Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.)
205 Trinity Way, Saint Johns, FL · Ascension · · NPI 1861078651
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 |
|---|---|---|---|---|
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $37.30 – $105.95 | 31 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.82 – $101.75 | 31 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,020.80 – $2,900.00 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $792.00 – $2,250.00 | 31 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $16.37 | $44.25 | $12.66 – $35.98 | 31 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $23.68 | $64.00 | $14.83 – $42.13 | 31 |
| Cytomegalovirus dfa CPT 87271 | $5.18 | $14.00 | $11.81 – $33.55 | 31 |
| Cyto/molecular report CPT 88291 | $18.50 | $50.00 | $30.17 – $80.90 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.33 – $63.43 | 31 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $12.89 – $36.63 | 31 |
| Cytopath fl nongyn filter CPT 88106 | $18.22 | $49.25 | $22.99 – $120.95 | 31 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $52.08 | $140.75 | $33.19 – $109.94 | 31 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $23.42 – $66.53 | 31 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $23.68 | $64.00 | $17.83 – $50.65 | 31 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $26.46 | $71.50 | $33.19 – $110.65 | 31 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $17.11 | $46.25 | $33.43 – $121.70 | 31 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $78.90 | $213.25 | $6.01 – $19.78 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $89.73 | $242.50 | $16.37 – $352.62 | 31 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $137.55 | $371.75 | $49.47 – $238.88 | 31 |
| Cytopath smear other source CPT 88160 | not published | not published | $22.99 – $133.88 | 31 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.47 – $215.63 | 31 |
| Cytopath smear oth prep screen & interp CPT 88161 | $71.50 | $193.25 | $22.99 – $136.15 | 31 |
| Cytopath tbs c/v manual CPT 88164 | $12.40 | $33.50 | $13.31 – $45.48 | 31 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $69.21 – $196.63 | 31 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.12 – $74.20 | 31 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $166.50 | $450.00 | $168.57 – $818.03 | 31 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1.44 | $3.89 | $0.06 – $0.06 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $195.46 – $621.55 | 29 |
| Dch glucoscan CPT 82948 | not published | not published | $4.44 – $12.60 | 31 |
| Dch pulmonary stress test CPT 94621 | $964.41 | $2,606.50 | $203.48 – $640.79 | 29 |
| Dch validity tests CPT 81002 | $4.90 | $13.25 | $3.06 – $8.70 | 31 |
| Deamidated gliadin antibody iga CPT 86258 | $17.06 | $46.12 | $11.53 – $30.13 | 30 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $602.15 – $1,259.60 | 27 |
| Debridement (>20 cm) charge pt CPT 97598 | $168.81 | $456.25 | $106.43 – $106.43 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $393.02 – $822.13 | 27 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $58.43 – $122.22 | 27 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $58.43 – $122.22 | 27 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $692.13 – $1,447.81 | 27 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $195.46 – $408.87 | 27 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $692.13 – $1,447.81 | 27 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $602.15 – $1,259.60 | 27 |
| Decalcification CPT 88311 | $14.34 | $38.75 | $7.66 – $19.43 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $326.28 – $682.53 | 27 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $141.62 | $382.75 | $41.90 – $418.53 | 29 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $126.80 – $265.25 | 27 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $692.13 – $1,447.81 | 27 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $393.02 – $822.13 | 27 |
| Dermagraft HCPCS Q4106 | $2,569.93 | $6,945.75 | $62.15 – $112.36 | 7 |
| Design mlc device for imrt CPT 77338 | not published | not published | $360.10 – $760.70 | 28 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $24.07 | $65.05 | $5.48 – $7.43 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $27.26 – $77.45 | 31 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $195.46 – $408.87 | 27 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $195.46 – $408.87 | 27 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $195.46 – $408.87 | 27 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $195.46 – $408.87 | 27 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $602.15 – $1,259.60 | 27 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $195.46 – $408.87 | 27 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $875.79 – $1,832.00 | 27 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $195.46 – $408.87 | 27 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $393.02 – $822.13 | 27 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $26.43 – $75.08 | 31 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $38.43 – $109.18 | 31 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $27.03 – $27.03 | 2 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $153.91 – $321.95 | 29 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $132.75 – $132.75 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $162.06 | $438.00 | $64.42 – $194.81 | 29 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.46 | $1.25 | $0.07 – $0.09 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $33.33 | $90.09 | $0.11 – $0.17 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $80.89 | $218.62 | $12.21 – $12.21 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $68.45 | $185.00 | $2.22 – $2.70 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $81.18 | $219.40 | $4.44 – $5.40 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $58.28 | $157.50 | $19.56 – $55.58 | 31 |
| Diabetes (HbA1c) Test CPT 83036 | $11.38 | $30.75 | $8.54 – $24.28 | 31 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $5,618.00 – $5,618.00 | 1 |
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.