Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.)
1670 St. Vincent's Way, Middleburg, FL · Ascension · · NPI 1457690471
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 |
|---|---|---|---|---|
| CT bone density axial CPT 77078 | not published | not published | $85.73 – $764.00 | 32 |
| CT colonography dx CPT 74261 | not published | not published | $103.54 – $764.00 | 32 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $173.33 – $764.00 | 32 |
| CT colonography screening CPT 74263 | not published | not published | $235.35 – $1,253.21 | 32 |
| CT guidance for needle placement CPT 77012 | $647.32 | $1,749.50 | $764.00 – $764.00 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $770.99 | $2,083.75 | $764.00 – $764.00 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $233.57 – $493.62 | 30 |
| CT guid parench tis ablat CPT 77013 | $647.32 | $1,749.50 | $764.00 – $764.00 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $85.73 – $764.00 | 32 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $347.73 – $764.00 | 32 |
| CT hrt w/3d image CPT 75572 | $647.32 | $1,749.50 | $347.73 – $764.00 | 32 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $85.73 – $764.00 | 32 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $601.44 | $1,625.50 | $173.33 – $764.00 | 32 |
| CT lower extremity without contrast (both sides) CPT 73700 | $833.24 | $2,252.00 | $103.54 – $764.00 | 32 |
| CT lwr extremity w/o&w/dye CPT 73702 | $647.32 | $1,749.50 | $173.33 – $764.00 | 32 |
| CT neck soft tissue w/contrast CPT 70491 | $647.32 | $1,749.50 | $173.33 – $764.00 | 32 |
| CT neck soft tissue without contrast CPT 70490 | $601.44 | $1,625.50 | $103.54 – $764.00 | 32 |
| CT neck soft tissue without & w/contrast CPT 70492 | $693.10 | $1,873.25 | $173.33 – $764.00 | 32 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $670.16 | $1,811.25 | $173.33 – $764.00 | 32 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $624.28 | $1,687.25 | $173.33 – $764.00 | 32 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $578.40 | $1,563.25 | $103.54 – $764.00 | 32 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $226.11 – $477.85 | 30 |
| CT scan for therapy guide CPT 77014 | not published | not published | $764.00 – $764.00 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $738.98 | $1,997.25 | $347.73 – $824.45 | 32 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $693.10 | $1,873.25 | $347.73 – $824.45 | 32 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $647.32 | $1,749.50 | $235.35 – $764.00 | 32 |
| CT thoracic spine w/contrast CPT 72129 | $624.28 | $1,687.25 | $173.33 – $764.00 | 32 |
| CT thoracic spine without contrast CPT 72128 | $578.40 | $1,563.25 | $103.54 – $764.00 | 32 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $647.32 | $1,749.50 | $103.54 – $764.00 | 32 |
| CT t-spine w /wo contrast CPT 72130 | $670.16 | $1,811.25 | $173.33 – $764.00 | 32 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $647.32 | $1,749.50 | $347.73 – $824.45 | 32 |
| CT upper extremity without contrast (both sides) CPT 73200 | $601.44 | $1,625.50 | $103.54 – $764.00 | 32 |
| CT uppr extremity w/o&w/dye CPT 73202 | $693.10 | $1,873.25 | $173.33 – $764.00 | 32 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $143.50 – $2,548.00 | 33 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $143.50 – $2,649.85 | 33 |
| Culture aerobic additional method definitive id each CPT 87077 | $25.90 | $70.00 | $7.11 – $20.20 | 34 |
| Culture afb any source CPT 87116 | $134.31 | $363.00 | $9.50 – $27.00 | 34 |
| Culture anaerobic additional method definitive id each CPT 87076 | $47.36 | $128.00 | $7.11 – $20.20 | 34 |
| Culture anaerobic except blood CPT 87075 | $34.60 | $93.50 | $8.33 – $23.68 | 34 |
| Culture bact stool aero addl path ea CPT 87046 | $11.47 | $31.00 | $8.31 – $23.60 | 34 |
| Culture body fluid CPT 87070 | $160.49 | $433.75 | $7.59 – $21.55 | 34 |
| Culture fungi definitive id mold CPT 87107 | $42.00 | $113.50 | $9.08 – $25.80 | 34 |
| Culture fungi definitive id yeast CPT 87106 | $14.80 | $40.00 | $9.08 – $25.80 | 34 |
| Culture fungi other (except blood) CPT 87102 | $111.09 | $300.25 | $7.40 – $21.03 | 34 |
| Culture fungi skin/hair/nail CPT 87101 | $18.22 | $49.25 | $6.78 – $19.28 | 34 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $19.43 | $52.50 | $12.86 – $36.53 | 34 |
| Culture mycoplasma any source CPT 87109 | $46.62 | $126.00 | $13.54 – $38.48 | 34 |
| Culture quantitative aerobic other source CPT 87071 | $107.21 | $289.75 | $8.70 – $24.73 | 34 |
| Culture screening strep group a CPT 87081 | $39.22 | $106.00 | $5.83 – $16.58 | 34 |
| Culture typing added method CPT 87158 | $25.90 | $70.00 | $6.81 – $19.35 | 34 |
| Culture typing immunologic CPT 87147 | $8.14 | $22.00 | $4.56 – $12.95 | 34 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $211.52 – $545.15 | 33 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $81.40 | $220.00 | $30.88 – $87.73 | 34 |
| Culture urine each isolate CPT 87088 | $17.85 | $48.25 | $7.12 – $20.23 | 34 |
| Culture virus isolation CPT 87250 | not published | not published | $17.21 – $48.90 | 34 |
| Curette/treat cornea CPT 65435 | not published | not published | $943.03 – $1,993.01 | 30 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $33.80 – $1,600.00 | 3 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $49.75 – $1,600.00 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.60 – $35.80 | 34 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $47.43 | $128.20 | $1.91 – $1.91 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $11.40 – $32.38 | 34 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1.90 | $5.15 | $0.98 – $1.32 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1.70 | $4.60 | $1.26 – $1.39 | 4 |
| Cyclosporine 2 hour CPT 80158 | $73.45 | $198.50 | $15.88 – $45.13 | 34 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.50 | $4.06 | $0.90 – $1.25 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | $3.65 | $9.86 | $2.46 – $3.30 | 4 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $256.40 – $728.40 | 34 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $153.83 – $437.03 | 34 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $396.80 – $1,127.28 | 34 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $153.83 – $437.03 | 34 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $153.83 – $437.03 | 34 |
| Cystatin c CPT 82610 | $44.40 | $120.00 | $16.30 – $46.30 | 34 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $439.12 – $1,247.50 | 34 |
| Cystine urine quantitative CPT 82131 | not published | not published | $20.22 – $57.45 | 34 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $366.02 | $989.25 | $70.60 – $824.45 | 32 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $649.89 – $1,373.48 | 30 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $649.89 – $5,590.00 | 31 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $649.89 – $5,590.00 | 31 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $5,590.00 – $5,590.00 | 1 |
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.