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 |
|---|---|---|---|---|
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $235.97 – $493.62 | 27 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $235.97 – $493.62 | 27 |
| Unlisted px inner ear CPT 69949 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $294.06 – $615.12 | 27 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $235.97 – $493.62 | 27 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $239.25 – $500.47 | 27 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $130.60 – $273.20 | 27 |
| Unlisted px middle ear CPT 69799 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $235.97 – $493.62 | 27 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px small intestine CPT 44799 | not published | not published | $922.28 – $5,618.00 | 28 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $130.60 – $273.20 | 27 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $228.44 – $477.85 | 27 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.47 – $109.94 | 28 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $395.28 – $884.18 | 28 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $195.46 – $408.87 | 27 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.47 – $109.94 | 28 |
| Unlisted transfusion med px CPT 86999 | $12.86 | $34.75 | $22.99 – $50.39 | 28 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $86.61 – $194.81 | 28 |
| Unlisted urinalysis px CPT 81099 | not published | not published | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $608.19 – $1,272.23 | 27 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $395.28 – $884.18 | 28 |
| Upgrade pm system CPT 33214 | not published | not published | $15,470.00 – $15,470.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $888.93 | $2,402.50 | $351.31 – $824.45 | 29 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $843.05 | $2,278.50 | $351.31 – $824.45 | 29 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $797.17 | $2,154.50 | $237.78 – $525.31 | 29 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $922.28 – $5,618.00 | 28 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $922.28 – $5,618.00 | 28 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $922.28 – $5,618.00 | 28 |
| Urea nitrogen CPT 84520 | $10.55 | $28.50 | $3.48 – $9.88 | 31 |
| Urea nitrogen 24 hour urine CPT 84540 | $42.00 | $113.50 | $4.89 – $13.90 | 31 |
| Urea nitrogen clearance CPT 84545 | $13.97 | $37.75 | $6.34 – $18.00 | 31 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.52 – $12.83 | 31 |
| Ureteral reflux study CPT 78740 | not published | not published | $395.28 – $884.18 | 29 |
| Ureter endoscopy CPT 50970 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,618.00 – $5,618.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $237.78 – $525.31 | 28 |
| Urethrocystography void s&i CPT 74455 | $432.81 | $1,169.75 | $235.56 – $525.31 | 29 |
| Uric acid blood CPT 84550 | $50.14 | $135.50 | $3.98 – $11.30 | 31 |
| Uric acid urine CPT 84560 | $27.20 | $73.50 | $4.47 – $12.70 | 31 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.14 – $11.75 | 31 |
| Urinalysis microscopic only CPT 81015 | $6.57 | $17.75 | $2.68 – $7.63 | 31 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.91 – $5.43 | 31 |
| Urinalysis (with microscopy) CPT 81001 | $22.20 | $60.00 | $2.79 – $7.93 | 31 |
| Urinalysis (without microscopy) CPT 81003 | $10.45 | $28.25 | $1.98 – $5.63 | 31 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $201.55 – $201.55 | 1 |
| Urinary reflex study CPT 51792 | not published | not published | $58.43 – $122.22 | 27 |
| Urine Culture Test CPT 87086 | $80.01 | $216.25 | $7.10 – $20.18 | 31 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $126.80 – $265.25 | 27 |
| Urine pregnancy test CPT 81025 | $75.94 | $205.25 | $7.58 – $21.53 | 31 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.38 – $74.95 | 31 |
| Urography, antegrade CPT 74425 | $588.49 | $1,590.50 | $304.65 – $824.45 | 29 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $175.12 – $393.89 | 29 |
| Use 1st target lesion CPT 76982 | not published | not published | $104.61 – $235.69 | 29 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $197.21 – $404.13 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $179.41 – $367.65 | 6 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $190.20 – $389.75 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.09 – $219.45 | 6 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $79.97 – $163.88 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $43.55 – $75.98 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $150.78 – $282.35 | 6 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $102.62 – $189.15 | 6 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $263.12 – $456.51 | 6 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $164.69 – $328.33 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $44.58 – $81.93 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $19.26 – $33.85 | 6 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $88.04 – $179.02 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $162.35 – $332.15 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $51.63 – $98.98 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $35.51 – $85.85 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $91.68 – $187.86 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $85.86 – $175.94 | 6 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $216.62 – $420.75 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $38.64 – $76.93 | 6 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $450.16 – $765.65 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $128.26 – $456.13 | 6 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $101.86 – $208.73 | 6 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $101.86 – $208.73 | 6 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $48.29 | $130.50 | $26.67 – $54.65 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $48.29 | $130.50 | $27.27 – $55.88 | 6 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $30.98 – $52.20 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $114.21 – $193.40 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $32.10 – $54.10 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $48.04 | $129.84 | $33.15 – $64.92 | 6 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $15.50 – $26.10 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $37.08 – $69.48 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $108.38 – $183.50 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $44.96 – $92.13 | 6 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.33 – $27.33 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $313.76 – $515.83 | 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.