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 |
|---|---|---|---|---|
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $102.47 – $235.69 | 33 |
| Ultrasound encephalogram CPT 76506 | $659.80 | $1,783.25 | $102.47 – $241.75 | 33 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $513.93 | $1,389.00 | $102.47 – $343.28 | 33 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $883.65 | $2,388.25 | $102.47 – $235.69 | 33 |
| Ultrasound guidance for vascular access CPT 76937 | $340.22 | $919.50 | $63.93 – $63.93 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $946.92 | $2,559.25 | $74.71 – $74.71 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $84.84 – $228.35 | 33 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $84.84 – $215.99 | 33 |
| Ultrasound joint complete left CPT 76881 | $693.29 | $1,873.75 | $102.47 – $235.69 | 33 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $684.22 | $1,849.25 | $95.34 – $235.69 | 33 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $102.47 – $235.69 | 32 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $159.75 | $431.75 | $123.19 – $123.19 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $154.66 | $418.00 | $62.91 – $62.91 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $617.90 | $1,670.00 | $232.92 – $525.31 | 33 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $340.96 | $921.50 | $102.47 – $235.69 | 33 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $340.96 | $921.50 | $102.47 – $235.69 | 33 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $549.27 | $1,484.50 | $102.47 – $235.69 | 33 |
| Ultrasound prostate/transrectal CPT 76872 | $750.36 | $2,028.00 | $102.47 – $321.15 | 33 |
| Ultrasound retroperitoneal limited CPT 76775 | $444.56 | $1,201.50 | $87.10 – $235.69 | 33 |
| Ultrasound scrotum and contents CPT 76870 | $632.61 | $1,709.75 | $102.47 – $235.69 | 33 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $102.47 – $245.89 | 33 |
| Ultrasound transabd ea addl gest CPT 76812 | $199.25 | $538.50 | $320.60 – $320.60 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $710.31 | $1,919.75 | $102.47 – $257.21 | 33 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $171.54 – $713.99 | 33 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $520.13 – $520.13 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.61 – $19.83 | 33 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $293.13 – $625.95 | 31 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.60 – $1,146.00 | 32 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.60 – $50.39 | 31 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $44.46 – $94.94 | 31 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.84 – $194.81 | 32 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.47 – $109.94 | 32 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.47 – $109.94 | 32 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $150.77 – $321.95 | 31 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $193.85 – $413.96 | 31 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.84 – $194.81 | 32 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $193.85 – $413.96 | 31 |
| Unlisted maaa CPT 81599 | $72.15 | $195.00 | $97.50 – $97.50 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.47 – $109.94 | 32 |
| Unlisted mr procedure CPT 76498 | not published | not published | $84.84 – $1,111.00 | 33 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $150.77 – $321.95 | 31 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.60 – $50.39 | 31 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.60 – $50.39 | 31 |
| Unlisted procedure colon CPT 45399 | not published | not published | $878.55 – $1,876.08 | 31 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $903.46 – $1,929.25 | 31 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $288.06 – $615.12 | 31 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted procedure liver CPT 47399 | not published | not published | $678.00 – $1,447.81 | 31 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | not published | 0 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $288.06 – $615.12 | 31 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $678.00 – $1,447.81 | 31 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $878.55 – $1,876.08 | 31 |
| Unlisted procedure spine CPT 22899 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.70 – $61.29 | 31 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $903.46 – $1,929.25 | 31 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $152.05 – $324.70 | 31 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $288.06 – $615.12 | 31 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $678.00 – $1,447.81 | 31 |
| Unlisted px external ear CPT 69399 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $288.06 – $615.12 | 31 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px inner ear CPT 69949 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $288.06 – $615.12 | 31 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $234.36 – $500.47 | 31 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $127.94 – $273.20 | 31 |
| Unlisted px middle ear CPT 69799 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $231.16 – $493.62 | 31 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px small intestine CPT 44799 | not published | not published | $903.46 – $5,618.00 | 32 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $127.94 – $273.20 | 31 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $223.78 – $477.85 | 31 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.47 – $109.94 | 32 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $387.22 – $884.18 | 32 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $191.47 – $408.87 | 31 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.47 – $109.94 | 32 |
| Unlisted transfusion med px CPT 86999 | $12.86 | $34.75 | $22.99 – $50.39 | 32 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $84.84 – $194.81 | 32 |
| Unlisted urinalysis px CPT 81099 | not published | not published | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $595.78 – $1,272.23 | 31 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $387.22 – $884.18 | 32 |
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.