HCA FLORIDA MEMORIAL HOSPITAL
11850 ATLANTIC BLVD, JACKSONVILLE, FL · HCA Florida Healthcare · · NPI 1447206438
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 |
|---|---|---|---|---|
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $209.78 – $209.78 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $164.00 | $164.00 | $3.80 – $49.02 | 24 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $164.00 | $164.00 | $3.80 – $28.43 | 24 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $6.92 – $112.74 | 24 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.31 – $125.49 | 24 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,516.58 – $1,548.51 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $6,075.92 – $6,203.84 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $107.74 – $161.62 | 19 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,516.58 – $1,548.51 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $235.24 – $240.19 | 3 |
| Svc venogram s&i CPT 75827 | not published | not published | $2,231.43 – $3,163.82 | 4 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $49.76 – $93.14 | 4 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,206.42 – $3,309.64 | 19 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,705.10 – $4,057.66 | 19 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $249.55 – $374.33 | 19 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $297.92 – $446.88 | 19 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $240.17 – $360.25 | 19 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $439.55 – $659.33 | 19 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.15 – $8.43 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $36.10 – $36.86 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $9.25 – $12.47 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $17.00 | $17.00 | $3.52 – $78.43 | 24 |
| T3 (triiodothyronine) free CPT 84481 | $616.00 | $616.00 | $13.55 – $169.60 | 24 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $11.34 – $129.41 | 24 |
| T4 (thyroxine) free CPT 84439 | $571.00 | $571.00 | $7.22 – $116.66 | 24 |
| T4 (thyroxine) total CPT 84436 | $603.00 | $603.00 | $5.50 – $120.59 | 24 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $0.97 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.81 – $3.09 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $0.33 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $592.00 | $592.00 | $255.06 – $433.04 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $10.98 – $131.37 | 24 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $23.50 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $122.00 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $123.62 | 2 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $209.78 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,588.12 – $1,621.55 | 3 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.40 – $0.60 | 19 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,805.00 | $2,805.00 | $105.14 – $1,101.32 | 24 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,868.00 | $3,868.00 | $105.14 – $4,233.42 | 24 |
| Target gsa panel organ neop CPT 81445 | $585.00 | $585.00 | $105.14 – $866.97 | 24 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,570.77 – $2,584.87 | 2 |
| Tas congenital car anomal CPT 33741 | not published | not published | $497.36 – $507.83 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $629.87 – $643.13 | 3 |
| Tavr perq femoral CPT 33361 | not published | not published | $497.36 – $507.83 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.41 | 2 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $105.14 – $198.65 | 24 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $93.44 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $185.87 – $185.87 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $185.87 – $185.87 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $83.00 | $83.00 | $80.00 – $145.00 | 24 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $49.58 – $113.72 | 24 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $867.45 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,138.32 – $2,138.32 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1,279.61 – $1,279.61 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $1,321.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $101.95 – $101.95 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,541.31 – $1,541.31 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,530.72 – $1,530.72 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $542.19 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $179.67 – $179.67 | 1 |
| Tc-99m maa HCPCS A9540 | not published | not published | $50.14 – $50.14 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $106.36 – $106.36 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $1,936.00 | $1,936.00 | $1,308.90 – $1,308.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $85.98 – $85.98 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $47.39 – $47.39 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $213.00 | $213.00 | $34.72 – $34.72 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $19.83 – $19.83 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $133.00 | $133.00 | $65.59 – $65.59 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $743.46 – $743.46 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,088.88 – $1,088.88 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $1,239.81 – $1,239.81 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $506.00 | $506.00 | $192.89 – $192.89 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $840.14 – $857.83 | 3 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.15 – $113.49 | 3 |
| Tcd emboli detect without inj CPT 93892 | $427.00 | $427.00 | $111.15 – $113.49 | 3 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $227.05 – $231.83 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $229.00 | $229.00 | $37.58 – $71.57 | 24 |
| T cells absolute cd 4 count CPT 86361 | $266.00 | $266.00 | $21.42 – $142.15 | 24 |
| T cells total count CPT 86359 | not published | not published | $30.18 – $81.37 | 24 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $224.67 – $229.41 | 3 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $224.67 – $229.41 | 3 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $224.67 – $229.41 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,224.69 – $1,250.48 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,533.88 – $2,587.22 | 3 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $39.90 – $40.74 | 3 |
| Team conf without pat by phys CPT 99367 | not published | not published | $60.80 – $62.08 | 3 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $46.55 – $47.53 | 3 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $366.65 | 2 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $45.10 – $67.66 | 19 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.09 – $12.16 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $31.01 – $31.01 | 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.