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 |
|---|---|---|---|---|
| Ins vag brachytx device CPT 57156 | not published | not published | $327.02 – $604.99 | 12 |
| Integra meshed bil wound mat HCPCS C9363 | $5,517.63 | $13,794.07 | $97.80 – $97.80 | 1 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $756.39 – $1,399.32 | 12 |
| Interferon alfa-2a inj HCPCS J9213 | $30.24 | $75.60 | $43.31 – $56.03 | 3 |
| Interferon alfa-2b inj HCPCS J9214 | $115.33 | $288.33 | $20.82 – $122.07 | 4 |
| Intermediate visual field xm CPT 92082 | not published | not published | $63.86 – $118.14 | 12 |
| Interrogate subq defib CPT 93261 | not published | not published | $40.09 – $1,678.00 | 13 |
| Interrogation vad in person CPT 93750 | not published | not published | $98.68 – $182.56 | 12 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $40.09 – $1,678.00 | 13 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $26.33 – $1,678.00 | 13 |
| Interrog device eval heart CPT 93289 | not published | not published | $40.09 – $1,678.00 | 13 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $40.09 – $1,678.00 | 13 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $98.68 – $1,678.00 | 13 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $322.42 – $1,678.00 | 13 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $98.68 – $1,678.00 | 13 |
| Interstitial brachy inter CPT 77799 | not published | not published | $117.72 – $217.78 | 12 |
| Intra-atrial pacing CPT 93610 | not published | not published | $4,115.00 – $4,572.00 | 2 |
| Intra-atrial recording CPT 93602 | not published | not published | $4,115.00 – $4,572.00 | 2 |
| Intracranial complete study CPT 93886 | not published | not published | $259.86 – $480.74 | 13 |
| Intracranial limited study CPT 93888 | not published | not published | $114.32 – $480.00 | 13 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $4,115.00 – $4,572.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $547.47 – $1,012.82 | 12 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $218.65 – $404.50 | 12 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $469.99 – $869.48 | 12 |
| Intraventricular pacing CPT 93612 | not published | not published | $4,115.00 – $4,572.00 | 2 |
| Intrinsic factor antibody CPT 86340 | $8.30 | $20.75 | $15.08 – $57.36 | 16 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $138.54 – $256.30 | 12 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $249.65 – $461.85 | 12 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $63.86 – $118.14 | 12 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $442.40 | $1,106.00 | $228.51 – $278.07 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $40.09 – $74.17 | 12 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $18.00 | $45.00 | $0.62 – $1.12 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $23.68 | $59.20 | $0.21 – $0.33 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $1,084.74 – $1,084.74 | 1 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $55.00 – $55.00 | 1 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $85.00 – $85.00 | 1 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $115.00 – $115.00 | 1 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $55.00 – $55.00 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $299.30 | $748.26 | $2.71 – $6.52 | 4 |
| Iron CPT 83540 | $63.79 | $159.47 | $6.47 – $24.24 | 16 |
| Iron binding capacity CPT 83550 | $63.79 | $159.47 | $8.74 – $33.16 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $38.45 | $96.13 | $26.10 – $57.59 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $25.52 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.08 | $2.70 | $0.35 – $0.76 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $82.40 | $206.00 | $33.43 – $107.04 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $132.40 | $331.00 | $59.20 – $118.14 | 13 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $63.86 – $118.14 | 12 |
| Ivc venogram s&i CPT 75825 | not published | not published | $223.61 – $6,833.27 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | not published | not published | $76.51 – $141.54 | 12 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $49.60 – $91.76 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $226.50 – $419.03 | 12 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $130.68 – $884.18 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $428.99 – $793.63 | 12 |
| Ivp w/nephrotomography CPT 74415 | $968.40 | $2,421.00 | $191.38 – $405.01 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,007.60 | $2,519.00 | $191.38 – $393.89 | 15 |
| Jak2 targeted sequence analysis CPT 81279 | $308.00 | $770.00 | $185.20 – $696.96 | 15 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $63.72 | 16 |
| Ketamine and metabolite screen - quest CPT 80357 | $42.40 | $106.00 | $90.48 – $90.48 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $58.64 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $23.54 | $58.85 | $8.17 – $30.60 | 16 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $6.93 | $17.33 | $0.83 – $2.48 | 4 |
| Kidney endoscopy CPT 50551 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Kidney function study CPT 78725 | $654.00 | $1,635.00 | $293.40 – $884.18 | 15 |
| Kidney imaging morphology CPT 78700 | $1,235.60 | $3,089.00 | $431.99 – $884.18 | 15 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $578.67 – $1,158.73 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,327.60 | $5,819.00 | $578.67 – $1,158.73 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $265.60 | $664.00 | $114.32 – $242.78 | 15 |
| Kit gene analys d816 variant CPT 81273 | $112.00 | $280.00 | $124.87 – $468.92 | 16 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $159.90 | $399.75 | $38.36 – $45.42 | 3 |
| Knee MRI (with and without contrast) CPT 73723 | $1,414.80 | $3,537.00 | $383.93 – $1,089.40 | 15 |
| Knee MRI (with contrast) CPT 73722 | $1,009.60 | $2,524.00 | $849.35 – $1,716.48 | 15 |
| Knee MRI (without contrast) CPT 73721 | $1,009.60 | $2,524.00 | $259.86 – $525.31 | 15 |
| Knee X-ray CPT 73564 | $720.80 | $1,802.00 | $103.06 – $235.69 | 15 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $726.28 | 16 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $726.28 | 16 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $1.20 | $3.00 | $0.44 – $0.96 | 4 |
| Lab pathology consultation CPT 80500 | not published | not published | $55.44 – $55.44 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $200.37 – $200.37 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $24.82 | $62.06 | $6.04 – $22.96 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $23.10 | $57.75 | $3.62 – $7.98 | 4 |
| Lactic acid CPT 83605 | $59.53 | $148.82 | $11.57 – $43.36 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $10.21 | $25.52 | $19.70 – $73.92 | 16 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $73.92 | 16 |
| Lap ins device for right CPT 49327 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $417.45 – $2,997.00 | 13 |
| Largsc w/ther injection CPT 31573 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $138.57 – $256.35 | 12 |
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.