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 |
|---|---|---|---|---|
| Urinary reflex study CPT 51792 | not published | not published | $57.83 – $122.22 | 30 |
| Urine Culture Test CPT 87086 | $80.01 | $216.25 | $7.10 – $20.18 | 34 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $125.51 – $265.25 | 30 |
| Urine pregnancy test CPT 81025 | $75.94 | $205.25 | $7.58 – $21.53 | 34 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.38 – $74.95 | 34 |
| Urography, antegrade CPT 74425 | $588.49 | $1,590.50 | $304.65 – $824.45 | 32 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $173.33 – $393.89 | 32 |
| Use 1st target lesion CPT 76982 | not published | not published | $103.54 – $235.69 | 32 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $197.21 – $404.13 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $179.41 – $367.65 | 6 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $190.20 – $389.75 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.09 – $219.45 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $79.97 – $163.88 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $43.55 – $75.98 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $150.78 – $282.35 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $102.62 – $189.15 | 6 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $263.12 – $456.51 | 6 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $164.69 – $328.33 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $48.14 | $130.10 | $44.58 – $81.93 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $19.26 – $33.85 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $88.04 – $179.02 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $162.35 – $332.15 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $51.63 – $98.98 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $35.51 – $85.85 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $48.14 | $130.10 | $91.68 – $187.86 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $85.86 – $175.94 | 6 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $216.62 – $420.75 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $48.14 | $130.10 | $38.64 – $76.93 | 6 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $450.16 – $765.65 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $128.26 – $456.13 | 6 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $101.86 – $208.73 | 6 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $101.86 – $208.73 | 6 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $48.29 | $130.51 | $26.67 – $54.65 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $48.29 | $130.50 | $27.27 – $55.88 | 6 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $30.98 – $52.20 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $114.21 – $193.40 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $32.10 – $54.10 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $48.23 | $130.36 | $33.15 – $65.18 | 6 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $15.50 – $26.10 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $37.08 – $69.48 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $108.38 – $183.50 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $44.96 – $92.13 | 6 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.33 – $27.33 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $313.76 – $515.83 | 6 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $303.33 – $319.64 | 6 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $251.58 – $288.92 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $226.37 – $410.58 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $52.17 | $141.00 | $138.82 – $247.78 | 6 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $406.49 – $773.83 | 6 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $62.90 | $170.00 | $162.83 – $333.68 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $147.83 | $399.54 | $314.75 – $644.97 | 6 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $318.60 – $633.90 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $381.74 – $745.09 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $65.31 – $115.50 | 6 |
| Vaccine rabies im CPT 90675 | $396.47 | $1,071.54 | $308.14 – $819.44 | 36 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $449.16 – $752.25 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $873.18 – $1,628.36 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $814.18 – $1,268.45 | 6 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $430.42 – $714.00 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $143.37 – $372.48 | 6 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $144.48 – $257.58 | 6 |
| Vaccine tdap >=7 years im CPT 90715 | $48.10 | $130.01 | $47.67 – $96.57 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $47.96 | $129.63 | $41.43 – $83.71 | 6 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $144.14 – $309.20 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $267.73 – $455.63 | 6 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $215.43 – $376.28 | 6 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 34 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $322.92 | $872.75 | $148.60 – $148.60 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $195.87 – $413.96 | 30 |
| Valproic acid total therapeutic drug level CPT 80164 | $76.13 | $205.75 | $11.92 – $33.85 | 34 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $3,298.40 – $3,298.40 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $3,400.55 – $3,400.55 | 2 |
| Valvuloplasty pulmonary CPT 92990 | $31,082.78 | $84,007.50 | $2,720.10 – $2,720.10 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $75.76 | $204.75 | $11.92 – $33.85 | 34 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $30.88 – $87.73 | 34 |
| Varicella zoster antibody igg CPT 86787 | $10.45 | $28.25 | $11.33 – $32.20 | 34 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,750.19 – $4,774.38 | 6 |
| Veeg cont 2-12 hrs CPT 95713 | $763.87 | $2,064.50 | $516.63 – $1,619.48 | 32 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,429.77 | $3,864.25 | $3,238.95 – $3,238.95 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,511.45 | $4,085.00 | $303.20 – $1,295.58 | 32 |
| Veeg unmon 12-26 hrs CPT 95714 | $763.31 | $2,063.00 | $516.63 – $1,091.85 | 32 |
| Veeg unmon 2-12 hrs CPT 95711 | $413.94 | $1,118.75 | $303.20 – $640.79 | 32 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $242.77 – $6,833.27 | 2 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $280.41 – $11,780.82 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $242.77 – $1,346.74 | 32 |
| Vein x-ray kidney CPT 75831 | $4,043.45 | $10,928.25 | $223.21 – $6,833.27 | 2 |
| Vein x-ray liver CPT 75891 | not published | not published | $238.67 – $6,833.27 | 2 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,370.04 | $6,405.50 | $235.56 – $6,833.27 | 2 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,359.25 | $11,781.75 | $235.56 – $6,833.27 | 2 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $236.59 – $6,833.27 | 2 |
| Vein x-ray skull CPT 75870 | not published | not published | $346.93 – $6,833.27 | 2 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $242.77 – $1,346.74 | 32 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $6,833.27 – $6,833.27 | 1 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $152.34 – $321.95 | 32 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $152.34 – $321.95 | 32 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $285.75 – $640.79 | 32 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $438.68 – $1,143.00 | 3 |
| Venogram ext bil s&i CPT 75822 | $590.24 | $1,595.25 | $215.99 – $3,433.34 | 2 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $581.83 | $1,572.50 | $212.88 – $3,433.34 | 2 |
| Venous sampling s&i CPT 75893 | $4,416.78 | $11,937.25 | $256.19 – $11,780.82 | 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.