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 |
|---|---|---|---|---|
| X-ray ribs 3 views bilateral CPT 71110 | $240.87 | $651.00 | $81.93 – $235.69 | 32 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $272.04 | $735.25 | $79.88 – $235.69 | 32 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $396.83 | $1,072.50 | $101.54 – $235.69 | 32 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $76.80 – $235.69 | 32 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $166.04 | $448.75 | $65.44 – $194.81 | 32 |
| X-ray scapula complete (both sides) CPT 73010 | $221.72 | $599.25 | $54.12 – $235.69 | 32 |
| X-ray sella turcica CPT 70240 | not published | not published | $68.56 – $194.81 | 32 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $110.08 | $297.50 | $39.68 – $194.81 | 32 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $210.72 | $569.50 | $73.69 – $194.81 | 32 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $507.55 | $1,371.75 | $96.37 – $1,182.67 | 32 |
| X-ray skull < 4 views CPT 70250 | $213.68 | $577.50 | $73.69 – $235.69 | 32 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $86.07 – $235.69 | 32 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $103.54 – $235.69 | 32 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $480.17 | $1,297.75 | $173.33 – $393.89 | 32 |
| X-ray small intestine follow-through study CPT 74248 | $843.14 | $2,278.75 | $137.14 – $137.14 | 1 |
| X-ray spine single view CPT 72020 | $241.80 | $653.50 | $46.90 – $194.81 | 32 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $245.59 | $663.75 | $82.99 – $194.81 | 32 |
| X-ray sternum > 2 views CPT 71120 | $207.29 | $560.25 | $65.44 – $194.81 | 32 |
| X-ray surgical specimen CPT 76098 | not published | not published | $78.86 – $1,182.67 | 32 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $216.82 | $586.00 | $173.33 – $393.89 | 32 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $148.46 | $401.25 | $85.73 – $194.81 | 32 |
| X-ray thoracic spine 2 views CPT 72070 | $124.51 | $336.50 | $62.36 – $235.69 | 32 |
| X-ray thoracic spine 3 views CPT 72072 | $143.56 | $388.00 | $77.83 – $235.69 | 32 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $158.27 | $427.75 | $67.50 – $194.81 | 32 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $130.98 | $354.00 | $81.93 – $194.81 | 32 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $186.57 | $504.25 | $103.54 – $235.69 | 32 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $215.53 | $582.50 | $65.44 – $194.81 | 32 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $130.98 | $354.00 | $62.36 – $194.81 | 32 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $173.33 – $393.89 | 32 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $581.27 | $1,571.00 | $173.33 – $393.89 | 32 |
| X-ray wrist 2 views (both sides) CPT 73100 | $210.62 | $569.25 | $70.60 – $194.81 | 32 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $173.33 – $393.89 | 32 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $614.53 – $1,600.00 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $163.55 – $1,600.00 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.36 – $32.28 | 34 |
| Yersinia antibody CPT 86793 | not published | not published | $11.61 – $32.98 | 34 |
| Zika virus dna/rna amp probe CPT 87662 | $59.66 | $161.25 | $45.15 – $128.28 | 34 |
| Zika virus igm antibody CPT 86794 | $33.30 | $90.00 | $14.83 – $42.13 | 34 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $31.64 | $85.51 | $6.32 – $10.79 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $12.09 | $32.67 | $8.40 – $8.40 | 3 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $162.19 – $606.10 | 6 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $187.45 – $483.13 | 33 |
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.