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 |
|---|---|---|---|---|
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $26.43 – $75.08 | 34 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $38.43 – $109.18 | 34 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $27.03 – $27.03 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $152.34 – $321.95 | 32 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $132.75 – $132.75 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $129.69 | $350.50 | $64.42 – $194.81 | 32 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.40 | $3.79 | $0.07 – $0.09 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $48.29 | $130.50 | $0.11 – $0.17 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $80.72 | $218.17 | $12.21 – $12.21 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $73.29 | $198.08 | $2.22 – $2.70 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $81.18 | $219.40 | $4.44 – $5.40 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $58.28 | $157.50 | $19.56 – $55.58 | 34 |
| Diabetes (HbA1c) Test CPT 83036 | $11.38 | $30.75 | $8.54 – $24.28 | 34 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $388.53 – $5,590.00 | 31 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $125.51 – $5,590.00 | 31 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $114.15 | $308.50 | $247.55 – $247.55 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $78.63 | $212.50 | $193.03 – $193.03 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $189.02 – $399.48 | 30 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $189.02 – $5,590.00 | 31 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $303.96 | $821.50 | $99.13 – $344.86 | 32 |
| Diagnostic Mammogram (one breast) CPT 77065 | $301.55 | $815.00 | $77.90 – $270.63 | 32 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $85.73 – $194.81 | 31 |
| Dialysis one evaluation CPT 90945 | $987.53 | $2,669.00 | $207.18 – $876.23 | 32 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.77 – $17.45 | 32 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $19.30 | $52.17 | $7.06 – $12.83 | 4 |
| Dicyclomine injection HCPCS J0500 | $121.18 | $327.50 | $15.69 – $22.35 | 4 |
| Diffusing capacity CPT 94729 | $462.13 | $1,249.00 | $108.38 – $108.38 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $437.25 – $437.25 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $124.14 | $335.50 | $5.95 – $13.23 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $67.25 | $181.75 | $11.69 – $33.20 | 34 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $912.87 – $1,929.25 | 30 |
| Dilate tear duct opening CPT 68801 | not published | not published | $388.53 – $821.13 | 30 |
| Dilate urethra stricture CPT 53600 | not published | not published | $236.81 – $500.47 | 30 |
| Dilate urethra stricture CPT 53601 | not published | not published | $125.51 – $265.25 | 30 |
| Dilate urethra stricture CPT 53621 | not published | not published | $236.81 – $500.47 | 30 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $152.34 – $321.95 | 30 |
| Dilation of salivary duct CPT 42660 | not published | not published | $495.83 – $1,047.90 | 30 |
| Dilation of urethra CPT 53661 | not published | not published | $125.51 – $265.25 | 30 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $649.89 – $1,373.48 | 30 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $50.14 | $135.50 | $0.81 – $1.10 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $48.29 | $130.50 | $20.52 – $187.65 | 6 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.22 – $80.77 | 32 |
| Disability dlco CPT 94727 | $369.08 | $997.50 | $76.43 – $321.95 | 32 |
| Disaccharidases CPT 82657 | $29.60 | $80.00 | $19.51 – $55.43 | 34 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $182.98 – $4,139.17 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $938.25 – $938.25 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $56.25 – $56.25 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $245.52 – $697.50 | 34 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $120.56 – $342.50 | 34 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $12.09 – $34.35 | 34 |
| Dna gardnerella CPT 87510 | not published | not published | $17.64 – $50.13 | 34 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.02 – $56.88 | 34 |
| Dna probe gc CPT 87590 | not published | not published | $23.65 – $67.20 | 34 |
| Dna trichomonas CPT 87660 | $6.75 | $18.25 | $17.64 – $50.13 | 34 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $35.98 | $97.25 | $9.94 – $11.09 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $9.66 | $26.10 | $0.87 – $1.16 | 4 |
| Doppler echo complete CPT 93320 | $503.85 | $1,361.75 | $74.93 – $1,600.00 | 3 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $409.60 – $409.60 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $515.50 | $1,393.25 | $152.34 – $1,143.00 | 33 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $437.99 | $1,183.75 | $125.51 – $1,143.00 | 33 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $2.98 | $8.06 | $0.15 – $0.15 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $153.83 – $437.03 | 34 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $685.06 – $1,447.81 | 30 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $685.06 – $1,447.81 | 30 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $685.06 – $1,447.81 | 30 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $226.11 – $477.85 | 30 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $685.06 – $1,447.81 | 30 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $226.11 – $477.85 | 30 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $495.83 – $1,047.90 | 30 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $495.83 – $1,047.90 | 30 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $226.11 – $477.85 | 30 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $495.83 – $1,047.90 | 30 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $495.83 – $1,047.90 | 30 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $649.89 – $1,373.48 | 30 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $125.51 – $265.25 | 30 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $674.29 – $1,425.04 | 30 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $102.58 | $277.25 | $266.98 – $266.98 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $193.47 – $408.87 | 30 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $193.47 – $408.87 | 30 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $193.47 – $408.87 | 30 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $389.01 – $822.13 | 30 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $596.01 – $1,259.60 | 30 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $6,438.00 | $17,400.00 | $67.26 – $126.19 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $291.06 – $615.12 | 30 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $685.06 – $1,447.81 | 30 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $495.83 – $1,047.90 | 30 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $495.83 – $1,047.90 | 30 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $48.13 | $130.08 | $14.82 – $14.82 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $568.14 | $1,535.50 | $14.65 – $30.03 | 6 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $3,711.84 | $10,032.00 | $11.09 – $22.73 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,721.16 | $20,868.00 | $60.74 – $124.48 | 6 |
| Drug admin & hemodynmic meas CPT 93463 | $330.32 | $892.75 | $234.68 – $234.68 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $33.94 – $96.43 | 34 |
| Drug assay posaconazole CPT 80187 | not published | not published | $23.86 – $67.78 | 34 |
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.