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 |
|---|---|---|---|---|
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $876.64 | 16 |
| St treatment speech individual CPT 92507 | not published | not published | $73.58 – $136.12 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | not published | not published | $80.95 – $149.76 | 12 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $744.49 – $1,377.31 | 12 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $213.61 – $395.18 | 12 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $658.07 – $1,217.43 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $29.20 | $73.00 | $1.23 – $3.28 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $43.36 | 16 |
| Sugars single quant CPT 84378 | $10.72 | $26.79 | $11.53 – $43.36 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $230.16 | $575.41 | $125.55 – $125.55 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $1.04 | $2.60 | $0.10 – $0.10 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $90.48 – $90.48 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $152.31 | $380.78 | $74.97 – $270.20 | 4 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $49.60 – $91.76 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $59.20 | $148.00 | $22.99 – $48.71 | 16 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $96.40 | $241.00 | $22.99 – $100.08 | 16 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $124.00 | $310.00 | $49.47 – $120.48 | 16 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $165.60 | $414.00 | $49.47 – $133.20 | 16 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $296.80 | $742.00 | $283.41 – $799.12 | 16 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $446.80 | $1,117.00 | $628.20 – $1,624.69 | 16 |
| Surgigraft, 1 sq cm HCPCS Q4183 | $8,402.84 | $21,007.10 | $127.50 – $265.52 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.75 – $17.84 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $13.44 | $33.59 | $4.75 – $17.84 | 16 |
| Susceptibility mic per plate CPT 87186 | $70.19 | $175.47 | $8.65 – $33.16 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $25.52 | 16 |
| Svc venogram s&i CPT 75827 | not published | not published | $238.26 – $3,433.34 | 3 |
| Sweat collection by iontophoresis CPT 89230 | $25.34 | $63.35 | $7.01 – $106.26 | 16 |
| Synthetic sentence id test CPT 92576 | not published | not published | $42.20 – $78.07 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $109.69 | $274.23 | $4.40 – $16.56 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $49.75 | $124.37 | $16.94 – $63.72 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $149.51 | $373.77 | $14.18 – $53.52 | 16 |
| T4 (thyroxine) free CPT 84439 | $156.86 | $392.14 | $9.02 – $34.40 | 16 |
| T4 (thyroxine) total CPT 84436 | $83.60 | $209.01 | $6.87 – $25.52 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $8.80 | $22.01 | $0.27 – $0.60 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $120.42 | $301.06 | $13.73 – $52.24 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,100.00 | $2,750.00 | $759.53 – $2,855.40 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,508.00 | $3,770.00 | $2,919.60 – $10,978.16 | 4 |
| Target gsa panel organ neop CPT 81445 | $720.00 | $1,800.00 | $597.91 – $2,247.64 | 16 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $658.07 – $1,217.43 | 12 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $2.06 | $5.14 | $0.60 – $1.32 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $514.80 | 16 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $89.15 – $89.15 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $21.38 – $21.38 | 2 |
| Tbs techl calculation only CPT 77091 | $147.60 | $369.00 | $94.66 – $194.81 | 14 |
| Tbs techl prep&transmis data CPT 77090 | $147.60 | $369.00 | $94.66 – $194.81 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $375.88 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $103.19 | $257.98 | $61.98 – $233.20 | 16 |
| Tc-99m disofenin HCPCS A9510 | $109.60 | $274.00 | $98.74 – $107.10 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,696.80 | $11,742.00 | $1,716.53 – $2,622.38 | 3 |
| Tc-99m exametazime diag HCPCS A9521 | $3,029.60 | $7,574.00 | $1,323.86 – $2,622.38 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $324.40 | $811.00 | $142.91 – $173.99 | 3 |
| Tc-99m maa HCPCS A9540 | $50.00 | $125.00 | $45.90 – $48.58 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $194.00 | $485.00 | $84.63 – $187.21 | 3 |
| Tc-99m medronate HCPCS A9503 | $106.00 | $265.00 | $19.89 – $97.66 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $655.20 | $1,638.00 | $1,267.58 – $1,267.58 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.88 | $39.70 | $9.90 – $9.90 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $46.80 | $117.00 | $67.32 – $83.26 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | $85.20 | $213.00 | $45.90 – $47.94 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $316.80 | $792.00 | $25.98 – $33.63 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.80 | $7.00 | $2.60 – $2.60 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $183.60 | $459.00 | $67.25 – $98.00 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $268.44 | $671.10 | $140.66 – $140.66 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $3,128.40 | $7,821.00 | $917.12 – $1,098.39 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $414.32 | $1,035.81 | $130.47 – $260.45 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $658.07 – $1,217.43 | 12 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $114.32 – $480.00 | 13 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $114.32 – $480.00 | 13 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $480.00 – $480.00 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $469.99 – $869.48 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $27.75 | $69.37 | $46.98 – $177.12 | 16 |
| T cells absolute cd 4 count CPT 86361 | $19.01 | $47.53 | $26.78 – $100.68 | 16 |
| T cells total count CPT 86359 | $204.08 | $510.19 | $37.73 – $141.44 | 16 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $191.00 – $619.32 | 13 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $271.00 – $619.32 | 13 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $239.00 – $619.32 | 13 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $393.54 – $728.05 | 13 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $239.91 – $728.05 | 13 |
| Temperature gradient studies CPT 93740 | not published | not published | $168.20 – $311.17 | 12 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $103.02 | $257.54 | $44.28 – $97.71 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $224.08 | $560.21 | $243.65 – $537.64 | 4 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $39.48 | $98.70 | $2.33 – $7.08 | 4 |
| Tert gene targeted seq alys CPT 81345 | $80.00 | $200.00 | $185.20 – $696.96 | 16 |
| Test for chlorohydrocarbons CPT 82441 | $46.80 | $117.00 | $6.01 – $22.96 | 16 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $21.68 | 16 |
| Test for urine cystines CPT 82615 | $18.48 | $46.20 | $9.55 – $35.68 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $431.99 – $884.18 | 15 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $193.68 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $1,453.20 | $3,633.00 | $334.77 – $1,678.00 | 13 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $42.08 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $49.72 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $16.56 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $1,090.61 – $1,285.35 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $409.18 | $1,022.96 | $858.11 – $950.00 | 3 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $514.80 | 16 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,855.40 | 15 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $10,978.16 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,247.64 | 15 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $143.50 – $408.88 | 15 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $143.50 – $408.88 | 15 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $143.50 – $408.88 | 15 |
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.