Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.)
3801 US-98 Port St, Joe, FL · Ascension · · NPI 1083941678
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 |
|---|---|---|---|---|
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,225.86 | $3,064.65 | $476.52 – $1,075.09 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.18 | $0.45 | $0.05 – $0.13 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $32.22 | $80.54 | $4.34 – $9.83 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $6.28 | $15.69 | $4.46 – $9.83 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $85.16 | $212.90 | $35.28 – $77.85 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $213.61 – $395.18 | 12 |
| Dch glucoscan CPT 82948 | $4.54 | $11.34 | $5.04 – $19.12 | 16 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $334.77 – $619.32 | 12 |
| Dch validity tests CPT 81002 | $13.52 | $33.81 | $3.48 – $12.76 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $20.12 | $50.29 | $11.53 – $45.88 | 15 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $658.07 – $1,217.43 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $429.51 – $794.59 | 12 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $63.86 – $118.14 | 12 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $63.86 – $118.14 | 12 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $756.39 – $1,399.32 | 12 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $213.61 – $395.18 | 12 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $756.39 – $1,399.32 | 12 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $658.07 – $1,217.43 | 12 |
| Decalcification CPT 88311 | $6.80 | $17.00 | $9.02 – $32.56 | 4 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $66.17 | $165.43 | $2.92 – $7.71 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $356.58 – $659.67 | 12 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $71.20 | $178.00 | $13.41 – $29.59 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $218.65 – $404.50 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $39.08 | $97.69 | $41.49 – $91.55 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $138.57 – $256.35 | 12 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $756.39 – $1,399.32 | 12 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $429.51 – $794.59 | 12 |
| Design mlc device for imrt CPT 77338 | not published | not published | $393.54 – $831.24 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $28.82 | $72.05 | $7.41 – $16.38 | 4 |
| Desoxycorticosterone CPT 82633 | $98.80 | $247.00 | $30.98 – $115.96 | 16 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $213.61 – $395.18 | 12 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $213.61 – $395.18 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $213.61 – $395.18 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $213.61 – $395.18 | 12 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $658.07 – $1,217.43 | 12 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $213.61 – $395.18 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $957.10 – $1,770.64 | 12 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $213.61 – $395.18 | 12 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $429.51 – $794.59 | 12 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $113.44 | 16 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $164.40 | 16 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $105.00 – $311.17 | 13 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $47.00 – $47.00 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $71.20 | $178.00 | $70.39 – $194.81 | 15 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.28 | $10.69 | $0.09 – $0.20 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $8.76 | $21.91 | $0.15 – $0.36 | 4 |
| Dextran 40 infusion HCPCS J7100 | $50.22 | $125.55 | $59.73 – $85.02 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $8.78 | $21.95 | $1.77 – $3.91 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.56 | $18.90 | $2.70 – $5.96 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $111.78 | $279.46 | $22.23 – $84.12 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $207.28 | $518.20 | $9.71 – $36.96 | 16 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $428.99 – $2,997.00 | 13 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $138.57 – $2,997.00 | 13 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $247.55 – $247.55 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $193.03 – $193.03 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $208.71 – $386.11 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $208.71 – $2,997.00 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $509.20 | $1,273.00 | $102.20 – $376.83 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $346.00 | $865.00 | $80.31 – $295.71 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | $355.60 | $889.00 | $94.66 – $194.81 | 14 |
| Dialysis one evaluation CPT 90945 | not published | not published | $457.78 – $846.89 | 12 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.98 – $12.91 | 12 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.17 | $0.43 | $0.11 – $0.23 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $27.62 | $69.06 | $9.55 – $28.30 | 4 |
| Dicyclomine injection HCPCS J0500 | $61.21 | $153.03 | $21.22 – $49.32 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $41.00 | $102.49 | $8.05 – $29.19 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $49.45 | $123.63 | $13.28 – $49.72 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $37.26 | $93.15 | $61.56 – $61.56 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $428.99 – $793.63 | 12 |
| Dilate urethra stricture CPT 53600 | not published | not published | $261.46 – $483.70 | 12 |
| Dilate urethra stricture CPT 53601 | not published | not published | $138.57 – $256.35 | 12 |
| Dilate urethra stricture CPT 53621 | not published | not published | $261.46 – $483.70 | 12 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $168.20 – $311.17 | 12 |
| Dilation of salivary duct CPT 42660 | not published | not published | $547.47 – $1,012.82 | 12 |
| Dilation of urethra CPT 53661 | not published | not published | $138.57 – $256.35 | 12 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $717.56 – $1,327.49 | 12 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.54 | $13.86 | $1.09 – $2.42 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $32.35 | $80.87 | $27.75 – $111.03 | 3 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $42.20 – $78.07 | 12 |
| Disability dlco CPT 94727 | not published | not published | $168.20 – $311.17 | 12 |
| Disaccharidases CPT 82657 | $34.50 | $86.25 | $22.17 – $82.84 | 16 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $199.95 – $4,139.17 | 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.