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 |
|---|---|---|---|---|
| Warde zinc CPT 84630 | $26.64 | $72.00 | $10.02 – $28.48 | 34 |
| Wash harvest stem cells CPT 38209 | not published | not published | $425.67 – $899.60 | 30 |
| Wbc automated CPT 85048 | $30.34 | $82.00 | $2.24 – $6.35 | 34 |
| Wcd device interrogate CPT 93292 | not published | not published | $36.31 – $1,600.00 | 33 |
| Wedging of cast CPT 29740 | not published | not published | $258.58 – $546.49 | 30 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $258.58 – $546.49 | 30 |
| Western blot test CPT 84181 | not published | not published | $14.99 – $42.58 | 34 |
| Whole body photography CPT 96904 | not published | not published | $151.70 – $151.70 | 2 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,132.56 – $3,217.50 | 4 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $823.68 – $2,340.00 | 34 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $447.33 | $1,209.00 | $389.01 – $822.13 | 32 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $447.33 | $1,209.00 | $389.01 – $822.13 | 32 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $213.77 | $577.75 | $101.93 – $408.87 | 32 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $408.48 | $1,104.00 | $121.15 – $822.13 | 32 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $5,590.00 – $5,590.00 | 1 |
| Wrist X-ray CPT 73110 | $220.24 | $595.25 | $85.73 – $194.81 | 32 |
| Xe133 xenon 10mci HCPCS A9558 | $487.11 | $1,316.50 | $332.28 – $704.08 | 6 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $804.32 – $2,285.00 | 34 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $804.32 – $2,285.00 | 34 |
| Xm archive tissue molec anal CPT 88363 | $53.65 | $145.00 | $18.05 – $55.85 | 34 |
| X-ray abdomen 1 view CPT 74018 | $162.99 | $440.50 | $58.23 – $194.81 | 32 |
| X-ray abdomen 2 views CPT 74019 | $174.46 | $471.50 | $70.60 – $235.69 | 32 |
| X-ray abdomen >=3 views CPT 74021 | $185.93 | $502.50 | $81.93 – $235.69 | 32 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | not published | not published | $94.31 – $235.69 | 32 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $230.33 | $622.50 | $63.39 – $194.81 | 32 |
| X-ray ankle 2 views (both sides) CPT 73600 | $191.48 | $517.50 | $67.50 – $194.81 | 32 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $269.60 – $824.45 | 32 |
| X-ray assay calculus CPT 82370 | not published | not published | $11.02 – $31.30 | 34 |
| X-ray bone age studies CPT 77072 | $165.02 | $446.00 | $45.85 – $235.69 | 32 |
| X-ray bone length studies CPT 77073 | $218.86 | $591.50 | $88.13 – $235.69 | 32 |
| X-ray bone survey complete CPT 77075 | $551.58 | $1,490.75 | $103.54 – $235.69 | 32 |
| X-ray bone survey infant CPT 77076 | $610.87 | $1,651.00 | $103.54 – $235.69 | 32 |
| X-ray cervical spine 2-3 views CPT 72040 | $234.77 | $634.50 | $77.83 – $194.81 | 32 |
| X-ray cervical spine 4-5 views CPT 72050 | $352.33 | $952.25 | $103.54 – $235.69 | 32 |
| X-ray cervical spine >= 6 views CPT 72052 | $382.95 | $1,035.00 | $103.54 – $235.69 | 32 |
| X-ray clavicle complete (both sides) CPT 73000 | $179.64 | $485.50 | $66.47 – $194.81 | 32 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $538.17 | $1,454.50 | $173.33 – $393.89 | 32 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $948.87 | $2,564.50 | $173.33 – $460.34 | 32 |
| X-ray consultation CPT 76140 | not published | not published | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $130.24 | $352.00 | $58.23 – $194.81 | 32 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $145.50 | $393.25 | $64.42 – $194.81 | 32 |
| Xray endovasc thor ao repr CPT 75956 | $469.99 | $1,270.25 | $635.13 – $635.13 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $419.77 | $1,134.50 | $173.33 – $393.89 | 32 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $103.54 – $235.69 | 32 |
| X-ray exam entire spi 6/> vw CPT 72084 | $299.79 | $810.25 | $103.54 – $235.69 | 32 |
| X-ray exam of arm infant CPT 73092 | $109.80 | $296.75 | $64.42 – $235.69 | 32 |
| X-ray exam of eye sockets CPT 70200 | $144.49 | $390.50 | $94.31 – $235.69 | 32 |
| X-ray exam of femur 1 CPT 73551 | $114.89 | $310.50 | $60.27 – $194.81 | 32 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $70.60 – $194.81 | 32 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $157.22 – $525.31 | 32 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $79.88 – $235.69 | 32 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $112.88 – $1,182.67 | 32 |
| X-ray exam of penis CPT 74445 | not published | not published | $103.54 – $235.69 | 31 |
| X-ray exam of perineum CPT 74775 | not published | not published | $235.35 – $525.31 | 31 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $79.88 – $194.81 | 32 |
| X-ray exam of sinuses CPT 70210 | $169.09 | $457.00 | $64.42 – $194.81 | 32 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $235.35 – $525.31 | 31 |
| X-ray exam of teeth CPT 70300 | not published | not published | $24.19 – $194.81 | 32 |
| X-ray exam of teeth CPT 70310 | not published | not published | $91.23 – $525.31 | 32 |
| X-ray exam si joints CPT 72200 | $141.62 | $382.75 | $67.50 – $235.69 | 32 |
| X-ray exam thorac spine4/>vw CPT 72074 | $148.83 | $402.25 | $89.15 – $235.69 | 32 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $130.98 | $354.00 | $65.44 – $194.81 | 32 |
| X-ray facial bones complete > 3 views CPT 70150 | $163.26 | $441.25 | $94.31 – $235.69 | 32 |
| X-ray femur >=2 views (both sides) CPT 73552 | $227.83 | $615.75 | $73.69 – $194.81 | 32 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $156.60 | $423.25 | $82.99 – $194.81 | 32 |
| X-ray foot 2 views (both sides) CPT 73620 | $194.90 | $526.75 | $58.23 – $194.81 | 32 |
| X-ray forearm 2 views (both sides) CPT 73090 | $185.37 | $501.00 | $59.26 – $194.81 | 32 |
| X-ray hand 2 views (both sides) CPT 73120 | $189.53 | $512.25 | $63.39 – $235.69 | 32 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $24.19 – $194.81 | 32 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $181.12 | $489.50 | $58.23 – $194.81 | 32 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $191.48 | $517.50 | $103.54 – $235.69 | 32 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $203.41 | $549.75 | $82.99 – $235.69 | 32 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $212.57 | $574.50 | $103.54 – $235.69 | 32 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $222.83 | $602.25 | $103.54 – $235.69 | 32 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $159.47 | $431.00 | $64.42 – $194.81 | 32 |
| X-ray humerus >= 2 views left CPT 73060 | $157.53 | $425.75 | $66.47 – $194.81 | 32 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $82.99 – $235.69 | 32 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $210.62 | $569.25 | $72.66 – $194.81 | 32 |
| X-ray knee 3 views (both sides) CPT 73562 | $235.51 | $636.50 | $85.73 – $194.81 | 32 |
| X-ray knee ap standing bilateral CPT 73565 | $189.16 | $511.25 | $85.73 – $194.81 | 32 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $110.08 | $297.50 | $64.42 – $194.81 | 32 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $448.16 | $1,211.25 | $81.93 – $235.69 | 32 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $371.20 | $1,003.25 | $102.56 – $235.69 | 32 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $474.43 | $1,282.25 | $103.54 – $235.69 | 32 |
| X-ray male genital tract CPT 74440 | not published | not published | $213.91 – $525.31 | 32 |
| X-ray mandible complete > 4 views CPT 70110 | $206.46 | $558.00 | $86.07 – $235.69 | 32 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $79.88 – $194.81 | 32 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $65.44 – $65.44 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $215.62 | $582.75 | $79.88 – $194.81 | 32 |
| X-ray neck soft tissue CPT 70360 | $159.38 | $430.75 | $62.36 – $194.81 | 32 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $57.20 – $194.81 | 32 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $147.92 – $525.31 | 32 |
| X-ray optic foramina CPT 70190 | not published | not published | $78.86 – $194.81 | 32 |
| X-ray pelvis 1-2 views CPT 72170 | $150.50 | $406.75 | $57.20 – $235.69 | 32 |
| X-ray pelvis complete > 3 views CPT 72190 | $148.37 | $401.00 | $80.91 – $235.69 | 32 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $833.70 | $2,253.25 | $140.70 – $824.45 | 32 |
| X-ray ribs 2 views left CPT 71100 | $267.23 | $722.25 | $70.60 – $194.81 | 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.