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 |
|---|---|---|---|---|
| Diagnostic anoscopy CPT 46601 | not published | not published | $392.54 – $5,618.00 | 28 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $126.80 – $5,618.00 | 28 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $114.15 | $308.50 | $247.55 – $247.55 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $78.63 | $212.50 | $193.03 – $193.03 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $190.97 – $399.48 | 27 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $190.97 – $5,618.00 | 28 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $303.96 | $821.50 | $100.16 – $344.86 | 29 |
| Diagnostic Mammogram (one breast) CPT 77065 | $301.55 | $815.00 | $78.70 – $270.63 | 29 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $86.61 – $194.81 | 28 |
| Dialysis one evaluation CPT 90945 | $987.53 | $2,669.00 | $207.18 – $876.23 | 29 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.84 – $292.00 | 30 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $18.69 | $50.50 | $7.06 – $12.83 | 4 |
| Dicyclomine injection HCPCS J0500 | $121.18 | $327.50 | $15.69 – $22.35 | 4 |
| Diffusing capacity CPT 94729 | $462.13 | $1,249.00 | $108.38 – $108.38 | 2 |
| Digital analysis of eeg CPT 95957 | not published | not published | $437.25 – $437.25 | 2 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $123.15 | $332.83 | $13.23 – $13.23 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $67.25 | $181.75 | $11.69 – $33.20 | 31 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $922.28 – $1,929.25 | 27 |
| Dilate tear duct opening CPT 68801 | not published | not published | $392.54 – $821.13 | 27 |
| Dilate urethra stricture CPT 53600 | not published | not published | $239.25 – $500.47 | 27 |
| Dilate urethra stricture CPT 53601 | not published | not published | $126.80 – $265.25 | 27 |
| Dilate urethra stricture CPT 53621 | not published | not published | $239.25 – $500.47 | 27 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $153.91 – $321.95 | 27 |
| Dilation of salivary duct CPT 42660 | not published | not published | $500.95 – $1,047.90 | 27 |
| Dilation of urethra CPT 53661 | not published | not published | $126.80 – $265.25 | 27 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $656.59 – $1,373.48 | 27 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $48.08 | $129.96 | $0.81 – $1.10 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $20.52 – $187.65 | 6 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $38.61 – $80.77 | 29 |
| Disability dlco CPT 94727 | $369.08 | $997.50 | $76.43 – $321.95 | 29 |
| Disaccharidases CPT 82657 | $29.60 | $80.00 | $19.51 – $55.43 | 31 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $182.98 – $4,139.17 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $938.25 – $938.25 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $56.25 – $56.25 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $245.52 – $697.50 | 31 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $120.56 – $342.50 | 31 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $12.09 – $34.35 | 31 |
| Dna gardnerella CPT 87510 | not published | not published | $17.64 – $50.13 | 31 |
| Dna probe chlamydia CPT 87490 | not published | not published | $20.02 – $56.88 | 31 |
| Dna probe gc CPT 87590 | not published | not published | $23.65 – $67.20 | 31 |
| Dna trichomonas CPT 87660 | $6.75 | $18.25 | $17.64 – $50.13 | 31 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $35.98 | $97.25 | $9.94 – $11.09 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $3.52 | $9.50 | $0.87 – $1.16 | 4 |
| Doppler echo complete CPT 93320 | $503.85 | $1,361.75 | $74.93 – $1,636.00 | 3 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $409.60 – $409.60 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $515.50 | $1,393.25 | $153.91 – $1,146.00 | 30 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $437.99 | $1,183.75 | $126.80 – $1,146.00 | 30 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.59 | $4.28 | $0.15 – $0.15 | 1 |
| Dpyd gene common variants CPT 81232 | not published | not published | $153.83 – $437.03 | 31 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $692.13 – $1,447.81 | 27 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $692.13 – $1,447.81 | 27 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $692.13 – $1,447.81 | 27 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $228.44 – $477.85 | 27 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $692.13 – $1,447.81 | 27 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $228.44 – $477.85 | 27 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $500.95 – $1,047.90 | 27 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $500.95 – $1,047.90 | 27 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $228.44 – $477.85 | 27 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $500.95 – $1,047.90 | 27 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $500.95 – $1,047.90 | 27 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $656.59 – $1,373.48 | 27 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $126.80 – $265.25 | 27 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $681.24 – $1,425.04 | 27 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $102.58 | $277.25 | $266.98 – $266.98 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $195.46 – $408.87 | 27 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $195.46 – $408.87 | 27 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $195.46 – $408.87 | 27 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $393.02 – $822.13 | 27 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $602.15 – $1,259.60 | 27 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $6,438.00 | $17,400.00 | $67.26 – $126.19 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $294.06 – $615.12 | 27 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $692.13 – $1,447.81 | 27 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $500.95 – $1,047.90 | 27 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $500.95 – $1,047.90 | 27 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $48.29 | $130.50 | $10.46 – $14.82 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $568.14 | $1,535.50 | $14.65 – $30.83 | 7 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $3,711.84 | $10,032.00 | $11.09 – $22.73 | 6 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,721.16 | $20,868.00 | $60.74 – $124.48 | 6 |
| Drug admin & hemodynmic meas CPT 93463 | $330.32 | $892.75 | $234.68 – $234.68 | 2 |
| Drug assay caffeine CPT 80155 | not published | not published | $33.94 – $96.43 | 31 |
| Drug assay posaconazole CPT 80187 | not published | not published | $23.86 – $67.78 | 31 |
| Drug assay rufinamide CPT 80210 | not published | not published | $26.57 – $67.78 | 30 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $33.94 – $96.43 | 31 |
| Drug assay voriconazole CPT 80285 | not published | not published | $23.86 – $67.78 | 31 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.27 – $46.60 | 30 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $11.09 – $31.50 | 31 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $23.86 – $67.78 | 31 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $15.08 – $42.85 | 31 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $349.65 | $945.00 | $54.68 – $155.35 | 31 |
| Drvvt confirm - quest CPT 85597 | $29.60 | $80.00 | $15.82 – $44.95 | 31 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $393.02 – $822.13 | 27 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $393.02 – $822.13 | 27 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $602.15 – $1,259.60 | 27 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $602.15 – $1,259.60 | 27 |
| Ductogram sgl duct CPT 77053 | not published | not published | $112.88 – $525.31 | 29 |
| Duodenal motility study CPT 91022 | not published | not published | $231.18 – $1,091.85 | 29 |
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.