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 |
|---|---|---|---|---|
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $739.77 – $2,101.63 | 35 |
| Autologous blood op salvage CPT 86891 | $126.73 | $342.50 | $231.08 – $1,680.98 | 34 |
| Autologous blood process CPT 86890 | $117.57 | $317.75 | $143.50 – $352.62 | 34 |
| Automated diff wbc count CPT 85004 | $25.62 | $69.25 | $5.69 – $16.18 | 35 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $101.20 – $265.25 | 33 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $98.48 – $321.95 | 33 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $124.21 – $265.25 | 33 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $191.47 – $408.87 | 31 |
| Azacitidine injection HCPCS J9025 | $14.85 | $40.13 | $0.39 – $0.44 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.69 | $4.56 | $1.23 – $1.79 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $79.94 | $216.06 | $3.20 – $3.20 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $475.45 | $1,285.00 | $213.26 – $380.71 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $86.49 | $233.75 | $61.10 – $65.66 | 4 |
| Baclofen eval charges CPT 97750 | $35.24 | $95.25 | $31.07 – $80.90 | 33 |
| Bacterial meningitis antigen CPT 86403 | $113.41 | $306.50 | $10.16 – $28.85 | 35 |
| Bacterial vaginosis pcr CPT 87801 | $110.26 | $298.00 | $61.78 – $175.50 | 35 |
| Bactericidal level serum CPT 87197 | $30.71 | $83.00 | $13.22 – $37.55 | 35 |
| #bac vag cand-c. albicans naa CPT 87481 | $79.18 | $214.00 | $30.88 – $87.73 | 35 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $30.88 – $87.73 | 35 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $66.58 – $321.95 | 33 |
| B cells total count CPT 86355 | not published | not published | $33.20 – $94.33 | 35 |
| Bckdhb gene CPT 81205 | not published | not published | $83.59 – $237.48 | 35 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $63.37 | $171.26 | $67.06 – $120.25 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $24.66 | $66.65 | $16.57 – $29.46 | 5 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $191.47 – $408.87 | 31 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $191.47 – $408.87 | 31 |
| #_benzodiazconfur CPT 80346 | not published | not published | $56.25 – $56.25 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $53.93 | $145.75 | $25.34 – $25.34 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $22.40 – $63.63 | 35 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $14.24 – $40.45 | 35 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $62.45 | $168.79 | $8.36 – $16.45 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,574.04 | $6,956.85 | $88.73 – $160.29 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $200.78 | $542.66 | $36.38 – $184.04 | 7 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $79.46 | $214.75 | $72.38 – $188.50 | 33 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $79.46 | $214.75 | $29.74 – $77.45 | 33 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $14.84 – $42.18 | 35 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $857.91 – $1,832.00 | 31 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $284.46 – $607.44 | 31 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $284.46 – $607.44 | 31 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $23.39 – $66.45 | 35 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Bilicheck CPT 88720 | $17.48 | $47.25 | $4.42 – $12.55 | 35 |
| Bilirubin direct CPT 82248 | $10.92 | $29.50 | $4.42 – $12.55 | 35 |
| Bilirubin total CPT 82247 | $49.77 | $134.50 | $4.42 – $12.55 | 35 |
| Biofeedback, pt CPT 90901 | not published | not published | $36.70 – $95.58 | 33 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $839.07 – $1,791.76 | 31 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $223.78 – $477.85 | 31 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $288.06 – $615.12 | 31 |
| Biopsy of heart lining CPT 93505 | not published | not published | $905.43 – $905.43 | 2 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $903.46 – $1,929.25 | 31 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $223.78 – $477.85 | 31 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $678.00 – $1,447.81 | 31 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $678.00 – $1,447.81 | 31 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $143.50 – $352.62 | 32 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $143.50 – $352.62 | 32 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $589.86 – $1,259.60 | 31 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $490.72 – $1,047.90 | 31 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $490.72 – $1,047.90 | 31 |
| Biospy of bladder CPT 53899 | not published | not published | $234.36 – $500.47 | 31 |
| Biotinidase - quest CPT 82261 | not published | not published | $14.84 – $42.18 | 35 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $150.77 – $321.95 | 33 |
| Bivalirudin HCPCS J0583 | $4.01 | $10.83 | $0.18 – $0.24 | 4 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $234.36 – $500.47 | 31 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $421.28 – $899.60 | 31 |
| Bld prd mix CPT 86965 | $26.46 | $71.50 | $53.98 – $352.62 | 34 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $421.28 – $899.60 | 31 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $17.18 | $46.42 | $26.30 – $31.37 | 4 |
| Blink reflex test CPT 95933 | not published | not published | $57.24 – $122.22 | 33 |
| Blm gene CPT 81209 | not published | not published | $34.59 – $98.28 | 35 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $32.65 | $88.25 | $42.85 – $42.85 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $857.91 – $1,832.00 | 31 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $857.91 – $1,832.00 | 31 |
| Block paracervical nrv CPT 64435 | not published | not published | $667.33 – $1,425.04 | 31 |
| Block plantar digital nerve CPT 64455 | not published | not published | $284.46 – $607.44 | 31 |
| Blood Clotting (PT/INR) Test CPT 85610 | $21.46 | $58.00 | $3.78 – $10.73 | 35 |
| Blood Clotting (PTT) Test CPT 85730 | $88.06 | $238.00 | $5.29 – $15.03 | 35 |
| Blood Count (CBC) Test CPT 85025 | $51.25 | $138.50 | $6.84 – $19.43 | 35 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $46.62 | $126.00 | $5.69 – $16.18 | 35 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $6.16 – $17.50 | 35 |
| Blood Culture Test CPT 87040 | $99.07 | $267.75 | $9.08 – $25.80 | 35 |
| Blood draw capillary 36416 CPT 36416 | $4.35 | $11.75 | $2.89 – $2.89 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $69.32 – $196.93 | 35 |
| Blood gases ph venous CPT 82800 | $8.51 | $23.00 | $9.68 – $27.50 | 35 |
| Blood, l/r, irradiated HCPCS P9056 | $98.05 | $265.00 | $210.43 – $210.43 | 2 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $40.33 | $109.00 | $14.01 – $39.80 | 35 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $14.80 | $40.00 | $3.72 – $10.58 | 35 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $14.80 | $40.00 | $3.86 – $10.95 | 35 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.91 | $43.00 | $4.68 – $13.30 | 35 |
| Blood smear interpretation CPT 85060 | $45.14 | $122.00 | $22.23 – $56.68 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $10.45 | $28.25 | $3.34 – $9.50 | 35 |
| Blood typing abo CPT 86900 | $36.45 | $98.50 | $2.63 – $265.25 | 35 |
| Blood typing ag donor ea ag CPT 86902 | $27.94 | $75.50 | $5.59 – $740.21 | 35 |
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.