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 |
|---|---|---|---|---|
| X-ray assay calculus CPT 82370 | $10.08 | $25.20 | $12.52 – $47.16 | 16 |
| X-ray bone age studies CPT 77072 | $426.00 | $1,065.00 | $50.09 – $235.69 | 15 |
| X-ray bone length studies CPT 77073 | $557.20 | $1,393.00 | $96.29 – $235.69 | 15 |
| X-ray bone survey complete CPT 77075 | $180.00 | $450.00 | $114.32 – $235.69 | 15 |
| X-ray bone survey infant CPT 77076 | $328.40 | $821.00 | $114.32 – $235.69 | 15 |
| X-ray cervical spine 2-3 views CPT 72040 | $91.20 | $228.00 | $85.04 – $194.81 | 15 |
| X-ray cervical spine 4-5 views CPT 72050 | $417.20 | $1,043.00 | $114.32 – $235.69 | 15 |
| X-ray cervical spine >= 6 views CPT 72052 | $438.80 | $1,097.00 | $114.32 – $235.69 | 15 |
| X-ray clavicle complete (both sides) CPT 73000 | $533.60 | $1,334.00 | $72.63 – $194.81 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $428.80 | $1,072.00 | $191.38 – $393.89 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $689.60 | $1,724.00 | $191.38 – $503.02 | 15 |
| X-ray consultation CPT 76140 | not published | not published | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $570.80 | $1,427.00 | $63.62 – $194.81 | 15 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $762.00 | $1,905.00 | $70.39 – $194.81 | 15 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $348.40 | $871.00 | $191.38 – $393.89 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $508.00 | $1,270.00 | $114.32 – $235.69 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $508.00 | $1,270.00 | $114.32 – $235.69 | 15 |
| X-ray exam of arm infant CPT 73092 | $126.80 | $317.00 | $70.39 – $235.69 | 15 |
| X-ray exam of eye sockets CPT 70200 | $311.60 | $779.00 | $103.06 – $235.69 | 15 |
| X-ray exam of femur 1 CPT 73551 | $160.80 | $402.00 | $65.87 – $194.81 | 15 |
| X-ray exam of jaw joint CPT 70328 | $114.00 | $285.00 | $77.15 – $194.81 | 15 |
| X-ray exam of jaw joint CPT 70332 | $550.80 | $1,377.00 | $171.80 – $525.31 | 15 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $87.28 – $235.69 | 15 |
| X-ray exam of middle ear CPT 70134 | $424.00 | $1,060.00 | $123.35 – $1,182.67 | 15 |
| X-ray exam of penis CPT 74445 | not published | not published | $114.32 – $235.69 | 14 |
| X-ray exam of perineum CPT 74775 | $391.20 | $978.00 | $259.86 – $525.31 | 14 |
| X-ray exam of salivary gland CPT 70380 | $445.20 | $1,113.00 | $87.28 – $194.81 | 15 |
| X-ray exam of sinuses CPT 70210 | $194.40 | $486.00 | $70.39 – $194.81 | 15 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $259.86 – $525.31 | 14 |
| X-ray exam of teeth CPT 70300 | not published | not published | $26.43 – $194.81 | 15 |
| X-ray exam of teeth CPT 70310 | not published | not published | $99.69 – $525.31 | 15 |
| X-ray exam si joints CPT 72200 | not published | not published | $73.75 – $235.69 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $348.80 | $872.00 | $97.42 – $235.69 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $395.20 | $988.00 | $71.51 – $194.81 | 15 |
| X-ray facial bones complete > 3 views CPT 70150 | $409.20 | $1,023.00 | $103.06 – $235.69 | 15 |
| X-ray femur >=2 views (both sides) CPT 73552 | $322.00 | $805.00 | $80.52 – $194.81 | 15 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $264.80 | $662.00 | $90.68 – $194.81 | 15 |
| X-ray foot 2 views (both sides) CPT 73620 | $483.20 | $1,208.00 | $63.62 – $194.81 | 15 |
| X-ray forearm 2 views (both sides) CPT 73090 | $548.00 | $1,370.00 | $64.75 – $194.81 | 15 |
| X-ray hand 2 views (both sides) CPT 73120 | $520.40 | $1,301.00 | $69.27 – $235.69 | 15 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $26.43 – $194.81 | 15 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $590.80 | $1,477.00 | $63.62 – $194.81 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $266.80 | $667.00 | $114.32 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $266.80 | $667.00 | $90.68 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $266.80 | $667.00 | $114.32 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $508.00 | $1,270.00 | $114.32 – $235.69 | 15 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $160.80 | $402.00 | $70.39 – $194.81 | 15 |
| X-ray humerus >= 2 views left CPT 73060 | $566.40 | $1,416.00 | $72.63 – $194.81 | 15 |
| X-ray joint survey 1 view CPT 77077 | $495.20 | $1,238.00 | $90.68 – $235.69 | 15 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $527.20 | $1,318.00 | $79.40 – $194.81 | 15 |
| X-ray knee 3 views (both sides) CPT 73562 | $548.00 | $1,370.00 | $94.05 – $194.81 | 15 |
| X-ray knee ap standing bilateral CPT 73565 | $224.00 | $560.00 | $94.66 – $194.81 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $253.20 | $633.00 | $70.39 – $194.81 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $173.20 | $433.00 | $89.53 – $235.69 | 15 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $462.80 | $1,157.00 | $112.07 – $235.69 | 15 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $413.20 | $1,033.00 | $114.32 – $235.69 | 15 |
| X-ray male genital tract CPT 74440 | not published | not published | $233.74 – $525.31 | 15 |
| X-ray mandible complete > 4 views CPT 70110 | $311.60 | $779.00 | $94.05 – $235.69 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $138.80 | $347.00 | $87.28 – $194.81 | 15 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $71.51 – $71.51 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $256.40 | $641.00 | $87.28 – $194.81 | 15 |
| X-ray neck soft tissue CPT 70360 | $277.60 | $694.00 | $68.14 – $194.81 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $313.60 | $784.00 | $62.50 – $194.81 | 15 |
| X-ray of mammary ducts CPT 77054 | $242.00 | $605.00 | $161.63 – $525.31 | 15 |
| X-ray optic foramina CPT 70190 | $356.40 | $891.00 | $86.16 – $194.81 | 15 |
| X-ray pelvis 1-2 views CPT 72170 | $282.40 | $706.00 | $62.50 – $235.69 | 15 |
| X-ray pelvis complete > 3 views CPT 72190 | $442.40 | $1,106.00 | $88.41 – $235.69 | 15 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $499.60 | $1,249.00 | $153.75 – $824.45 | 15 |
| X-ray ribs 2 views left CPT 71100 | $129.20 | $323.00 | $77.15 – $194.81 | 15 |
| X-ray ribs 3 views bilateral CPT 71110 | $131.20 | $328.00 | $89.53 – $235.69 | 15 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $362.80 | $907.00 | $87.28 – $235.69 | 15 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $534.00 | $1,335.00 | $110.95 – $235.69 | 15 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $243.60 | $609.00 | $83.92 – $235.69 | 15 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $292.40 | $731.00 | $71.51 – $194.81 | 15 |
| X-ray scapula complete (both sides) CPT 73010 | $542.00 | $1,355.00 | $59.14 – $235.69 | 15 |
| X-ray sella turcica CPT 70240 | $324.40 | $811.00 | $74.91 – $194.81 | 15 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $106.00 | $265.00 | $43.36 – $194.81 | 15 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $465.20 | $1,163.00 | $80.52 – $194.81 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $550.80 | $1,377.00 | $105.30 – $1,182.67 | 15 |
| X-ray skull < 4 views CPT 70250 | $248.80 | $622.00 | $80.52 – $235.69 | 15 |
| X-ray skull > 4 views complete CPT 70260 | $462.00 | $1,155.00 | $94.05 – $235.69 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $224.00 | $560.00 | $114.32 – $235.69 | 15 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $486.80 | $1,217.00 | $191.38 – $393.89 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $613.60 | $1,534.00 | $149.85 – $149.85 | 1 |
| X-ray spine single view CPT 72020 | $316.00 | $790.00 | $51.25 – $194.81 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $166.80 | $417.00 | $90.68 – $194.81 | 15 |
| X-ray sternum > 2 views CPT 71120 | $280.80 | $702.00 | $71.51 – $194.81 | 15 |
| X-ray surgical specimen CPT 76098 | not published | not published | $86.16 – $1,182.67 | 15 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $564.40 | $1,411.00 | $191.38 – $393.89 | 15 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $278.40 | $696.00 | $94.66 – $194.81 | 15 |
| X-ray thoracic spine 2 views CPT 72070 | $227.20 | $568.00 | $68.14 – $235.69 | 15 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $85.04 – $235.69 | 15 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $292.40 | $731.00 | $73.75 – $194.81 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $160.80 | $402.00 | $89.53 – $194.81 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $266.80 | $667.00 | $114.32 – $235.69 | 15 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $588.00 | $1,470.00 | $71.51 – $194.81 | 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.