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 |
|---|---|---|---|---|
| T3 (triiodothyronine) total CPT 84480 | $145.69 | $393.75 | $12.48 – $35.45 | 31 |
| T4 (thyroxine) free CPT 84439 | $128.95 | $348.50 | $7.94 – $22.55 | 31 |
| T4 (thyroxine) total CPT 84436 | $137.18 | $370.75 | $6.04 – $17.18 | 31 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.44 | $6.59 | $0.27 – $0.27 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $61.42 | $166.00 | $12.08 – $34.33 | 31 |
| Target gsa panel hmtlmph neop CPT 81450 | $888.00 | $2,400.00 | $668.39 – $1,898.83 | 31 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,569.25 – $7,299.00 | 4 |
| Target gsa panel organ neop CPT 81445 | $518.00 | $1,400.00 | $526.16 – $1,494.78 | 31 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $602.15 – $1,259.60 | 27 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.32 | $0.87 | $0.45 – $0.60 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $120.56 – $342.50 | 31 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $89.15 – $89.15 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $21.38 – $21.38 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $86.61 – $194.81 | 28 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $86.61 – $194.81 | 28 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $88.00 – $250.00 | 31 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $110.08 | $297.50 | $54.54 – $154.95 | 31 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,342.71 | $14,439.75 | $2,622.38 – $5,141.90 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | $174.64 | $472.00 | $128.65 – $280.20 | 6 |
| Tc-99m maa HCPCS A9540 | $394.05 | $1,065.00 | $35.92 – $90.00 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $146.52 | $396.00 | $22.88 – $84.63 | 5 |
| Tc-99m medronate HCPCS A9503 | $117.75 | $318.25 | $19.89 – $72.21 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $862.19 | $2,330.25 | $1,424.15 – $1,424.15 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $124.23 | $335.75 | $61.56 – $121.45 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $512.08 | $1,384.00 | $33.94 – $94.00 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.48 | $4.00 | $2.60 – $2.60 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $198.04 | $535.25 | $49.73 – $192.15 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $107.49 | $290.50 | $140.66 – $140.66 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | $356.68 | $964.00 | $409.07 – $802.10 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $116.55 | $315.00 | $130.47 – $313.80 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,656.03 | $4,475.75 | $1,012.22 – $1,296.65 | 5 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $602.15 – $1,259.60 | 27 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $104.61 – $1,146.00 | 30 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $104.61 – $1,146.00 | 30 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $550.45 – $1,146.00 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $430.05 – $899.60 | 27 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $41.34 – $117.45 | 31 |
| T cells absolute cd 4 count CPT 86361 | $47.55 | $128.50 | $23.57 – $66.95 | 31 |
| T cells total count CPT 86359 | not published | not published | $33.20 – $94.33 | 31 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $306.33 – $640.79 | 29 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $306.33 – $708.10 | 29 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $306.33 – $640.79 | 29 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $84.25 – $84.25 | 2 |
| Team conf without pat by phys CPT 99367 | not published | not published | $128.75 – $128.75 | 2 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $97.65 – $97.65 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $360.10 – $753.27 | 28 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $219.56 – $753.27 | 28 |
| Temperature gradient studies CPT 93740 | not published | not published | $18.68 – $321.95 | 29 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $280.13 | $757.11 | $243.65 – $243.65 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $48.29 | $130.50 | $1.72 – $3.21 | 4 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $162.98 – $463.00 | 31 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.29 – $15.03 | 31 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.12 – $14.55 | 31 |
| Test for urine cystines CPT 82615 | not published | not published | $8.40 – $23.88 | 31 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $395.28 – $884.18 | 29 |
| Testosterone response panel CPT 80414 | not published | not published | $45.44 – $129.10 | 31 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $41.53 | $112.25 | $35.50 – $35.50 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,382.69 | $3,737.00 | $88.28 – $1,636.00 | 30 |
| Test urine for lactose CPT 83633 | not published | not published | $9.90 – $28.13 | 31 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.76 – $33.40 | 31 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.93 – $11.18 | 31 |
| Tetanus ig im CPT 90389 | not published | not published | $950.38 – $1,338.53 | 6 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $120.56 – $342.50 | 31 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $744.34 – $1,898.83 | 30 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $7,299.00 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $585.95 – $1,494.78 | 30 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $143.50 – $352.62 | 28 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $143.50 – $352.62 | 28 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $143.50 – $352.62 | 28 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.47 – $109.94 | 28 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $430.05 – $899.60 | 27 |
| Theophylline therapeutic drug level CPT 80198 | $63.73 | $172.25 | $12.44 – $35.35 | 31 |
| Therapy activation ipnss CPT 93150 | not published | not published | $90.30 – $1,636.00 | 30 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $33.96 – $86.63 | 29 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $29.63 – $75.58 | 29 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $195.46 – $408.87 | 29 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $175.12 – $419.09 | 29 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.58 – $433.55 | 29 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $527.75 – $527.75 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $336.73 – $336.73 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $222.39 – $222.39 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $41.14 | $111.20 | $2.15 – $2.64 | 4 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $608.19 – $1,272.23 | 27 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $86.61 – $213.91 | 29 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $438.50 – $438.50 | 2 |
| Thrombin time CPT 85670 | $37.65 | $101.75 | $5.08 – $14.43 | 31 |
| Thrombin time titer CPT 85675 | not published | not published | $6.03 – $17.13 | 31 |
| Thrombomodulin CPT 85337 | not published | not published | $15.20 – $43.18 | 31 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $8.47 – $24.08 | 31 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $40.79 | $110.25 | $5.69 – $16.18 | 31 |
| Thromboxane urine CPT 84431 | not published | not published | $30.90 – $87.78 | 31 |
| Thyroglobulin antibody CPT 86800 | $41.16 | $111.25 | $14.00 – $39.78 | 31 |
| Thyroid imaging CPT 78013 | not published | not published | $395.28 – $884.18 | 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.