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 |
|---|---|---|---|---|
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,329.68 | $17,107.25 | $166.37 – $398.55 | 7 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,589.48 | $12,404.00 | $45.75 – $346.18 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $235.97 – $493.62 | 27 |
| Growth hormone antibody CPT 86277 | $51.06 | $138.00 | $13.85 – $39.35 | 31 |
| Growth hormone panel CPT 80428 | not published | not published | $58.70 – $166.75 | 31 |
| Growth hormone panel CPT 80430 | not published | not published | $113.81 – $323.33 | 31 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $66.53 – $189.00 | 31 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $13.13 – $292.00 | 30 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $11.33 – $292.00 | 30 |
| G-tube reposition CPT 43761 | not published | not published | $239.25 – $500.47 | 27 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $211.85 – $4,366.49 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $692.13 – $1,447.81 | 27 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $602.15 – $1,259.60 | 27 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $393.02 – $822.13 | 27 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $393.02 – $822.13 | 27 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $48.07 | $129.91 | $0.95 – $1.82 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.77 – $12.83 | 3 |
| Hand X-ray CPT 73130 | $248.92 | $672.75 | $75.77 – $194.81 | 29 |
| Haptoglobin quantitative CPT 83010 | $21.09 | $57.00 | $11.07 – $31.45 | 31 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $430.05 – $899.60 | 27 |
| Hast w/i&r phys/qhp CPT 94452 | $236.80 | $640.00 | $84.05 – $265.25 | 29 |
| Hast w/oxygen titrate CPT 94453 | $231.16 | $624.75 | $112.58 – $265.25 | 29 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $528.00 – $1,500.00 | 31 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $178.11 – $506.00 | 31 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $330.22 – $938.13 | 31 |
| Hbb full gene sequence CPT 81364 | not published | not published | $285.63 – $811.45 | 31 |
| Hbb gene com variants CPT 81361 | not published | not published | $153.83 – $437.03 | 31 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $178.11 – $506.00 | 31 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $330.22 – $938.13 | 31 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.54 – $24.28 | 31 |
| Hbot, full body chamber, 30m HCPCS G0277 | $897.99 | $2,427.00 | $401.55 – $401.55 | 2 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $52.05 – $52.05 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $175.12 – $521.16 | 29 |
| Hcg free betachain test CPT 84704 | not published | not published | $13.46 – $38.23 | 31 |
| Hcg qualitative CPT 84703 | $59.85 | $161.75 | $6.62 – $18.80 | 31 |
| Hcg quantitative CPT 84702 | $77.70 | $210.00 | $13.24 – $37.63 | 31 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $88.58 – $88.58 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $54.80 – $54.80 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $173.28 – $173.28 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $135.98 – $135.98 | 2 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $476.28 | $1,287.25 | $115.23 – $250.45 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $602.15 – $1,259.60 | 27 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $602.15 – $1,259.60 | 27 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $378.83 – $1,158.73 | 29 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $395.28 – $884.18 | 28 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $395.28 – $884.18 | 29 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $529.32 – $1,158.73 | 29 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $3,044.09 – $5,025.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $679.87 – $1,427.68 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $682.50 – $1,427.68 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $682.50 – $1,810.70 | 28 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $258.69 – $541.14 | 28 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $258.69 – $832.94 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $768.31 | $2,076.50 | $175.12 – $783.00 | 29 |
| Head CT scan (with contrast) CPT 70460 | $722.43 | $1,952.50 | $175.12 – $783.00 | 29 |
| Head CT scan (without contrast) CPT 70450 | $676.55 | $1,828.50 | $104.61 – $783.00 | 29 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $598.02 – $1,698.93 | 31 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,430.00 – $4,062.50 | 4 |
| Heart first pass add-on CPT 78496 | not published | not published | $56.17 – $56.17 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $502.56 – $1,158.73 | 29 |
| Heart image spect CPT 78494 | $1,550.95 | $4,191.75 | $395.28 – $884.18 | 29 |
| Heart infarct image CPT 78466 | not published | not published | $395.28 – $884.18 | 29 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $457.14 – $1,158.73 | 29 |
| Heavy metal qual any number CPT 83015 | not published | not published | $18.43 – $52.35 | 31 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.70 – $10.50 | 31 |
| Heinz bodies induced CPT 85445 | $15.17 | $41.00 | $6.00 – $17.05 | 31 |
| Helicobacter pylori antibody igm CPT 86677 | $7.86 | $21.25 | $14.83 – $42.13 | 31 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.21 – $20.48 | 31 |
| Hematocrit CPT 85014 | $18.50 | $50.00 | $2.09 – $5.93 | 31 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $220.48 – $533.34 | 29 |
| Hemodialysis access study CPT 90940 | not published | not published | $92.93 – $92.93 | 2 |
| Hemodialysis one evaluation CPT 90935 | $181.58 | $490.75 | $170.23 – $1,439.84 | 29 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $246.85 – $246.85 | 2 |
| Hemoglobin CPT 85018 | $15.91 | $43.00 | $2.09 – $5.93 | 31 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.53 – $10.03 | 31 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $7.04 – $20.00 | 31 |
| Hemoglobin f (fetal) chemical CPT 83030 | $13.23 | $35.75 | $9.45 – $26.85 | 31 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $10.64 | $28.75 | $7.22 – $20.50 | 31 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $11.74 – $33.35 | 31 |
| Hemoglobin plasma CPT 83051 | $5.92 | $16.00 | $6.43 – $18.28 | 31 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $7.92 – $22.50 | 31 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.48 – $9.88 | 31 |
| Hemolysin acid CPT 85475 | not published | not published | $7.80 – $22.18 | 31 |
| Hemolysins/agglutinins auto CPT 86940 | $41.07 | $111.00 | $7.72 – $21.93 | 31 |
| Hemolysins and agglutinins incubated CPT 86941 | $41.53 | $112.25 | $10.66 – $30.28 | 31 |
| Hemoperfusion CPT 90997 | not published | not published | $213.20 – $213.20 | 2 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $13.94 – $39.60 | 31 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $896.86 – $1,876.08 | 27 |
| Heparin assay CPT 85520 | $33.76 | $91.25 | $11.52 – $32.73 | 31 |
| Heparin bolus from bag HCPCS J1644 | $67.55 | $182.58 | $0.30 – $0.30 | 3 |
| Heparin neutralization CPT 85525 | not published | not published | $10.42 – $29.60 | 31 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $34.14 | $92.26 | $0.02 – $0.03 | 4 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $11.52 – $32.73 | 31 |
| Hepatitis a antibody igm CPT 86709 | $35.71 | $96.50 | $9.91 – $28.15 | 31 |
| Hepatitis b core antibody igm CPT 86705 | $34.60 | $93.50 | $10.36 – $29.43 | 31 |
| Hepatitis b core antibody total CPT 86704 | $42.74 | $115.50 | $10.60 – $30.13 | 31 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $140.36 – $365.78 | 33 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $63.30 | 30 |
| Hepatitis b surface antibody CPT 86706 | $51.25 | $138.50 | $9.45 – $26.85 | 31 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $171.72 – $351.88 | 6 |
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.