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 |
|---|---|---|---|---|
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $53.32 – $188.18 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $36.08 | $97.50 | $75.86 – $352.62 | 34 |
| Immunoglobulin assay CPT 86023 | $12.58 | $34.00 | $10.97 – $31.15 | 34 |
| Immunology procedure CPT 86849 | not published | not published | not published | 0 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $37.30 – $37.30 | 2 |
| Impedence cardiogram CPT 93701 | $116.74 | $315.50 | $60.48 – $265.25 | 32 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $388.53 – $821.13 | 30 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $226.11 – $477.85 | 30 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,930.36 | $16,028.00 | $3,220.62 – $5,809.75 | 5 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $5,757.20 | $15,560.00 | $872.65 – $2,656.50 | 6 |
| In-111 pentetreotide HCPCS A9572 | $10,737.22 | $29,019.50 | $2,335.82 – $11,610.00 | 3 |
| Inactivated je vacc im CPT 90738 | not published | not published | $372.97 – $649.63 | 6 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $943.03 – $1,993.01 | 30 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $534.15 – $1,128.87 | 30 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $291.06 – $615.12 | 30 |
| Incision of burn scab initi CPT 16035 | not published | not published | $389.01 – $822.13 | 30 |
| Incision of eardrum CPT 69420 | not published | not published | $226.11 – $477.85 | 30 |
| Incision of eyelid CPT 67710 | not published | not published | $943.03 – $1,993.01 | 30 |
| Induction of vomiting CPT 99175 | not published | not published | $68.85 – $68.85 | 2 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $68.09 – $175.50 | 33 |
| Infect ag drug suscept pheno predict CPT 87900 | $46.25 | $125.00 | $114.71 – $325.88 | 34 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $13.20 – $37.50 | 34 |
| Infect ag eia influenza a or b ea CPT 87400 | $44.31 | $119.75 | $12.44 – $35.33 | 34 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $226.56 – $643.63 | 34 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $226.56 – $643.63 | 34 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $46.25 | $125.00 | $113.28 – $321.83 | 34 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $138.75 | $375.00 | $226.56 – $643.63 | 34 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $28.84 – $81.93 | 34 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $31.06 – $88.23 | 34 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $14.56 – $41.38 | 34 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.54 – $29.95 | 34 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $16.16 – $45.90 | 34 |
| Infect ag if influenza a CPT 87276 | not published | not published | $14.14 – $40.18 | 34 |
| Infect ag if influenza b CPT 87275 | not published | not published | $10.78 – $30.63 | 34 |
| Infect ag if legionella pneumophila CPT 87278 | $12.21 | $33.00 | $13.73 – $39.00 | 34 |
| Infect ag if nos ea CPT 87299 | $12.21 | $33.00 | $14.17 – $40.25 | 34 |
| Infect ag if pneumocystis carinii CPT 87281 | $9.62 | $26.00 | $10.54 – $29.95 | 34 |
| Infect ag if varicella zoster CPT 87290 | $17.39 | $47.00 | $11.81 – $33.55 | 34 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $47.05 – $133.68 | 34 |
| Infect ag na hep b amp CPT 87516 | $34.78 | $94.00 | $30.88 – $87.73 | 34 |
| Infect ag na herpes simplex quant CPT 87530 | $57.35 | $155.00 | $37.70 – $107.10 | 34 |
| Infect ag na hpv high-risk types CPT 87624 | $62.99 | $170.25 | $30.88 – $87.73 | 34 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $186.48 | $504.00 | $84.30 – $239.50 | 34 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $45.15 – $128.28 | 34 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $31.45 | $85.00 | $49.77 – $128.28 | 33 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $366.77 – $1,041.95 | 34 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $430.02 – $1,221.65 | 34 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $36.63 | $99.00 | $22.94 – $65.18 | 34 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $40.14 – $103.45 | 33 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $31.64 | $85.50 | $10.54 – $29.95 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $11.81 – $33.55 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $43.48 | $117.50 | $12.16 – $34.55 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $43.48 | $117.50 | $10.54 – $29.95 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $16.28 | $44.00 | $12.66 – $35.95 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $32.47 | $87.75 | $9.09 – $25.83 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $6.29 | $17.00 | $9.09 – $25.83 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $40.79 | $110.25 | $21.19 – $60.20 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $51.43 | $139.00 | $10.54 – $29.95 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $54.02 | $146.00 | $10.54 – $29.95 | 34 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $10.92 | $29.50 | $10.54 – $29.95 | 34 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $117.29 | $317.00 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $49.21 | $133.00 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $68.73 | $185.75 | $32.80 – $93.18 | 34 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $366.77 – $1,041.95 | 34 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $361.58 | $977.25 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $54.39 | $147.00 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $63.73 | $172.25 | $36.68 – $104.20 | 34 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $49.21 | $133.00 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $25.53 | $69.00 | $35.09 – $105.19 | 42 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $138.35 – $356.58 | 33 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $211.09 | $570.50 | $138.35 – $356.58 | 33 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $62.35 | $168.50 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $51.80 | $140.00 | $30.88 – $87.73 | 34 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $74.47 – $191.93 | 33 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $366.77 – $1,041.95 | 34 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $122.10 | $330.00 | $112.90 – $320.73 | 34 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $467.13 | $1,262.50 | $231.43 – $657.48 | 34 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $131.72 | $356.00 | $37.70 – $107.10 | 34 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $35.89 | $97.00 | $37.70 – $107.10 | 34 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $156.14 | $422.00 | $37.70 – $107.10 | 34 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $36.63 | $99.00 | $74.89 – $212.75 | 34 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $303.59 | $820.50 | $125.51 – $356.58 | 34 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $124.62 | $336.81 | $37.23 – $45.80 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $193.48 | $522.93 | $17.33 – $39.78 | 6 |
| Influenza dna amp prob addl CPT 87503 | $54.85 | $148.25 | $25.72 – $73.05 | 34 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $101.86 – $208.73 | 6 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $35.22 – $72.18 | 6 |
| Infuse radioactive materials CPT 77750 | not published | not published | $256.05 – $541.14 | 31 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $204.95 – $204.95 | 2 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $293.70 – $1,091.85 | 32 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $205.35 | $555.00 | $76.00 – $418.53 | 32 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $815.75 – $815.75 | 2 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $320.73 – $320.73 | 2 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $438.35 – $438.35 | 2 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $194.83 – $194.83 | 2 |
| Initial observation care CPT 99218 | not published | not published | $247.75 – $247.75 | 2 |
| Initial observation care CPT 99219 | not published | not published | $333.45 – $333.45 | 2 |
| Initial observation care CPT 99220 | not published | not published | $449.53 – $449.53 | 2 |
| Initiation & management bipap/cpap initial day CPT 94660 | $340.22 | $919.50 | $154.80 – $418.53 | 32 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $217.80 – $217.80 | 2 |
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.