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 |
|---|---|---|---|---|
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $378.09 – $5,590.00 | 31 |
| Largsc w/ther injection CPT 31573 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $125.51 – $265.25 | 32 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $78.50 – $78.50 | 2 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $136.40 – $351.55 | 32 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $378.09 – $5,590.00 | 31 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $378.09 – $5,590.00 | 31 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $534.15 – $1,128.87 | 30 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $226.11 – $477.85 | 30 |
| Lead capillary CPT 83655 | $4.44 | $12.00 | $10.66 – $30.28 | 34 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $17.64 – $50.13 | 34 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $36.75 – $104.40 | 34 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,088.26 | $2,941.25 | $235.35 – $1,143.00 | 33 |
| Leishmania antibody CPT 86717 | not published | not published | $10.78 – $30.63 | 34 |
| Leukacyte transfusion CPT 86950 | not published | not published | $124.68 – $352.62 | 33 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.14 – $25.98 | 34 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,694.97 | $4,581.00 | $271.19 – $271.19 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $28.47 | $76.94 | $0.08 – $0.08 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $19.61 | $53.00 | $11.66 – $33.13 | 34 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $79.92 | $216.00 | $1.26 – $2.84 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $21.57 | $58.30 | $8.09 – $8.09 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $610.45 – $610.45 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $48.29 | $130.50 | $0.02 – $0.07 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $9.62 | $26.00 | $12.93 – $36.73 | 34 |
| Limb exercise test CPT 95875 | not published | not published | $143.35 – $321.95 | 32 |
| Limited autopsy CPT 88036 | not published | not published | $103.58 – $238.68 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $92.03 – $212.08 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $40.73 – $122.22 | 32 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $49.12 | $132.75 | $4.47 – $4.47 | 3 |
| Lipase CPT 83690 | $66.79 | $180.50 | $6.06 – $17.23 | 34 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $29.80 – $84.65 | 34 |
| Lipoprotein blood quant CPT 83704 | $29.69 | $80.25 | $30.09 – $85.48 | 34 |
| Lipoprotein direct measurement hdl CPT 83718 | $45.88 | $124.00 | $7.21 – $20.48 | 34 |
| Lipoprotein direct measurement ldl CPT 83721 | $21.37 | $57.75 | $9.24 – $26.25 | 34 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $30.09 – $85.48 | 34 |
| Lip surgery procedure CPT 40799 | not published | not published | $226.11 – $477.85 | 30 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.61 – $32.98 | 34 |
| Lithium therapeutic drug level CPT 80178 | $80.38 | $217.25 | $5.82 – $16.53 | 34 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,496.21 | $6,746.50 | $353.98 – $353.98 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $170.90 – $440.48 | 33 |
| Liver elastography 91200 CPT 91200 | not published | not published | $46.05 – $321.95 | 32 |
| Liver Function Test CPT 80076 | $50.14 | $135.50 | $7.19 – $20.43 | 34 |
| Liver imaging CPT 78201 | not published | not published | $503.55 – $1,158.73 | 32 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $524.09 – $1,158.73 | 32 |
| Liver/spleen imag static only CPT 78215 | $1,550.95 | $4,191.75 | $391.25 – $884.18 | 32 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $303.51 – $884.18 | 32 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $173.45 – $173.45 | 2 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $36.86 | $99.63 | $1.92 – $2.03 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $113.68 – $640.79 | 32 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $693.10 | $1,873.25 | $173.33 – $764.00 | 32 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $647.32 | $1,749.50 | $347.73 – $824.45 | 32 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $601.44 | $1,625.50 | $103.54 – $764.00 | 32 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $654.35 | $1,768.50 | $347.73 – $824.45 | 32 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $622.25 | $1,681.75 | $347.73 – $824.45 | 32 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,136.27 | $3,071.00 | $235.35 – $525.31 | 32 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $261.78 | $707.50 | $77.83 – $235.69 | 32 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $193.47 – $935.83 | 32 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.35 – $54.98 | 34 |
| Lumbar diskogram s&i CPT 72295 | $2,805.80 | $7,583.25 | $187.12 – $4,139.17 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $28.55 – $122.22 | 32 |
| Lung Function Test (Spirometry) CPT 94010 | $233.56 | $631.25 | $44.50 – $321.95 | 32 |
| Lung perfusion imaging CPT 78580 | $1,550.95 | $4,191.75 | $391.25 – $884.18 | 32 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.84 – $50.39 | 30 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.64 – $50.13 | 34 |
| Lymphatics/lymph node imaging CPT 78195 | $1,550.95 | $4,191.75 | $524.09 – $1,158.73 | 32 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $32.17 – $91.40 | 34 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $43.15 – $122.58 | 34 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $166.77 – $473.78 | 34 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $41.88 – $118.98 | 34 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $601.98 – $1,346.74 | 31 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $3,433.34 – $3,433.34 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $6,833.27 – $6,833.27 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $6,833.27 – $6,833.27 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $495.83 – $1,047.90 | 30 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.15 – $17.15 | 4 |
| Macroscopic exam arthropod CPT 87168 | $25.25 | $68.25 | $3.76 – $10.68 | 34 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.79 – $10.78 | 34 |
| Magnesium CPT 83735 | $40.05 | $108.25 | $5.90 – $16.75 | 34 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $24.14 | $65.25 | $0.60 – $0.74 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $235.35 – $667.03 | 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.