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 |
|---|---|---|---|---|
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $140.62 – $260.15 | 12 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $417.45 – $2,997.00 | 13 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | $4,389.20 | $10,973.00 | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $4,698.80 | $11,747.00 | $417.45 – $2,997.00 | 13 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,997.00 – $2,997.00 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $589.77 – $1,091.07 | 12 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $249.65 – $461.85 | 12 |
| Lead capillary CPT 83655 | $26.64 | $66.61 | $12.11 – $45.88 | 16 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $75.20 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $156.72 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $604.80 | $1,512.00 | $259.86 – $480.74 | 13 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $45.88 | 16 |
| Lepirudin HCPCS J1945 | $290.66 | $726.66 | $239.65 – $239.65 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $146.32 | $365.80 | $5.79 – $13.77 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $143.50 – $340.81 | 15 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $39.52 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $332.22 | $830.55 | $271.19 – $598.41 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | $4.14 | $10.36 | $0.44 – $0.96 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $1.60 | $4.00 | $0.08 – $0.17 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $13.25 – $49.72 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $55.28 | $138.20 | $1.70 – $6.26 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $13.60 | $34.00 | $8.09 – $17.84 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $0.06 | $0.16 | $0.02 – $0.10 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | $0.02 | $0.02 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $146.64 | $366.60 | $14.69 – $54.80 | 16 |
| Limb exercise test CPT 95875 | not published | not published | $168.20 – $311.17 | 12 |
| Limited autopsy CPT 88036 | not published | not published | $8.08 – $103.58 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $7.20 – $92.03 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $63.86 – $118.14 | 12 |
| Lincomycin injection HCPCS J2010 | $6.93 | $17.33 | $10.10 – $10.30 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $85.54 | $213.86 | $4.47 – $9.86 | 4 |
| Lipase CPT 83690 | $59.92 | $149.80 | $6.89 – $25.52 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $127.44 | 16 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $34.19 – $128.72 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $45.73 | $114.33 | $8.19 – $30.60 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $52.09 | $130.22 | $10.50 – $39.52 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $128.72 | 16 |
| Lip surgery procedure CPT 40799 | not published | not published | $249.65 – $461.85 | 12 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $49.72 | 16 |
| Lithium therapeutic drug level CPT 80178 | $46.94 | $117.35 | $6.61 – $25.52 | 16 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $325.95 | 14 |
| Liver elastography 91200 CPT 91200 | not published | not published | $168.20 – $311.17 | 12 |
| Liver Function Test CPT 80076 | $48.68 | $121.70 | $8.17 – $30.60 | 16 |
| Liver imaging CPT 78201 | not published | not published | $550.24 – $1,158.73 | 15 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $578.67 – $1,158.73 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,740.80 | $4,352.00 | $431.99 – $884.18 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,301.60 | $3,254.00 | $331.65 – $884.18 | 15 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.47 | $8.67 | $1.53 – $2.38 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $15.80 | $39.50 | $2.03 – $4.47 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $334.77 – $619.32 | 12 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,635.20 | $4,088.00 | $191.38 – $525.56 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,373.60 | $3,434.00 | $383.93 – $824.45 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,246.00 | $3,115.00 | $114.32 – $331.78 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,009.60 | $2,524.00 | $383.93 – $824.45 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,278.00 | $3,195.00 | $383.93 – $824.45 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,009.60 | $2,524.00 | $259.86 – $525.31 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $226.80 | $567.00 | $85.04 – $235.69 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $213.61 – $395.18 | 12 |
| L/s ratio fetal lung CPT 83661 | $21.55 | $53.87 | $21.99 – $82.84 | 16 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $204.47 – $4,139.17 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $63.86 – $118.14 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $168.20 – $311.17 | 12 |
| Lung perfusion imaging CPT 78580 | $693.60 | $1,734.00 | $431.99 – $884.18 | 15 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $26.33 – $48.71 | 12 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $75.20 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $2,392.00 | $5,980.00 | $578.67 – $1,158.73 | 15 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $137.64 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $184.76 | 16 |
| Lymphocytotoxicity assay CPT 86805 | $102.34 | $255.84 | $189.51 – $712.28 | 16 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $178.40 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $664.66 – $1,346.74 | 14 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $3,433.34 – $3,433.34 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $6,833.27 – $6,833.27 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $6,833.27 – $6,833.27 | 2 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $547.47 – $1,012.82 | 12 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.22 – $30.00 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $16.56 | 16 |
| Macroscopic exam parasite CPT 87169 | $35.52 | $88.81 | $4.31 – $16.56 | 16 |
| Magnesium CPT 83735 | $46.14 | $115.36 | $6.70 – $25.52 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $7.20 | $18.00 | $0.74 – $1.62 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $259.86 – $728.87 | 15 |
| Makena, 10 mg HCPCS J1726 | $120.48 | $301.20 | $22.80 – $80.30 | 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.