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 |
|---|---|---|---|---|
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $497.36 – $507.83 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $497.36 – $507.83 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $497.36 – $507.83 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $492.57 – $502.94 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $492.57 – $502.94 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,542.98 – $1,575.46 | 3 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $1,327.91 – $1,355.87 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $492.57 – $502.94 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $6,021.19 – $6,147.96 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $6,021.19 – $6,147.96 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $492.57 – $502.94 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $492.57 – $502.94 | 3 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $261.16 – $266.66 | 3 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $1,262.62 – $1,289.20 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $1,256.86 – $1,283.32 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $2,606.85 – $2,661.73 | 3 |
| Destruction ciliary body CPT 66700 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Destruction ciliary body CPT 66720 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Destruction ciliary body CPT 66740 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,904.97 – $1,945.07 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $492.57 – $502.94 | 3 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,851.20 – $1,890.17 | 3 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $9,472.99 – $9,672.42 | 3 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $9,472.99 – $9,672.42 | 3 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $24.02 – $102.94 | 24 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $34.94 – $102.94 | 24 |
| Determination venous press CPT 93770 | not published | not published | $235.24 – $240.19 | 3 |
| Determine refractive state CPT 92015 | not published | not published | $32.30 – $32.98 | 3 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $83.60 – $85.36 | 3 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $137.75 – $140.65 | 3 |
| Device intraute mirena HCPCS J7298 | $3,754.00 | $3,754.00 | $2,519.43 – $2,519.43 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $29.45 – $41.71 | 4 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,516.58 – $1,548.51 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $62.70 – $64.02 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $182.03 – $214.70 | 4 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $162.79 | 2 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $4.47 – $4.47 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.06 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.09 – $0.18 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $337.49 | 2 |
| Dexamethasone panel CPT 80420 | not published | not published | $129.50 – $234.73 | 24 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.45 – $1.45 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,772.00 | $1,772.00 | $80.96 – $95.72 | 2 |
| Dextran 40 infusion HCPCS J7100 | $326.00 | $326.00 | $628.63 – $628.63 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $339.00 | $339.00 | $1.25 – $2.16 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $405.00 | $405.00 | $9.98 – $9.98 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.82 – $2.89 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $429.00 | $429.00 | $3.64 – $4.85 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $451.00 | $451.00 | $17.78 – $75.49 | 24 |
| Diabetes (HbA1c) Test CPT 83036 | $364.00 | $364.00 | $7.77 – $122.55 | 24 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $217.44 – $326.16 | 19 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $36.63 – $54.95 | 19 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $36.63 – $54.95 | 19 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $36.63 – $54.95 | 19 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $12.70 – $19.06 | 22 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $72.50 – $108.76 | 19 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $36.63 – $54.95 | 19 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $2,535.80 – $2,589.18 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,050.00 – $6,177.37 | 3 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $2,521.39 – $2,574.48 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $116.49 – $263.00 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $94.60 – $205.70 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $2,032.67 – $2,075.46 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $474.33 – $484.31 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,366.00 | $1,366.00 | $84.85 – $127.27 | 19 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $66.06 – $99.08 | 19 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $182.03 – $377.45 | 4 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $2,533.88 – $2,587.22 | 3 |
| Dialysis one evaluation CPT 90945 | not published | not published | $92.15 – $94.09 | 3 |
| Dialysis repeated eval CPT 90947 | not published | not published | $133.95 – $136.77 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.84 – $9.70 | 22 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $471.00 | $471.00 | $0.08 – $0.12 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $359.00 | $359.00 | $5.79 – $11.04 | 2 |
| Dicyclomine injection HCPCS J0500 | $353.00 | $353.00 | $12.86 – $18.69 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.46 – $0.46 | 1 |
| Diffusing capacity CPT 94729 | $683.00 | $683.00 | $47.50 – $48.50 | 3 |
| Digital analysis of eeg CPT 95957 | $1,939.00 | $1,939.00 | $153.90 – $157.14 | 3 |
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.