 31 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $589.86 – $1,259.60 | 31 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $763.33 – $39,982.00 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $231.16 – $493.62 | 31 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $51.53 – $321.95 | 33 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $490.72 – $1,047.90 | 31 |
| Tyms gene com variants CPT 81346 | not published | not published | $153.83 – $437.03 | 35 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $110.11 – $269.33 | 6 |
| U2af1 gene common variants CPT 81357 | not published | not published | $185.52 – $483.13 | 34 |
| Ua w/micro/comp poc CPT 81000 | $12.03 | $32.50 | $3.54 – $10.05 | 35 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $205.92 – $585.00 | 35 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $263.63 | $712.50 | $102.47 – $251.03 | 33 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $12.87 – $235.69 | 33 |
| Ultrasound breast complete CPT 76641 | $754.80 | $2,040.00 | $102.47 – $235.69 | 33 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $666.00 | $1,800.00 | $84.84 – $194.81 | 33 |
| Ultrasound chest CPT 76604 | $444.56 | $1,201.50 | $102.47 – $235.69 | 33 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $624.28 | $1,687.25 | $63.39 – $235.69 | 33 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $62.36 – $235.69 | 33 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $99.00 – $99.00 | 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.