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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
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 $5.27 $14.25 $8.54 – $24.25 35
Warde gastrin CPT 82941 not published not published $15.51 – $44.08 35
Warde growth hormone (hgh) CPT 83003 not published not published $14.67 – $41.68 35
Warde haloperidol therapeutic drug level CPT 80173 not published not published $13.89 – $39.45 35
Warde helminth antibody strongyloides igg CPT 86682 $25.16 $68.00 $11.45 – $32.53 35
Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 $106.47 $287.75 $11.32 – $32.18 35
Warde hepatitis a antibody CPT 86708 $31.45 $85.00 $10.90 – $30.98 35
Warde hepatitis be antibody CPT 86707 $4.81 $13.00 $10.18 – $28.93 35
Warde hepatitis delta agent antibody CPT 86692 $32.65 $88.25 $15.10 – $42.90 35
Warde immunofixation electrophoresis urine CPT 86335 $116.18 $314.00 $25.83 – $73.38 35
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 $4.44 $12.00 $10.15 – $28.83 35
Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 $101.01 $273.00 $226.56 – $643.63 35
Warde islet cell antibody zinc transporter 8 CPT 86341 $34.88 $94.28 $20.74 – $58.93 35
Warde lipoprotein (a) CPT 83695 $4.81 $13.00 $12.60 – $35.80 35
Warde lipoprotein-associated phospholipase a2 CPT 83698 $66.23 $179.00 $40.75 – $115.78 35
Warde mitochondrial antibody each CPT 86381 $37.67 $101.80 $24.43 – $63.63 34
Warde neutralization rabies CPT 86382 not published not published $14.88 – $42.28 35
Warde oxcarbazepine therapeutic drug level CPT 80183 $4.81 $13.00 $11.66 – $33.13 35
Warde pancreatic elastase fecal quantitative CPT 82653 $34.00 $91.88 $22.05 – $57.43 34
Warde protein c antigen CPT 85302 $14.06 $38.00 $10.57 – $30.03 35
Warde sex hormone binding globulin CPT 84270 $32.15 $86.90 $19.12 – $54.33 35
Warde somatomedin CPT 84305 not published not published $18.71 – $53.15 35
Warde sugars single qualitative each specimen stool CPT 84376 not published not published $4.84 – $13.75 35
Warde t3 (triiodothyronine) reverse CPT 84482 $5.18 $14.00 $13.87 – $39.40 35
Warde thyroid stimulating immunoglobulins CPT 84445 not published not published $44.76 – $127.15 35
Warde topiramate therapeutic drug level CPT 80201 $6.01 $16.25 $10.49 – $29.80 35
Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 $18.50 $50.00 $22.94 – $65.18 35
Warde viscosity CPT 85810 $12.40 $33.50 $10.27 – $29.18 35
Warde vitamin a CPT 84590 not published not published $10.22 – $29.03 35
Warde vitamin b-1 (thiamine) CPT 84425 not published not published $18.68 – $53.08 35
Warde vitamin b6 (pyridoxine) CPT 84207 not published not published $24.73 – $70.25 35
Warde vitamin c (ascorbic acid) CPT 82180 $6.66 $18.00 $8.70 – $24.73 35
Warde vitamin d (1 25 dihydroxy) CPT 82652 not published not published $33.88 – $96.25 35
Warde vitamin e (alpha-tocopherol) CPT 84446 not published not published $12.48 – $35.45 35
Warde zinc CPT 84630 $26.64 $72.00 $10.02 – $28.48 35
Wash harvest stem cells CPT 38209 not published not published $421.28 – $899.60 31
Wbc automated CPT 85048 $30.34 $82.00 $2.24 – $6.35 35
Wcd device interrogate CPT 93292 not published not published $35.93 – $1,636.00 34
Wedging of cast CPT 29740 not published not published $255.92 – $546.49 31
Wedging of clubfoot cast CPT 29750 not published not published $255.92 – $546.49 31
Western blot test CPT 84181 not published not published $14.99 – $42.58 35
Whole body photography CPT 96904 not published not published $151.70 – $151.70 2
Whole mitochondrial genome CPT 81460 not published not published $1,132.56 – $3,217.50 4
Whole mitochondrial genome CPT 81465 not published not published $823.68 – $2,340.00 35
Wound therapy negative pressure per session <= 50 sq cm CPT 97607 $447.33 $1,209.00 $385.00 – $822.13 33
Wound therapy negative pressure per session > 50 sq cm CPT 97608 $447.33 $1,209.00 $385.00 – $822.13 33
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 $352.89 $953.75 $101.93 – $408.87 33
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 $709.57 $1,917.75 $121.15 – $822.13 33
Wrist endoscopy/surgery CPT 29848 not published not published $5,618.00 – $5,618.00 1
Wrist X-ray CPT 73110 $275.28 $744.00 $84.84 – $194.81 33
Xe133 xenon 10mci HCPCS A9558 $487.11 $1,316.50 $332.28 – $704.08 6
X-linked intellectual dblt CPT 81470 not published not published $804.32 – $2,285.00 35
X-linked intellectual dblt CPT 81471 not published not published $804.32 – $2,285.00 35
Xm archive tissue molec anal CPT 88363 $53.65 $145.00 $18.05 – $55.85 35
X-ray abdomen 1 view CPT 74018 $203.78 $550.75 $58.23 – $194.81 33
X-ray abdomen 2 views CPT 74019 $218.12 $589.50 $70.60 – $235.69 33
X-ray abdomen >=3 views CPT 74021 $232.45 $628.25 $81.93 – $235.69 33
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 not published not published $94.31 – $235.69 33
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 $287.95 $778.25 $63.39 – $194.81 33
X-ray ankle 2 views (both sides) CPT 73600 $191.48 $517.50 $67.50 – $194.81 33
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 not published not published $269.60 – $824.45 33
X-ray assay calculus CPT 82370 not published not published $11.02 – $31.30 35
X-ray bone age studies CPT 77072 $206.28 $557.50 $45.85 – $235.69 33
X-ray bone length studies CPT 77073 $273.62 $739.50 $88.13 – $235.69 33
X-ray bone survey complete CPT 77075 $689.50 $1,863.50 $102.47 – $235.69 33
X-ray bone survey infant CPT 77076 $763.59 $2,063.75 $102.47 – $235.69 33
X-ray cervical spine 2-3 views CPT 72040 $293.50 $793.25 $77.83 – $194.81 33
X-ray cervical spine 4-5 views CPT 72050 $440.39 $1,190.25 $102.47 – $235.69 33
X-ray cervical spine >= 6 views CPT 72052 $478.69 $1,293.75 $102.47 – $235.69 33
X-ray clavicle complete (both sides) CPT 73000 $224.59 $607.00 $66.47 – $194.81 33
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 not published not published $171.54 – $393.89 33
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 not published not published $171.54 – $460.34 33
X-ray consultation CPT 76140 not published not published not published 0
X-ray elbow 2 views (both sides) CPT 73070 $162.80 $440.00 $58.23 – $194.81 33
X-ray elbow >= 3 views (both sides) CPT 73080 $181.86 $491.50 $64.42 – $194.81 33
Xray endovasc thor ao repr CPT 75956 not published not published $635.13 – $635.13 1
Xray endovasc thor ao repr CPT 75957 not published not published not published 0
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 not published not published $171.54 – $393.89 33
X-ray exam entire spi 4/5 vw CPT 72083 not published not published $102.47 – $235.69 33
X-ray exam entire spi 6/> vw CPT 72084 not published not published $102.47 – $235.69 33
X-ray exam of arm infant CPT 73092 $137.27 $371.00 $64.42 – $235.69 33
X-ray exam of eye sockets CPT 70200 $180.65 $488.25 $94.31 – $235.69 33
X-ray exam of femur 1 CPT 73551 $143.65 $388.25 $60.27 – $194.81 33
X-ray exam of jaw joint CPT 70328 not published not published $70.60 – $194.81 33
X-ray exam of jaw joint CPT 70332 not published not published $157.22 – $525.31 33
X-ray exam of mastoids CPT 70120 not published not published $79.88 – $235.69 33
X-ray exam of middle ear CPT 70134 not published not published $112.88 – $1,182.67 33
X-ray exam of penis CPT 74445 not published not published $102.47 – $235.69 32
X-ray exam of perineum CPT 74775 not published not published $232.92 – $525.31 32
X-ray exam of salivary gland CPT 70380 not published not published $79.88 – $194.81 33
X-ray exam of sinuses CPT 70210 not published not published $64.42 – $194.81 33
X-ray exam of tear duct CPT 70170 not published not published $232.92 – $525.31 32
X-ray exam of teeth CPT 70300 not published not published $24.19 – $194.81 33
X-ray exam of teeth CPT 70310 not published not published $91.23 – $525.31 33
X-ray exam si joints CPT 72200 $177.05 $478.50 $67.50 – $235.69 33
X-ray exam thorac spine4/>vw CPT 72074 not published not published $89.15 – $235.69 33
X-ray eye detection foreign body (both sides) CPT 70030 $130.98 $354.00 $65.44 – $194.81 33
X-ray facial bones complete > 3 views CPT 70150 $204.06 $551.50 $94.31 – $235.69 33
X-ray femur >=2 views (both sides) CPT 73552 $284.81 $769.75 $73.69 – $194.81 33
X-ray finger(s) >= 2 views (both sides) CPT 73140 $195.73 $529.00 $82.99 – $194.81 33

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.