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 |
|---|---|---|---|---|
| Calcium ionized CPT 82330 | $41.35 | $111.75 | $12.04 – $34.20 | 35 |
| Calcium total CPT 82310 | $8.14 | $22.00 | $4.54 – $12.90 | 35 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $11.32 – $32.18 | 35 |
| Calculus analysis qual CPT 82355 | not published | not published | $10.19 – $28.95 | 35 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $14.88 – $321.95 | 33 |
| Calprotectin fecal CPT 83993 | $51.99 | $140.50 | $17.27 – $49.08 | 35 |
| Campylobacter antibody CPT 86625 | not published | not published | $11.55 – $32.80 | 35 |
| Canakinumab injection HCPCS J0638 | $384.85 | $1,040.13 | $166.60 – $297.58 | 5 |
| Candida dna CPT 87480 | $29.67 | $80.20 | $17.64 – $50.13 | 35 |
| Candida skin test CPT 86485 | $12.40 | $33.50 | $22.99 – $50.39 | 34 |
| Carbamazepine free CPT 80157 | not published | not published | $11.66 – $33.13 | 35 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $17.89 – $46.60 | 34 |
| Carbamazepine total therapeutic drug level CPT 80156 | $88.15 | $238.25 | $12.82 – $36.43 | 35 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $15.89 – $45.15 | 35 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.84 – $13.75 | 35 |
| Carbon dioxide CPT 82374 | $4.63 | $12.50 | $4.29 – $12.20 | 35 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $145.72 | $393.84 | $3.57 – $5.45 | 4 |
| Carboxyhemoglobin quantitative CPT 82375 | $32.56 | $88.00 | $10.84 – $30.80 | 35 |
| Carcinoembryonic ag (cea) CPT 82378 | $41.90 | $113.25 | $16.68 – $47.40 | 35 |
| Cardiac drug stress test CPT 93024 | $623.82 | $1,686.00 | $135.83 – $1,636.00 | 34 |
| Cardiac MRI w/stress img CPT 75559 | $675.53 | $1,825.75 | $528.36 – $1,182.67 | 33 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $1,088.65 – $3,044.09 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $749.96 – $3,044.09 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,493.51 | $4,036.50 | $799.45 – $3,044.09 | 2 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $59.98 – $259.10 | 33 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $40.08 – $259.10 | 33 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $387.22 – $884.18 | 33 |
| Cardiac Stress Test CPT 93015 | not published | not published | $171.83 – $1,636.00 | 3 |
| Cardioassist internal CPT 92970 | not published | not published | $471.90 – $471.90 | 2 |
| Cardiolipin antibody iga CPT 86147 | $17.02 | $46.00 | $22.40 – $63.63 | 35 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,102.23 | $2,979.00 | $364.68 – $1,346.54 | 33 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $605.80 – $1,346.54 | 33 |
| Card MRI veloc flow mapping CPT 75565 | $225.15 | $608.50 | $116.51 – $116.51 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $49.35 – $128.53 | 33 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $24.23 – $63.10 | 33 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $91.43 | $247.09 | $63.26 – $113.81 | 5 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $514.71 – $1,462.25 | 35 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $514.71 – $1,462.25 | 35 |
| Carotene CPT 82380 | $3.15 | $8.50 | $8.12 – $23.05 | 35 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,107.60 | $2,993.50 | $232.92 – $1,146.00 | 34 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $8,739.13 – $8,739.13 | 2 |
| Car seat/bed test 60 minutes CPT 94780 | $149.02 | $402.75 | $37.82 – $125.23 | 33 |
| Car seat/bed test additional 30 minutes CPT 94781 | $74.56 | $201.50 | $50.65 – $50.65 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $319.62 – $682.53 | 31 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $24.03 – $68.25 | 35 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $1,791.53 – $1,791.53 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $12.67 | $34.25 | $3.00 – $22.73 | 3 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $12.40 | $33.50 | $6.33 – $6.33 | 2 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $234.36 – $500.47 | 31 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $1,428.48 – $1,428.48 | 2 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $514.13 – $514.13 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $400.70 – $400.70 | 2 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $2,068.63 – $2,068.63 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $1,756.88 – $1,756.88 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $1,894.88 – $1,894.88 | 2 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $1,572.93 – $1,572.93 | 2 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $566.01 – $566.01 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $191.47 – $408.87 | 31 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $15.84 – $45.00 | 35 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $199.02 – $518.28 | 34 |
| Cdna analysis for variants CPT 81403 | $98.05 | $265.00 | $162.98 – $463.00 | 35 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $31.60 – $265.25 | 33 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $46.80 – $265.25 | 33 |
| Cebpa gene full sequence CPT 81218 | $111.00 | $300.00 | $212.87 – $604.75 | 35 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $47.75 | $129.05 | $1.01 – $1.22 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $61.98 | $167.51 | $1.46 – $1.86 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | $100.27 | $271.00 | $15.00 – $15.00 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $79.92 | $216.00 | $6.11 – $6.68 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $45.09 | $121.86 | $4.87 – $8.65 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $110.80 | $299.46 | $1.95 – $2.48 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | $1,043.99 | $2,821.61 | $122.61 – $220.60 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $79.92 | $216.00 | $0.60 – $0.99 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $79.92 | $216.00 | $2.84 – $2.84 | 3 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $83.37 – $236.85 | 35 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $96.04 – $272.83 | 35 |
| Cell count body fluid CPT 89050 | $11.29 | $30.50 | $4.15 – $11.80 | 35 |
| Cell count w differential body fluid CPT 89051 | $83.71 | $226.25 | $4.93 – $14.00 | 35 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $11.50 – $32.68 | 35 |
| Cell enumeration & id CPT 86152 | not published | not published | $220.69 – $626.95 | 35 |
| Cell function assay w/stim CPT 86352 | $129.50 | $350.00 | $119.56 – $339.65 | 35 |
| Cell marker study CPT 88182 | $37.74 | $102.00 | $49.47 – $283.73 | 35 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $32.13 | $86.84 | $35.28 – $61.78 | 5 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $518.69 – $1,158.73 | 33 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $7.40 | $20.00 | $4.86 – $8.54 | 5 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $111.00 | $300.00 | $93.68 – $93.68 | 2 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $57.41 | $155.16 | $94.57 – $115.65 | 4 |
| #cf-97variants CPT 81220 | not published | not published | $489.81 – $1,391.50 | 35 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $382.86 – $1,087.68 | 35 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $148.50 – $421.88 | 35 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $85.56 – $243.05 | 35 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $643.19 – $1,373.48 | 31 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $234.36 – $500.47 | 31 |
| Change gastric port open CPT 43888 | not published | not published | $25,708.00 – $25,708.00 | 1 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $223.78 – $477.85 | 31 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $56.55 – $675.35 | 35 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $191.47 – $408.87 | 31 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $385.00 – $822.13 | 31 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $385.00 – $822.13 | 31 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $589.86 – $1,259.60 | 31 |
| Chemo adm cns w/lmbr punct CPT 96450 | $920.93 | $2,489.00 | $179.78 – $682.53 | 34 |
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.