Assay of leflunomide 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

not published by hospital

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.

not published by hospital

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.

$37.80 with HUMANA PPO MCR REPLACEMENT vs $96.43 with HUMANA PPO — 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
HUMANA PPO MCR REPLACEMENT 1595_MEDICARE ADVANTAGE HUMANA PPO OUTPATIENT 20250101 $37.80
VETERANS ADMINISTRATION 1781_VETERANS ADMINISTRATION INPATIENT 20251001 $38.57
HUMANA PPO MCR REPLACEMENT 1800_MEDICARE ADVANTAGE HUMANA PPO INPATIENT 20251001 $38.57
WELLCARE 1662_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250101 $38.57
WELLCARE 1803_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 $38.57
MEDICARE REPLACEMENT 1597_MEDICARE ADVANTAGE OUTPATIENT 20250101 $38.57
MEDICARE REPLACEMENT 1801_MEDICARE ADVANTAGE INPATIENT 20251001 $38.57
BC ADVANTAGE MCR REPLACEMENT 1786_MEDICARE ADVANTAGE BLUE CROSS INPATIENT 20251001 $38.57
COMMUNITY HOSPICE 1130_MEDICARE ADVANTAGE COMMUNITY HOSPICE OUTPATIENT SIFL 20220908 $38.57
BLUE CROSS ALIGNMENT 1779_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE INPATIENT 20251001 $38.57
UHC HMO 1693_UNITED HEALTH CARE SIFL 20250701 $38.57
BLUE CROSS ALIGNMENT 1585_MEDICARE ADVANTAGE ALIGNMENT HEALTHCARE OUTPATIENT 20250101 $38.57
BC ADVANTAGE MCR REPLACEMENT 1586_MEDICARE ADVANTAGE BLUE CROSS OUTPATIENT 20250101 $38.57
RESEARCH STUDY ENCORE BORLAND-GROOVER 1808_RESEARCH STUDY ENCORE-BORLAND-GROOVER INPATIENT 20251001 $38.57
RESEARCH STUDY ENCORE BORLAND-GROOVER 1668_RESEARCH STUDY ENCORE-BORLAND-GROOVER OUTPATIENT 20250301 $38.57
PACE PLACE 1807_PACE PROGRAM SIFL INPATIENT 20251001 $38.57
PACE PLACE 1718_PACE PROGRAM SIFL OUTPATIENT 20250601 $38.57
HAVEN HOSPICE 1592_MEDICARE ADVANTAGE HAVEN HOSPICE OUTPATIENT 20250101 $38.57
VETERANS ADMINISTRATION 1581_VETERANS ADMINISTRATION OUTPATIENT 20250101 $38.57
UHC WELLMED MCR REPLACEMENT 1802_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED INPATIENT 20251001 $38.96
UHC WELLMED MCR REPLACEMENT 1714_MEDICARE ADVANTAGE UNITED HEALTH CARE WELLMED OUTPATIENT 20250501 $38.96
CIGNA HEALTHSPRING 1583_CIGNA HEALTHSPRING OUTPATIENT 20250101 $38.96
HUMANA HMO MCR REPLACEMENT 1799_MEDICARE ADVANTAGE HUMANA HMO INPATIENT SIFL 20251001 $38.96
HUMANA HMO MCR REPLACEMENT 1594_MEDICARE ADVANTAGE HUMANA HMO OUTPATIENT SIFL 20250101 $38.96
GOLD KIDNEY MEDICARE ADVANTAGE 1638_GOLD KIDNEY MEDICARE ADVANTAGE OUTPATIENT 20240101 $39.34
CAREPLUS MCR REPLACEMENT 1589_MEDICARE ADVANTAGE CAREPLUS OUTPATIENT SIFL 20250101 $39.34
CAREPLUS MCR REPLACEMENT 1796_MEDICARE ADVANTAGE CAREPLUS INPATIENT SIFL 20251001 $39.34
CIGNA HEALTHSPRING 1777_CIGNA HEALTHSPRING INPATIENT 20251001 $39.34
GOLD KIDNEY MEDICARE ADVANTAGE 1811_GOLD KIDNEY MEDICARE ADVANTAGE INPATIENT 20251001 $39.34
AETNA MCR REPLACEMENT 1584_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 $39.73
AETNA MCR REPLACEMENT 1795_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 $39.73
SMARTHEALTH 1600_SMARTHEALTH OUTPATIENT 20250101 $54.00
SMARTHEALTH 1778_SMARTHEALTH INPATIENT 20251001 $54.00
AETNA QUALIFIED HEALTH PLANS 1574_AETNA QUALIFIED HEALTH PLANS (QHP) OUTPATIENT SIFL 20250101 $59.78
AETNA QUALIFIED HEALTH PLANS 1790_AETNA QUALIFIED HEALTH PLANS (QHP) INPATIENT SIFL 20251001 $59.78
AETNA WHOLE HEALTH 1576_AETNA WHOLE HEALTH OUTPATIENT SIFL 20250101 $59.78
AETNA WHOLE HEALTH 1792_AETNA WHOLE HEALTH INPATIENT SIFL 20251001 $59.78
OSCAR HEALTH PLAN 1806_OSCAR HEALTH PLAN INPATIENT 20251001 $61.71
OSCAR HEALTH PLAN 1611_OSCAR HEALTH PLAN OUTPATIENT 20250401 $61.71
EMPLOYER DIRECT HEALTHCARE 1743_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101 $67.50
EMPLOYER DIRECT HEALTHCARE 1742_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001 $67.50
AVMED EXCHANGE 1793_AVMED EXCHANGE INPATIENT 20251001 $69.43
90 DEGREE BENEFITS 1782_90 DEGREE BENEFITS INPATIENT 20251001 $69.43
90 DEGREE BENEFITS 1577_90 DEGREE BENEFITS OUTPATIENT 20250101 $69.43
AVMED EXCHANGE 1720_AVMED EXCHANGE OUTPATIENT 20250201 $69.43
OCCUNET 1578_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101 $71.35
MOLINA EXCHANGE 1579_MOLINA EXCHANGE OUTPATIENT 20250101 $71.35
MOLINA EXCHANGE 1805_MOLINA EXCHANGE INPATIENT 20251001 $71.35
AMBETTER COMMERCIAL-EXCHANGE 1785_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001 $73.28
AMBETTER COMMERCIAL-EXCHANGE 1580_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101 $73.28
AETNA NEW BUSINESS 1072_AETNA NEW BUSINESS DISCOUNT OUTPATIENT SIFL 20220829 $79.07
AETNA NEW BUSINESS 1784_AETNA NEW BUSINESS DISCOUNT INPATIENT SIFL 20251001 $79.07
OCCUNET 1780_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001 $86.78
HUMANA HMO 1658_HUMANA HMO SIFL 20250101 $96.43
HUMANA PPO 1660_HUMANA PPO SIFL 20250101 $96.43
CIGNA HMO 1696_CIGNA HMO 20250701 not published by hospital
CIGNA HMO NEW BUSINESS 1700_CIGNA HMO NEW BUSINESS 20250701 not published by hospital
OCCUNET 1476_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001 not published by hospital
CIGNA PPO 1697_CIGNA PPO 20250701 not published by hospital

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Assay of leflunomide at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Port Charlotte Port Charlotte $257.10 $38.57 – $70.43
cleveland clinic florida weston hospital Weston $78.65 $5.81 – $102.85
martin north hospital Stuart $78.65 $6.12 – $90.75
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola $72.00 $38.57 – $145.28
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe $64.20 $38.57 – $145.28
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City $72.00 $38.57 – $145.28
Adventhealth Waterman Tavares $111.63 $38.57 – $77.83
AdventHealth Orlando Orlando $316.00 $38.57 – $102.21

All Florida hospitals for this procedure →