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 |
|---|---|---|---|---|
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $484.80 – $484.80 | 2 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $188.85 – $188.85 | 2 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $342.28 – $342.28 | 2 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $118.30 – $118.30 | 2 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $216.68 – $216.68 | 2 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $184.75 – $184.75 | 2 |
| Home visit new patient CPT 99343 | not published | not published | $311.78 – $311.78 | 2 |
| Homocysteine CPT 83090 | $46.25 | $125.00 | $15.77 – $44.80 | 34 |
| Homogenization tissue CPT 87176 | $8.51 | $23.00 | $5.17 – $14.70 | 34 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $19.72 – $56.03 | 34 |
| Hospice care supervision CPT 99377 | not published | not published | $162.98 – $162.98 | 2 |
| Hospice care supervision CPT 99378 | not published | not published | $246.88 – $246.88 | 2 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $107.56 – $305.55 | 34 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $107.56 – $305.55 | 34 |
| Hpv low-risk types CPT 87623 | not published | not published | $30.88 – $87.73 | 34 |
| Hpv types 16 & 18 only CPT 87625 | $32.56 | $88.00 | $35.68 – $101.38 | 34 |
| H pylori ag ia CPT 87339 | not published | not published | $14.08 – $40.00 | 34 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $59.28 – $168.40 | 34 |
| H pylori (c-13) breath CPT 83013 | $29.60 | $80.00 | $59.28 – $168.40 | 34 |
| H pylori drug admin CPT 83014 | not published | not published | $6.92 – $19.65 | 34 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $597.56 – $3,259.88 | 4 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $386.26 – $1,097.33 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $514.71 – $1,462.25 | 34 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $514.71 – $1,462.25 | 34 |
| Hsv dna dir probe CPT 87528 | not published | not published | $17.64 – $50.13 | 34 |
| Htt gene charac alleles CPT 81274 | not published | not published | $241.85 – $687.08 | 34 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $120.56 – $342.50 | 34 |
| Human epididymis protein 4 (he4) CPT 86305 | $100.27 | $271.00 | $18.31 – $52.03 | 34 |
| Human ig IV CPT 90283 | not published | not published | $88.94 – $115.80 | 6 |
| Human ig sc CPT 90284 | not published | not published | $24.53 – $29.90 | 6 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4,190.44 | $11,325.50 | $4.82 – $4.82 | 3 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $152.81 | $413.00 | $39.25 – $85.38 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $50.14 | $135.50 | $5.37 – $6.12 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $94.63 | $255.75 | $28.23 – $94.94 | 33 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $727.14 | $1,965.25 | $71.95 – $433.55 | 33 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $50.14 | $135.50 | $25.11 – $31.41 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $16.72 | $45.20 | $0.14 – $0.20 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $24.14 | $65.25 | $18.47 – $18.47 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $15.75 – $44.75 | 34 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $261.95 – $261.95 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $15.07 | $40.72 | $8.96 – $25.45 | 34 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $675.54 – $2,173.85 | 31 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $256.05 – $1,151.04 | 31 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $563.24 – $1,535.64 | 31 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $563.24 – $1,788.23 | 31 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $563.24 – $2,830.46 | 31 |
| Hypnotherapy CPT 90880 | not published | not published | $90.06 – $246.13 | 32 |
| Hypothermia ill neonate CPT 99184 | $436.05 | $1,178.50 | $516.13 – $516.13 | 2 |
| Hysterosalpingography s&i CPT 74740 | $739.45 | $1,998.50 | $206.69 – $525.31 | 32 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $332.48 – $439.65 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $81.12 | $219.25 | $136.15 – $146.63 | 4 |
| I131 iodide cap, rx HCPCS A9517 | $476.28 | $1,287.25 | $28.22 – $100.23 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $11.81 – $33.55 | 34 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $30.88 – $87.73 | 34 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $15.92 – $45.23 | 34 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.92 – $113.20 | 33 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $6,121.40 | 3 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $303.20 – $640.79 | 32 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $28.55 – $80.77 | 32 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $17.95 – $122.22 | 32 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $11.13 – $50.39 | 32 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.47 – $109.94 | 31 |
| Idh1 common variants CPT 81120 | not published | not published | $170.06 – $483.13 | 34 |
| Idh2 common variants CPT 81121 | not published | not published | $260.29 – $739.48 | 34 |
| I&d lacrimal gland CPT 68400 | not published | not published | $943.03 – $1,993.01 | 30 |
| Ifnl3 gene CPT 81283 | not published | not published | $64.57 – $183.43 | 34 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $201.09 – $518.28 | 33 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $60.32 – $171.38 | 34 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $174.23 – $494.98 | 34 |
| Igh@ var region somatic mutation analy CPT 81263 | $143.84 | $388.75 | $259.18 – $736.30 | 34 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $152.00 – $431.83 | 34 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $915.29 | $2,473.75 | $53.78 – $157.35 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $134.03 | $362.25 | $112.81 – $740.21 | 34 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $915.29 | $2,473.75 | $58.73 – $352.62 | 34 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $15.71 – $43.10 | 6 |
| Ikbkap gene CPT 81260 | not published | not published | $34.59 – $98.28 | 34 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $40.73 – $122.22 | 32 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $30.83 – $80.77 | 32 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $57.83 – $122.22 | 32 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $52.05 – $52.05 | 2 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $95.58 – $95.58 | 2 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $113.83 – $113.83 | 2 |
| Immune complex assay CPT 86332 | not published | not published | $21.45 – $60.93 | 34 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $100.01 | $270.29 | $69.69 – $69.69 | 3 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $70.94 | $191.72 | $98.83 – $122.15 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $3,132.49 | $8,466.18 | $58.63 – $73.95 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $72.88 – $183.60 | 6 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $39.59 | $107.00 | $18.31 – $52.03 | 34 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $51.62 | $139.50 | $18.31 – $52.03 | 34 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.50 – $63.93 | 34 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $17.73 | $47.92 | $10.54 – $29.95 | 34 |
| Immunodiffusion nes CPT 86329 | $22.20 | $60.00 | $12.36 – $35.13 | 34 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $26.33 – $74.80 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $116.18 | $314.00 | $19.66 – $55.85 | 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.