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 |
|---|---|---|---|---|
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $389.01 – $822.13 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $389.01 – $822.13 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $389.01 – $822.13 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $389.01 – $822.13 | 30 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $193.47 – $408.87 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $193.47 – $408.87 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $193.47 – $408.87 | 30 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $193.47 – $408.87 | 30 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $193.47 – $408.87 | 30 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $152.34 – $3,995.00 | 33 |
| Ghs somatosensory testing lower extremit CPT 95926 | $947.48 | $2,560.75 | $262.00 – $640.79 | 32 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $516.63 – $1,091.85 | 32 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.01 – $116.00 | 32 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $287.42 – $607.44 | 30 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $10.30 – $265.25 | 32 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $95.51 – $246.15 | 32 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $37.88 – $80.77 | 32 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $125.51 – $265.25 | 30 |
| Ghs st - re-eval for alt comm CPT 92597 | $78.81 | $213.00 | $67.92 – $175.05 | 32 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.55 – $94.94 | 32 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $205.15 – $433.55 | 32 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $596.01 – $1,259.60 | 30 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $389.01 – $822.13 | 30 |
| Ghs trypsin (fecal) CPT 84488 | $12.95 | $35.00 | $6.43 – $18.25 | 34 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $233.57 – $493.62 | 30 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $233.57 – $493.62 | 30 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.39 – $60.75 | 34 |
| Ghs urine, porphyrins quant CPT 84120 | $8.14 | $22.00 | $12.94 – $36.78 | 34 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,511.45 | $4,085.00 | $516.63 – $2,591.15 | 32 |
| Ghs windowing of cast CPT 29730 | not published | not published | $153.64 – $324.70 | 30 |
| Giardia lamblia antibody CPT 86674 | $23.31 | $63.00 | $12.95 – $36.80 | 34 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $235.35 – $525.31 | 31 |
| Gi inhouse confirmation CPT 87045 | $146.06 | $394.75 | $8.31 – $23.60 | 34 |
| Gi protein loss CPT 78282 | not published | not published | $391.25 – $884.18 | 31 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $912.87 – $1,929.25 | 32 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $887.71 – $1,876.08 | 32 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $912.87 – $1,929.25 | 32 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $912.87 – $3,238.30 | 32 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $88.99 – $252.80 | 34 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $54.14 – $153.80 | 34 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.80 – $87.50 | 34 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $176.63 | $477.39 | $276.27 – $276.27 | 3 |
| Glucagon plasma - sendout CPT 82943 | $6.94 | $18.75 | $12.58 – $35.73 | 34 |
| Glucose 1 hr post dose CPT 82950 | $29.14 | $78.75 | $4.18 – $11.88 | 34 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.32 – $15.13 | 34 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $9.99 | $27.00 | $2.89 – $8.20 | 34 |
| Glucose blood quantitative CPT 82947 | $6.85 | $18.50 | $3.46 – $9.83 | 34 |
| Glucose body fluid CPT 82945 | $43.01 | $116.25 | $3.46 – $9.83 | 34 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $57.83 – $152.23 | 32 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $79.27 | $214.25 | $11.32 – $32.18 | 34 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $10.92 | $29.50 | $3.45 – $9.80 | 34 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $55.59 | $150.25 | $16.35 – $46.45 | 34 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $49.30 | $133.25 | $16.30 – $46.30 | 34 |
| Gonioscopy CPT 92020 | not published | not published | $63.80 – $265.25 | 32 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,499.83 | $9,459.00 | $45.72 – $75.91 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $9,693.72 | $26,199.25 | $77.62 – $159.05 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $20,559.61 | $55,566.50 | $77.78 – $77.78 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $38,350.96 | $103,651.25 | $79.80 – $163.51 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $12,026.39 | $32,503.75 | $128.66 – $263.66 | 6 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,329.68 | $17,107.25 | $166.37 – $340.92 | 6 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,589.48 | $12,404.00 | $45.75 – $205.28 | 6 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $233.57 – $493.62 | 30 |
| Growth hormone antibody CPT 86277 | $51.06 | $138.00 | $13.85 – $39.35 | 34 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $66.53 – $189.00 | 34 |
| G-tube reposition CPT 43761 | not published | not published | $236.81 – $500.47 | 30 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $211.85 – $4,366.49 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $685.06 – $1,447.81 | 30 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $596.01 – $1,259.60 | 30 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $389.01 – $822.13 | 30 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $389.01 – $822.13 | 30 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $47.99 | $129.69 | $1.82 – $1.82 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $12.83 | 3 |
| Hand X-ray CPT 73130 | $199.15 | $538.25 | $75.77 – $194.81 | 32 |
| Haptoglobin quantitative CPT 83010 | $21.09 | $57.00 | $11.07 – $31.45 | 34 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $425.67 – $899.60 | 30 |
| Hast w/i&r phys/qhp CPT 94452 | $236.80 | $640.00 | $84.05 – $265.25 | 32 |
| Hast w/oxygen titrate CPT 94453 | $231.16 | $624.75 | $112.58 – $265.25 | 32 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $528.00 – $1,500.00 | 34 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $178.11 – $506.00 | 34 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $330.22 – $938.13 | 34 |
| Hbb full gene sequence CPT 81364 | not published | not published | $285.63 – $811.45 | 34 |
| Hbb gene com variants CPT 81361 | not published | not published | $153.83 – $437.03 | 34 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $178.11 – $506.00 | 34 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $330.22 – $938.13 | 34 |
| Hbot, full body chamber, 30m HCPCS G0277 | $897.99 | $2,427.00 | $401.55 – $401.55 | 2 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $52.05 – $52.05 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $173.33 – $521.16 | 32 |
| Hcg free betachain test CPT 84704 | not published | not published | $13.46 – $38.23 | 34 |
| Hcg qualitative CPT 84703 | $59.85 | $161.75 | $6.62 – $18.80 | 34 |
| Hcg quantitative CPT 84702 | $77.70 | $210.00 | $13.24 – $37.63 | 34 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $88.58 – $88.58 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $54.80 – $54.80 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $173.28 – $173.28 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $135.98 – $135.98 | 2 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $476.28 | $1,287.25 | $115.23 – $250.45 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $596.01 – $1,259.60 | 30 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $596.01 – $1,259.60 | 30 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $378.83 – $1,158.73 | 32 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $391.25 – $884.18 | 31 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $391.25 – $884.18 | 32 |
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.