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 |
|---|---|---|---|---|
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $6.53 – $9.79 | 19 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $133.47 – $152.32 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $133.47 – $152.32 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $136.28 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $136.28 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $57.95 – $59.17 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $30.40 – $31.04 | 3 |
| Patten bottom HCPCS L2370 | not published | not published | $235.98 – $353.98 | 19 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $105.14 – $369.82 | 24 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $327.89 – $568.01 | 2 |
| Pdgfra gene CPT 81314 | $940.00 | $940.00 | $105.14 – $477.79 | 24 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $22.61 – $33.91 | 19 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $216.60 – $221.16 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $3,249.20 – $3,317.60 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $229.48 – $234.31 | 3 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $229.48 – $234.31 | 3 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $5,304.30 – $7,956.44 | 19 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,583.03 – $2,374.55 | 19 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $840.14 – $857.83 | 3 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,310.62 – $1,965.92 | 19 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,547.30 – $2,320.96 | 19 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,226.02 – $1,839.02 | 19 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $665.86 – $998.80 | 19 |
| Pegaspargase injection HCPCS J9266 | $51,967.00 | $51,967.00 | $27,070.50 – $46,899.70 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $202.69 | 2 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $134.25 – $219.53 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $163.60 – $267.28 | 2 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $242.95 – $251.25 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $112.90 – $163.14 | 2 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $164.15 – $209.93 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,565.32 – $6,218.54 | 2 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $226.93 – $372.82 | 2 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $424.19 – $636.29 | 19 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $327.78 – $491.68 | 19 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $308.94 – $463.40 | 19 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $227.64 – $341.46 | 19 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $245.80 – $368.70 | 19 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $553.43 – $830.15 | 19 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $401.74 – $5,100.91 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $401.74 – $2,867.61 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $245.18 – $2,462.71 | 5 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,851.20 – $1,890.17 | 3 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,293.44 – $1,940.16 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $828.27 – $3,248.00 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $828.27 – $1,704.88 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $517.79 – $2,798.98 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $245.18 – $1,056.84 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $245.18 – $420.58 | 4 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $110.32 – $165.48 | 19 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $17,677.00 | $17,677.00 | $59.35 – $98.55 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.77 – $5.92 | 2 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $17.37 – $32.21 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $26.98 – $52.75 | 2 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.78 – $1.29 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $16.53 – $16.53 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $99.75 – $101.85 | 3 |
| Penile vascular study CPT 93981 | not published | not published | $117.80 – $120.28 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,533.88 – $2,587.22 | 3 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.40 – $0.40 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | $417.00 | $417.00 | $79.50 – $271.29 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $45.19 – $45.19 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $126.00 | $126.00 | $59.83 – $59.83 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,673.43 – $4,186.22 | 2 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $962.08 – $982.34 | 3 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $962.08 – $982.34 | 3 |
| Percut ablate liver rf CPT 47382 | not published | not published | $1,591.95 – $1,625.47 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $477.00 | $477.00 | $41.88 – $66.35 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $497.36 – $507.83 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $497.36 – $507.83 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $497.36 – $507.83 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $497.36 – $507.83 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,856.02 – $3,937.20 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $6,021.19 – $6,147.96 | 3 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $24.70 – $25.22 | 3 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $24.70 – $25.22 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,243.46 – $5,353.85 | 3 |
| Peritoneogram rs&i CPT 74190 | $2,888.00 | $2,888.00 | $1,086.50 – $3,480.84 | 4 |
| Perit-vens shunt pat tst CPT 78291 | $6,556.00 | $6,556.00 | $848.52 – $2,068.60 | 4 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $16.06 – $24.08 | 19 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,408.42 – $2,112.64 | 19 |
| Perphenazine 4mg oral HCPCS Q0175 | $15.00 | $15.00 | $1.11 – $1.11 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $1,224.69 – $1,250.48 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $497.36 – $507.83 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $4,105.66 – $4,192.10 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $4,105.66 – $4,192.10 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $962.08 – $982.34 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $962.08 – $982.34 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $497.36 – $507.83 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $497.36 – $507.83 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $497.36 – $507.83 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $497.36 – $507.83 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $497.36 – $507.83 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $235.24 – $240.19 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $235.24 – $240.19 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $235.24 – $240.19 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $1,306.78 – $1,334.29 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,936.68 – $4,019.55 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $4,551.18 – $4,647.00 | 3 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,601.56 – $1,635.27 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $11,527.74 – $11,770.43 | 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.