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 |
|---|---|---|---|---|
| ER Visit (level 1, minor) CPT 99281 | $211.73 | $572.25 | $28.33 – $181.18 | 32 |
| ER Visit (level 2) CPT 99282 | $491.18 | $1,327.50 | $103.80 – $325.87 | 32 |
| ER Visit (level 3) CPT 99283 | $1,319.05 | $3,565.00 | $174.98 – $569.78 | 32 |
| ER Visit (level 4) CPT 99284 | $1,327.56 | $3,588.00 | $299.30 – $876.23 | 32 |
| ER Visit (level 5, high severity) CPT 99285 | $1,395.46 | $3,771.50 | $434.53 – $1,261.61 | 32 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $110.82 | $299.50 | $93.21 – $93.21 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $391.25 – $884.18 | 32 |
| Esophageal recording CPT 93615 | not published | not published | $70.30 – $24,882.00 | 3 |
| Esophageal recording CPT 93616 | not published | not published | $87.38 – $24,882.00 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $912.87 – $5,590.00 | 31 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $912.87 – $5,590.00 | 31 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $912.87 – $5,590.00 | 31 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $349.00 – $1,091.85 | 32 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $516.63 – $1,091.85 | 32 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $36.48 – $36.48 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $267.65 – $640.79 | 32 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $516.63 – $1,091.85 | 32 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $80.57 | $217.75 | $54.50 – $54.50 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $107.12 | $289.50 | $134.75 – $134.75 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $153.64 | $415.25 | $219.60 – $219.60 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $155.12 | $419.25 | $309.88 – $309.88 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $347.43 | $939.00 | $435.30 – $435.30 | 2 |
| Estradiol total CPT 82670 | $75.11 | $203.00 | $24.59 – $69.85 | 34 |
| Estrogens total-sendout CPT 82672 | not published | not published | $19.10 – $54.25 | 34 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $13.11 – $37.25 | 34 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.40 – $21.03 | 34 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $152.34 – $321.95 | 32 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $114.45 – $294.98 | 32 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $154.66 | $418.00 | $86.34 – $245.28 | 34 |
| Evaluation heart device CPT 93640 | not published | not published | $2,402.35 – $24,882.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $124.20 – $320.10 | 32 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $156.44 – $415.13 | 32 |
| Event monitor CPT 93270 | $95.74 | $258.75 | $18.68 – $1,600.00 | 33 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $11.83 – $640.79 | 32 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $8.78 – $640.79 | 32 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $62.13 – $62.13 | 2 |
| Evoked potentials upper limbs CPT 95925 | $940.63 | $2,542.25 | $289.38 – $640.79 | 32 |
| Evoked potential visual not glaucoma CPT 95930 | $272.41 | $736.25 | $109.88 – $640.79 | 32 |
| Evok oa screening qual CPT 92558 | not published | not published | $22.53 – $22.53 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $296.18 – $625.95 | 30 |
| Exam pelvic add-on CPT 99459 | not published | not published | $48.65 – $48.65 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $389.01 – $822.13 | 30 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $425.67 – $899.60 | 30 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $193.47 – $408.87 | 32 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $193.47 – $408.87 | 32 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $389.01 – $822.13 | 32 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $495.83 – $1,047.90 | 30 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $685.06 – $1,447.81 | 30 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $685.06 – $1,447.81 | 30 |
| Excision of rectal lesion CPT 45160 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $389.01 – $822.13 | 30 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $685.06 – $1,447.81 | 30 |
| Exercise tst brncspsm w/ecg CPT 94617 | $293.60 | $793.50 | $125.51 – $265.25 | 32 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $57.83 – $122.22 | 32 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $290.48 – $290.48 | 2 |
| Exome sequence analysis CPT 81415 | not published | not published | $4,206.40 – $11,950.00 | 4 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $291.06 – $615.12 | 30 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $495.83 – $1,047.90 | 30 |
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.