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 |
|---|---|---|---|---|
| Ghs pr without cont pulse ox CPT 94625 | $617.00 | $617.00 | $229.48 – $234.31 | 3 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $19.00 | $19.00 | $9.80 – $75.49 | 24 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $78.85 – $80.51 | 3 |
| Ghs quinidine CPT 80194 | $12.00 | $12.00 | $11.68 – $121.08 | 24 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $92.15 – $94.09 | 3 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $538.65 – $549.99 | 3 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $2,458.02 – $2,509.77 | 3 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,958.74 – $1,999.98 | 3 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $12.71 – $88.23 | 24 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.45 – $135.30 | 24 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $58.00 | $58.00 | $11.13 – $102.94 | 24 |
| Ghs sedimentation rate CPT 85651 | $1,010.00 | $1,010.00 | $3.42 – $127.45 | 24 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $9.85 – $17.85 | 21 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $7.87 – $14.27 | 21 |
| Ghs sensitivity (per antimicro) CPT 87184 | $73.00 | $73.00 | $5.98 – $214.70 | 24 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $476.24 – $486.27 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $506.97 – $517.64 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $693.24 – $707.84 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $266.92 – $272.54 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $232.36 – $237.25 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $232.36 – $237.25 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $232.36 – $237.25 | 3 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $419.60 – $428.43 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $840.14 – $857.83 | 3 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $5,331.80 – $5,444.05 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $106.40 – $108.64 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,834.00 | $1,834.00 | $305.90 – $312.34 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $37.35 – $56.03 | 22 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $900.64 – $919.60 | 3 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $8.55 – $8.73 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $80.34 – $120.50 | 22 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $19.00 – $19.40 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $821.90 – $839.21 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | $289.00 | $289.00 | $56.15 – $93.12 | 22 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $16.15 – $16.49 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $66.25 – $67.65 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $1,028.34 – $1,049.99 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $840.14 – $857.83 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $2,535.80 – $2,589.18 | 3 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.84 – $75.49 | 24 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $684.60 – $699.01 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $1,057.63 – $1,079.89 | 3 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $19.44 – $159.80 | 24 |
| Ghs urine, porphyrins quant CPT 84120 | $79.00 | $79.00 | $11.77 – $75.49 | 24 |
| Ghs windowing of cast CPT 29730 | not published | not published | $821.90 – $839.21 | 3 |
| Giardia ag if CPT 87269 | not published | not published | $10.89 – $102.94 | 24 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $11.78 – $88.23 | 24 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $517.79 – $602.93 | 4 |
| Gi inhouse confirmation CPT 87045 | $2,373.00 | $2,373.00 | $7.55 – $252.94 | 24 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $366.79 – $374.51 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $848.52 – $2,068.60 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $7,140.00 | $7,140.00 | $195.87 – $199.99 | 3 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,277.98 – $1,304.88 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $777.10 – $793.46 | 3 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,277.98 – $1,304.88 | 3 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $80.90 – $146.62 | 24 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $49.22 – $107.35 | 24 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $28.00 – $107.35 | 24 |
| Glassia injection HCPCS J0257 | not published | not published | $5.45 – $9.39 | 2 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $57.00 – $58.20 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $44.65 – $45.59 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $86.46 – $129.68 | 19 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $671.00 | $671.00 | $190.76 – $272.02 | 2 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $671.00 | $671.00 | $150.44 – $236.36 | 2 |
| Glucagon plasma - sendout CPT 82943 | $46.00 | $46.00 | $11.43 – $20.72 | 24 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $36.86 – $136.28 | 24 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $40.40 – $136.28 | 24 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.22 – $75.49 | 24 |
| Glucose 1 hr post dose CPT 82950 | $973.00 | $973.00 | $3.80 – $75.49 | 24 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.84 – $75.49 | 24 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.62 – $24.51 | 24 |
| Glucose blood quantitative CPT 82947 | $896.00 | $896.00 | $3.14 – $52.94 | 24 |
| Glucose body fluid CPT 82945 | $896.00 | $896.00 | $3.14 – $154.90 | 24 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.10 – $56.26 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $1,690.00 | $1,690.00 | $10.30 – $75.49 | 24 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $794.00 | $794.00 | $3.14 – $19.60 | 24 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.51 – $0.63 | 2 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.59 – $22.59 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.77 – $19.19 | 2 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $375.00 | $375.00 | $14.86 – $40.20 | 24 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $118.73 – $215.19 | 24 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $375.00 | $375.00 | $14.82 – $40.20 | 24 |
| Gonioscopy CPT 92020 | not published | not published | $29.45 – $30.07 | 3 |
| Goniotomy CPT 65820 | not published | not published | $4,034.61 – $4,119.55 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $705.14 – $1,282.88 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $102.00 | $102.00 | $30.36 – $209.78 | 2 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $209.78 – $1,055.97 | 2 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $63.62 – $209.78 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,995.71 – $3,058.78 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $209.78 – $209.78 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $3,295.88 – $3,295.88 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $209.78 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $105.46 – $209.78 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,173.81 – $2,219.57 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.37 – $209.78 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $51.79 – $209.78 | 2 |
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.