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 |
|---|---|---|---|---|
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $173.33 – $393.89 | 32 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $182.57 – $518.65 | 34 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $229.49 – $651.98 | 34 |
| Chlamydia culture CPT 87110 | $37.00 | $100.00 | $17.25 – $49.00 | 34 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.54 – $29.95 | 34 |
| Chlamydia type CPT 87140 | $21.37 | $57.75 | $4.90 – $13.93 | 34 |
| Chloride CPT 82435 | $5.83 | $15.75 | $4.05 – $11.50 | 34 |
| Chloride 24 hour urine CPT 82436 | $34.60 | $93.50 | $5.06 – $14.38 | 34 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $59.94 | $162.00 | $35.43 – $45.72 | 4 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $293.04 – $1,644.90 | 33 |
| Cholesterol CPT 82465 | $47.82 | $129.25 | $3.83 – $10.88 | 34 |
| Cholesterol body fluid CPT 84999 | $31.08 | $84.00 | $6.63 – $6.63 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $156.97 | $424.25 | $11.78 – $33.48 | 34 |
| Cholinesterase CPT 82480 | $3.70 | $10.00 | $6.92 – $19.68 | 34 |
| Cholinesterase challenge CPT 95857 | not published | not published | $148.70 – $640.79 | 32 |
| Chorion biopsy CPT 59015 | not published | not published | $847.81 – $1,791.76 | 30 |
| Chrom analysis CPT 88273 | not published | not published | $30.63 – $87.03 | 34 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $34.32 – $97.50 | 34 |
| Chromatography CPT 83021 | $25.53 | $69.00 | $15.89 – $45.15 | 34 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.46 – $29.73 | 34 |
| Chromo high res and frag x - sendout CPT 81243 | $36.63 | $99.00 | $50.20 – $142.60 | 34 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $152.82 – $434.15 | 34 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $152.39 – $432.93 | 34 |
| Chromosome analysis 15-20 cell count CPT 88262 | $130.24 | $352.00 | $110.43 – $313.73 | 34 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $152.39 – $432.93 | 34 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $132.26 – $375.73 | 34 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $232.62 – $660.85 | 34 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $152.39 – $432.93 | 34 |
| Chromosome analys placenta CPT 88267 | $66.23 | $179.00 | $165.94 – $471.43 | 34 |
| Chromosome banding study CPT 88283 | not published | not published | $60.37 – $171.50 | 34 |
| Chromosome count additional CPT 88285 | not published | not published | $23.68 – $67.28 | 34 |
| Chromosome karyotype study CPT 88280 | $48.19 | $130.25 | $29.45 – $83.68 | 34 |
| Chromosome study additional CPT 88289 | not published | not published | $30.30 – $86.08 | 34 |
| Chronic urticaria - sendout CPT 86343 | $55.50 | $150.00 | $10.97 – $31.15 | 34 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $54.12 – $153.75 | 34 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $22.76 | $61.50 | $0.03 – $0.03 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $103.54 – $260.33 | 32 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $71.83 | $194.13 | $1.25 – $2.56 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $649.89 – $1,373.48 | 30 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $289.97 – $823.78 | 34 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $495.83 – $1,047.90 | 30 |
| Clearance of airways CPT 31720 | not published | not published | $198.04 – $418.53 | 30 |
| Clearance of tear duct CPT 68530 | not published | not published | $291.06 – $615.12 | 30 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $125.51 – $265.25 | 32 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $125.51 – $265.25 | 32 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $125.51 – $265.25 | 32 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $38.22 – $197.20 | 32 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $233.57 – $493.62 | 30 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $233.57 – $493.62 | 30 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $233.57 – $493.62 | 30 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $233.57 – $493.62 | 30 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $495.83 – $1,047.90 | 30 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $233.57 – $493.62 | 30 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $233.57 – $493.62 | 30 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $226.11 – $477.85 | 30 |
| Close tear duct opening CPT 68760 | not published | not published | $291.06 – $615.12 | 30 |
| Close tear duct opening CPT 68761 | not published | not published | $291.06 – $615.12 | 30 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $14.08 – $40.00 | 34 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $495.83 – $1,047.90 | 30 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $943.03 – $1,993.01 | 30 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $601.98 – $1,272.23 | 30 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $16.66 – $47.33 | 34 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $17.97 – $51.05 | 34 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $16.66 – $47.33 | 34 |
| Clot factor xii hageman CPT 85280 | $46.25 | $125.00 | $17.03 – $48.38 | 34 |
| Clot factor xiii fibrin scrn CPT 85291 | $9.25 | $25.00 | $8.02 – $22.78 | 34 |
| Clot factor xiii fibrin stab CPT 85290 | $44.40 | $120.00 | $14.38 – $40.85 | 34 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.35 – $45.98 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $258.58 – $546.49 | 30 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $495.83 – $1,047.90 | 30 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $233.57 – $493.62 | 30 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $233.57 – $493.62 | 30 |
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.