Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.)
5151 N 9th Ave, Pensacola, FL · Ascension · · NPI 1922032424
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 exam of arm infant CPT 73092 | $135.20 | $338.00 | $68.90 – $235.69 | 15 |
| X-ray exam of eye sockets CPT 70200 | $516.00 | $1,290.00 | $100.87 – $235.69 | 15 |
| X-ray exam of femur 1 CPT 73551 | $179.60 | $449.00 | $64.47 – $194.81 | 15 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $75.51 – $194.81 | 15 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $168.16 – $525.31 | 15 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $85.44 – $235.69 | 15 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $120.73 – $1,182.67 | 15 |
| X-ray exam of penis CPT 74445 | not published | not published | $106.74 – $235.69 | 14 |
| X-ray exam of perineum CPT 74775 | not published | not published | $242.63 – $525.31 | 14 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $85.43 – $194.81 | 15 |
| X-ray exam of sinuses CPT 70210 | $180.80 | $452.00 | $68.90 – $194.81 | 15 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $242.63 – $525.31 | 14 |
| X-ray exam of teeth CPT 70300 | not published | not published | $25.87 – $194.81 | 15 |
| X-ray exam of teeth CPT 70310 | not published | not published | $97.58 – $525.31 | 15 |
| X-ray exam si joints CPT 72200 | not published | not published | $72.19 – $235.69 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $416.40 | $1,041.00 | $95.35 – $235.69 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $69.99 – $194.81 | 15 |
| X-ray facial bones complete > 3 views CPT 70150 | $336.00 | $840.00 | $100.87 – $235.69 | 15 |
| X-ray femur >=2 views (both sides) CPT 73552 | $358.80 | $897.00 | $78.82 – $194.81 | 15 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $349.60 | $874.00 | $88.38 – $194.81 | 15 |
| X-ray foot 2 views (both sides) CPT 73620 | $674.40 | $1,686.00 | $62.28 – $194.81 | 15 |
| X-ray forearm 2 views (both sides) CPT 73090 | $1,198.00 | $2,995.00 | $63.38 – $194.81 | 15 |
| X-ray hand 2 views (both sides) CPT 73120 | $699.60 | $1,749.00 | $67.80 – $235.69 | 15 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $25.87 – $194.81 | 15 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $367.60 | $919.00 | $62.28 – $194.81 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $292.80 | $732.00 | $106.74 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $296.80 | $742.00 | $88.76 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $296.80 | $742.00 | $106.74 – $235.69 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $558.00 | $1,395.00 | $106.74 – $235.69 | 15 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $179.60 | $449.00 | $68.90 – $194.81 | 15 |
| X-ray humerus >= 2 views left CPT 73060 | $251.60 | $629.00 | $71.09 – $194.81 | 15 |
| X-ray joint survey 1 view CPT 77077 | $326.00 | $815.00 | $88.76 – $235.69 | 15 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $391.20 | $978.00 | $77.72 – $194.81 | 15 |
| X-ray knee 3 views (both sides) CPT 73562 | $815.20 | $2,038.00 | $88.38 – $194.81 | 15 |
| X-ray knee ap standing bilateral CPT 73565 | $383.60 | $959.00 | $88.38 – $194.81 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $68.90 – $194.81 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $87.63 – $235.69 | 15 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $782.80 | $1,957.00 | $106.74 – $235.69 | 15 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $698.00 | $1,745.00 | $106.74 – $235.69 | 15 |
| X-ray male genital tract CPT 74440 | not published | not published | $228.78 – $525.31 | 15 |
| X-ray mandible complete > 4 views CPT 70110 | $445.60 | $1,114.00 | $92.06 – $235.69 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $177.20 | $443.00 | $85.43 – $194.81 | 15 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $69.99 – $69.99 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $402.00 | $1,005.00 | $85.43 – $194.81 | 15 |
| X-ray neck soft tissue CPT 70360 | $373.20 | $933.00 | $66.70 – $194.81 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $237.60 | $594.00 | $61.17 – $194.81 | 15 |
| X-ray of mammary ducts CPT 77054 | $308.40 | $771.00 | $158.21 – $525.31 | 15 |
| X-ray optic foramina CPT 70190 | $550.80 | $1,377.00 | $84.34 – $194.81 | 15 |
| X-ray pelvis 1-2 views CPT 72170 | $232.00 | $580.00 | $61.17 – $235.69 | 15 |
| X-ray pelvis complete > 3 views CPT 72190 | $369.20 | $923.00 | $86.53 – $235.69 | 15 |
| 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 | $1,167.60 | $2,919.00 | $150.48 – $824.45 | 15 |
| X-ray ribs 2 views left CPT 71100 | $208.40 | $521.00 | $75.51 – $194.81 | 15 |
| X-ray ribs 3 views bilateral CPT 71110 | $207.60 | $519.00 | $87.63 – $235.69 | 15 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $584.00 | $1,460.00 | $85.43 – $235.69 | 15 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $859.60 | $2,149.00 | $106.74 – $235.69 | 15 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $366.80 | $917.00 | $82.14 – $235.69 | 15 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $408.80 | $1,022.00 | $69.99 – $194.81 | 15 |
| X-ray scapula complete (both sides) CPT 73010 | $370.80 | $927.00 | $57.88 – $235.69 | 15 |
| X-ray sella turcica CPT 70240 | $405.20 | $1,013.00 | $73.32 – $194.81 | 15 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $154.40 | $386.00 | $42.44 – $194.81 | 15 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $432.00 | $1,080.00 | $78.82 – $194.81 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $431.60 | $1,079.00 | $103.07 – $1,182.67 | 15 |
| X-ray skull < 4 views CPT 70250 | $343.20 | $858.00 | $78.82 – $235.69 | 15 |
| X-ray skull > 4 views complete CPT 70260 | $634.80 | $1,587.00 | $92.06 – $235.69 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $106.74 – $235.69 | 15 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $514.80 | $1,287.00 | $178.69 – $393.89 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $683.20 | $1,708.00 | $146.68 – $146.68 | 1 |
| X-ray spine single view CPT 72020 | $528.80 | $1,322.00 | $50.16 – $194.81 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $261.60 | $654.00 | $88.38 – $194.81 | 15 |
| X-ray sternum > 2 views CPT 71120 | $404.00 | $1,010.00 | $69.99 – $194.81 | 15 |
| X-ray surgical specimen CPT 76098 | $280.80 | $702.00 | $84.34 – $1,182.67 | 15 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $376.40 | $941.00 | $178.69 – $393.89 | 15 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $644.80 | $1,612.00 | $88.38 – $194.81 | 15 |
| X-ray thoracic spine 2 views CPT 72070 | $270.80 | $677.00 | $66.70 – $235.69 | 15 |
| X-ray thoracic spine 3 views CPT 72072 | not published | not published | $83.24 – $235.69 | 15 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $348.40 | $871.00 | $72.19 – $194.81 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $176.80 | $442.00 | $87.63 – $194.81 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $296.80 | $742.00 | $106.74 – $235.69 | 15 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $544.80 | $1,362.00 | $69.99 – $194.81 | 15 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $310.80 | $777.00 | $66.70 – $194.81 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $936.40 | $2,341.00 | $178.69 – $393.89 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $398.80 | $997.00 | $178.69 – $393.89 | 15 |
| X-ray wrist 2 views (both sides) CPT 73100 | $598.80 | $1,497.00 | $75.51 – $194.81 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $178.69 – $393.89 | 15 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $1,617.00 – $1,617.00 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $1,617.00 – $1,617.00 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $48.44 | 16 |
| Xyntha inj HCPCS J7185 | $1.32 | $3.30 | $2.25 – $2.46 | 3 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $49.72 | 16 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $5.04 | $12.60 | $2.27 – $2.49 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $192.40 | 16 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $63.72 | 16 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $9.16 | $22.90 | $11.97 – $13.70 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $256.56 | $641.40 | $8.40 – $18.53 | 4 |
| Zoster vaccine-live inj CPT 90736 | $160.64 | $401.60 | $219.35 – $357.29 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $726.28 | 15 |
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.