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 |
|---|---|---|---|---|
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $401.74 – $2,889.17 | 5 |
| CT bone density axial CPT 77078 | not published | not published | $182.03 – $716.00 | 5 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $403.20 – $403.20 | 1 |
| CT colonography dx CPT 74261 | not published | not published | $245.18 – $802.93 | 5 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $401.74 – $802.93 | 5 |
| CT colonography screening CPT 74263 | not published | not published | $716.00 – $1,486.98 | 5 |
| CT guidance for needle placement CPT 77012 | not published | not published | $716.00 – $716.00 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $664.43 – $716.00 | 4 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $2,745.11 – $2,802.90 | 3 |
| CT guid parench tis ablat CPT 77013 | $2,165.00 | $2,165.00 | $716.00 – $716.00 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $108.50 – $716.00 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $401.74 – $1,899.00 | 5 |
| CT hrt w/3d image CPT 75572 | not published | not published | $401.74 – $1,899.00 | 5 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $182.03 – $2,513.69 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $401.74 – $2,767.61 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $245.18 – $1,863.70 | 5 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $2,128.25 – $3,192.37 | 19 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,323.12 – $3,484.68 | 19 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $75.16 – $112.74 | 19 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,866.38 – $2,799.56 | 19 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $401.74 – $4,971.50 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | not published | not published | $401.74 – $3,402.90 | 5 |
| CT neck soft tissue without contrast CPT 70490 | not published | not published | $245.18 – $3,089.18 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | not published | not published | $401.74 – $6,828.34 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | not published | not published | $401.74 – $5,281.30 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | not published | not published | $401.74 – $3,352.89 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | not published | not published | $245.18 – $2,343.10 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $273.65 – $279.41 | 3 |
| CT scan for localization CPT 77011 | not published | not published | $716.00 – $716.00 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $716.00 – $4,997.97 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $716.00 – $4,625.43 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $517.79 – $3,979.36 | 5 |
| CT thoracic spine w/contrast CPT 72129 | not published | not published | $401.74 – $4,010.73 | 5 |
| CT thoracic spine without contrast CPT 72128 | not published | not published | $245.18 – $2,155.85 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | not published | not published | $182.03 – $876.00 | 5 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $401.74 – $1,430.37 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $716.00 – $2,537.22 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $245.18 – $1,641.15 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $401.74 – $9,212.62 | 5 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $962.69 – $1,444.03 | 19 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $149.16 | 1 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $149.16 | 1 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $840.14 – $857.83 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $840.14 – $857.83 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $1,094.00 | $1,094.00 | $6.46 – $96.08 | 24 |
| Culture afb any source CPT 87116 | $3,050.00 | $3,050.00 | $8.64 – $325.48 | 24 |
| Culture anaerobic additional method definitive id each CPT 87076 | $1,094.00 | $1,094.00 | $6.46 – $156.86 | 24 |
| Culture anaerobic except blood CPT 87075 | $2,118.00 | $2,118.00 | $7.58 – $183.33 | 24 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $7.73 – $72.55 | 24 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $18.84 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $598.00 | $598.00 | $7.55 – $61.76 | 24 |
| Culture body fluid CPT 87070 | not published | not published | $6.90 – $231.37 | 24 |
| Culture fungi definitive id mold CPT 87107 | $512.00 | $512.00 | $8.26 – $36.28 | 24 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $8.26 – $52.94 | 24 |
| Culture fungi other (except blood) CPT 87102 | $1,981.00 | $1,981.00 | $6.73 – $241.17 | 24 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $6.17 – $47.05 | 24 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $535.00 | $535.00 | $11.69 – $102.94 | 24 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $12.31 – $102.94 | 24 |
| Culture of specimen by kit CPT 87084 | not published | not published | $21.66 – $102.94 | 24 |
| Culture quantitative aerobic other source CPT 87071 | $90.00 | $90.00 | $7.91 – $57.84 | 24 |
| Culture screening strep group a CPT 87081 | not published | not published | $5.30 – $77.45 | 24 |
| Culture type pulse field gel CPT 87152 | not published | not published | $6.19 – $102.94 | 24 |
| Culture typing added method CPT 87158 | not published | not published | $6.19 – $102.94 | 24 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.02 – $102.94 | 24 |
| Culture typing immunologic CPT 87147 | $164.00 | $164.00 | $4.14 – $43.14 | 24 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $100.81 – $316.19 | 24 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $28.07 – $100.98 | 24 |
| Culture urine each isolate CPT 87088 | $86.00 | $86.00 | $6.47 – $107.84 | 24 |
| Culture virus isolation CPT 87250 | not published | not published | $15.65 – $102.94 | 24 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,334.63 – $1,362.72 | 3 |
| Curette/treat cornea CPT 65436 | not published | not published | $3,974.13 – $4,057.79 | 3 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,302.81 – $1,954.21 | 19 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,302.81 – $1,954.21 | 19 |
| Custom glove for term device HCPCS L6895 | not published | not published | $612.82 – $919.22 | 19 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $938.04 – $1,407.06 | 19 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $524.98 – $787.46 | 19 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,212.22 – $1,818.34 | 19 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $919.51 – $1,379.27 | 19 |
| Cv line/pic reposition CPT 36597 | not published | not published | $2,533.88 – $2,587.22 | 3 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $51.30 – $52.38 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $23.75 – $24.25 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $11.46 – $75.49 | 24 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $84.00 | $84.00 | $0.67 – $1.06 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $10.36 – $154.90 | 24 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $937.00 | $937.00 | $0.80 – $0.97 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $25.00 | $25.00 | $1.14 – $3.00 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $104.00 | $104.00 | $71.40 – $121.57 | 2 |
| Cyclosporine 2 hour CPT 80158 | $17.00 | $17.00 | $14.44 – $121.08 | 24 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $17.00 | $17.00 | $0.74 – $0.87 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $2.99 | 2 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $209.78 – $332.42 | 2 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $209.78 – $444.74 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $105.14 – $422.47 | 24 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $105.14 – $253.47 | 24 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $105.14 – $653.82 | 24 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $105.14 – $253.47 | 24 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $105.14 – $253.47 | 24 |
| Cystatin c CPT 82610 | not published | not published | $14.82 – $75.49 | 24 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $105.14 – $723.55 | 24 |
| Cystine urine quantitative CPT 82131 | not published | not published | $8.64 – $33.32 | 24 |
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.