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 |
|---|---|---|---|---|
| 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 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.54 – $115.18 | 34 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $44.44 – $126.25 | 34 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.64 – $44.43 | 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 hormone panel CPT 80426 | not published | not published | $130.60 – $371.03 | 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 hormone panel CPT 80428 | not published | not published | $58.70 – $166.75 | 34 |
| Growth hormone panel CPT 80430 | not published | not published | $113.81 – $323.33 | 34 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $66.53 – $189.00 | 34 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $13.13 – $61.29 | 32 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $11.33 – $61.29 | 32 |
| 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 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.54 – $24.28 | 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 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $524.09 – $1,158.73 | 32 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $3,044.09 – $5,025.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $675.54 – $1,427.68 | 31 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $675.54 – $1,427.68 | 31 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $675.54 – $1,810.70 | 31 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $256.05 – $541.14 | 31 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $256.05 – $832.94 | 31 |
| Head CT scan (with and without contrast) CPT 70470 | $768.31 | $2,076.50 | $173.33 – $764.00 | 32 |
| Head CT scan (with contrast) CPT 70460 | $722.43 | $1,952.50 | $173.33 – $764.00 | 32 |
| Head CT scan (without contrast) CPT 70450 | $676.55 | $1,828.50 | $103.54 – $764.00 | 32 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $598.02 – $1,698.93 | 34 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,430.00 – $4,062.50 | 4 |
| Heart first pass add-on CPT 78496 | not published | not published | $56.17 – $56.17 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $502.56 – $1,158.73 | 32 |
| Heart image spect CPT 78494 | $1,550.95 | $4,191.75 | $391.25 – $884.18 | 32 |
| Heart infarct image CPT 78466 | not published | not published | $391.25 – $884.18 | 32 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $457.14 – $1,158.73 | 32 |
| Heavy metal qual any number CPT 83015 | not published | not published | $18.43 – $52.35 | 34 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.70 – $10.50 | 34 |
| Heinz bodies induced CPT 85445 | $15.17 | $41.00 | $6.00 – $17.05 | 34 |
| Helicobacter pylori antibody igm CPT 86677 | $7.86 | $21.25 | $14.83 – $42.13 | 34 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.21 – $20.48 | 34 |
| Hematocrit CPT 85014 | $18.50 | $50.00 | $2.09 – $5.93 | 34 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $218.23 – $533.34 | 32 |
| Hemodialysis access study CPT 90940 | not published | not published | $92.93 – $92.93 | 2 |
| Hemodialysis one evaluation CPT 90935 | $181.58 | $490.75 | $170.23 – $1,439.84 | 32 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $246.85 – $246.85 | 2 |
| Hemoglobin CPT 85018 | $15.91 | $43.00 | $2.09 – $5.93 | 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.