Anca screen with reflex to titer -quest at Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.)

205 Trinity Way, Saint Johns, FL · Ascension · · NPI 1861078651

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

$19.89

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$53.75

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.00 with CIGNA HMO NEW BUSINESS vs $37.63 with HUMANA HMO — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
CIGNA HMO NEW BUSINESS 1700_CIGNA HMO NEW BUSINESS 20250701 $2.00 ↓ -90%
CIGNA HMO 1696_CIGNA HMO 20250701 $3.70 ↓ -81%
CIGNA PPO 1697_CIGNA PPO 20250701 $3.70 ↓ -81%
OCCUNET 1476_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001 $10.00 ↓ -50%
AETNA 1664_AETNA SIFL 20250701 $13.24 ↓ -33%
HUMANA PPO MCR REPLACEMENT 1595_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 $14.75 ↓ -26%
MEDICARE REPLACEMENT 1597_MEDICARE ADVANTAGE OUTPATIENT 20250101 $15.05 ↓ -24%
MEDICARE REPLACEMENT 1801_MEDICARE ADVANTAGE INPATIENT 20251001 $15.05 ↓ -24%
RESEARCH STUDY ENCORE BORLAND-GROOVER 1808_RESEARCH STUDY ENCORE-BORLAND-GROOVER INPATIENT 20251001 $15.05 ↓ -24%
RESEARCH STUDY ENCORE BORLAND-GROOVER 1668_RESEARCH STUDY ENCORE-BORLAND-GROOVER OUTPATIENT 20250301 $15.05 ↓ -24%
PACE PLACE 1807_PACE PROGRAM SIFL INPATIENT 20251001 $15.05 ↓ -24%
PACE PLACE 1718_PACE PROGRAM SIFL OUTPATIENT 20250601 $15.05 ↓ -24%
BC ADVANTAGE MCR REPLACEMENT 1786_MEDICARE ADVANTAGE BLUE CROSS INPATIENT 20251001 $15.05 ↓ -24%
VETERANS ADMINISTRATION 1581_VETERANS ADMINISTRATION OUTPATIENT 20250101 $15.05 ↓ -24%
VETERANS ADMINISTRATION 1781_VETERANS ADMINISTRATION INPATIENT 20251001 $15.05 ↓ -24%
HUMANA PPO MCR REPLACEMENT 1800_MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 $15.05 ↓ -24%
WELLCARE 1662_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 $15.05 ↓ -24%
WELLCARE 1803_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 $15.05 ↓ -24%
UHC HMO 1693_UNITED HEALTH CARE SIFL 20250701 $15.05 ↓ -24%
COMMUNITY HOSPICE 1130_MEDICARE ADVANTAGE COMMUNITY HOSPICE OUTPATIENT SIFL 20220908 $15.05 ↓ -24%
BLUE CROSS ALIGNMENT 1779_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE INPATIENT 20251001 $15.05 ↓ -24%
BLUE CROSS ALIGNMENT 1585_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE OUTPATIENT 20250101 $15.05 ↓ -24%
BC ADVANTAGE MCR REPLACEMENT 1586_MEDICARE ADVANTAGE BLUE CROSS OUTPATIENT 20250101 $15.05 ↓ -24%
HAVEN HOSPICE 1592_MEDICARE ADVANTAGE HAVEN HOSPICE OUTPATIENT 20250101 $15.05 ↓ -24%
HUMANA HMO MCR REPLACEMENT 1594_MEDICARE ADVANTAGE HUMANA HMO OUTPATIENT SIFL 20250101 $15.20 ↓ -24%
UHC WELLMED MCR REPLACEMENT 1714_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED OUTPATIENT 20250501 $15.20 ↓ -24%
UHC WELLMED MCR REPLACEMENT 1802_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED INPATIENT 20251001 $15.20 ↓ -24%
CIGNA HEALTHSPRING 1583_CIGNA HEALTHSPRING OUTPATIENT 20250101 $15.20 ↓ -24%
HUMANA HMO MCR REPLACEMENT 1799_MEDICARE ADVANTAGE HUMANA HMO INPATIENT SIFL 20251001 $15.20 ↓ -24%
GOLD KIDNEY MEDICARE ADVANTAGE 1638_GOLD KIDNEY MEDICARE ADVANTAGE OUTPATIENT 20240101 $15.35 ↓ -23%
CAREPLUS MCR REPLACEMENT 1589_MEDICARE ADVANTAGE CAREPLUS OUTPATIENT SIFL 20250101 $15.35 ↓ -23%
CAREPLUS MCR REPLACEMENT 1796_MEDICARE ADVANTAGE CAREPLUS INPATIENT SIFL 20251001 $15.35 ↓ -23%
CIGNA HEALTHSPRING 1777_CIGNA HEALTHSPRING INPATIENT 20251001 $15.35 ↓ -23%
GOLD KIDNEY MEDICARE ADVANTAGE 1811_GOLD KIDNEY MEDICARE ADVANTAGE INPATIENT 20251001 $15.35 ↓ -23%
AETNA MCR REPLACEMENT 1795_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 $15.50 ↓ -22%
AETNA MCR REPLACEMENT 1584_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 $15.50 ↓ -22%
SMARTHEALTH 1778_SMARTHEALTH INPATIENT 20251001 $21.07 ↑ +6%
SMARTHEALTH 1600_SMARTHEALTH OUTPATIENT 20250101 $21.07 ↑ +6%
AETNA QUALIFIED HEALTH PLANS 1790_AETNA QUALIFIED HEALTH PLANS (QHP) INPATIENT SIFL 20251001 $23.33 ↑ +17%
AETNA QUALIFIED HEALTH PLANS 1574_AETNA QUALIFIED HEALTH PLANS (QHP) OUTPATIENT SIFL 20250101 $23.33 ↑ +17%
AETNA WHOLE HEALTH 1792_AETNA WHOLE HEALTH INPATIENT SIFL 20251001 $23.33 ↑ +17%
AETNA WHOLE HEALTH 1576_AETNA WHOLE HEALTH OUTPATIENT SIFL 20250101 $23.33 ↑ +17%
OSCAR HEALTH PLAN 1611_OSCAR HEALTH PLAN OUTPATIENT 20250401 $24.08 ↑ +21%
OSCAR HEALTH PLAN 1806_OSCAR HEALTH PLAN INPATIENT 20251001 $24.08 ↑ +21%
EMPLOYER DIRECT HEALTHCARE 1743_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101 $26.34 ↑ +32%
EMPLOYER DIRECT HEALTHCARE 1742_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001 $26.34 ↑ +32%
AVMED EXCHANGE 1793_AVMED EXCHANGE INPATIENT 20251001 $27.09 ↑ +36%
90 DEGREE BENEFITS 1782_90 DEGREE BENEFITS INPATIENT 20251001 $27.09 ↑ +36%
90 DEGREE BENEFITS 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 $27.09 ↑ +36%
AVMED EXCHANGE 1720_AVMED EXCHANGE OUTPATIENT 20250201 $27.09 ↑ +36%
MOLINA EXCHANGE 1805_MOLINA EXCHANGE INPATIENT 20251001 $27.84 ↑ +40%
OCCUNET 1578_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101 $27.84 ↑ +40%
MOLINA EXCHANGE 1579_MOLINA EXCHANGE OUTPATIENT 20250101 $27.84 ↑ +40%
AMBETTER COMMERCIAL-EXCHANGE 1580_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101 $28.59 ↑ +44%
AMBETTER COMMERCIAL-EXCHANGE 1785_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001 $28.59 ↑ +44%
AETNA NEW BUSINESS 1784_AETNA NEW BUSINESS DISCOUNT INPATIENT SIFL 20251001 $30.85 ↑ +55%
AETNA NEW BUSINESS 1072_AETNA NEW BUSINESS DISCOUNT OUTPATIENT SIFL 20220829 $30.85 ↑ +55%
OCCUNET 1780_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 $33.86 ↑ +70%
HUMANA PPO 1660_HUMANA PPO SIFL 20250101 $37.63 ↑ +89%
HUMANA HMO 1658_HUMANA HMO SIFL 20250101 $37.63 ↑ +89%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $165.39 $14.30 – $25.12
Adventhealth Lake Wales Lake Wales $336.23 $15.05 – $33.41
Adventhealth Tampa Tampa $232.30 $15.05 – $33.41
Adventhealth Port Charlotte Port Charlotte $110.79 $15.05 – $27.48
cleveland clinic florida weston hospital Weston $120.25 $5.23 – $34.85
martin north hospital Stuart $120.25 $5.50 – $30.75
indian river hospital Vero Beach $53.95 $5.23 – $66.40
Baptist Hospital MIAMI $129.35 $5.89 – $179.10

All Florida hospitals for this procedure →