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 |
|---|---|---|---|---|
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $104.61 – $235.69 | 29 |
| X-ray exam entire spi 6/> vw CPT 72084 | $374.72 | $1,012.75 | $104.61 – $235.69 | 29 |
| X-ray exam of arm infant CPT 73092 | $109.80 | $296.75 | $64.42 – $235.69 | 29 |
| X-ray exam of eye sockets CPT 70200 | $180.65 | $488.25 | $94.31 – $235.69 | 29 |
| X-ray exam of femur 1 CPT 73551 | $143.65 | $388.25 | $60.27 – $194.81 | 29 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $70.60 – $194.81 | 29 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $157.22 – $525.31 | 29 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $79.88 – $235.69 | 29 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $112.88 – $1,182.67 | 29 |
| X-ray exam of penis CPT 74445 | not published | not published | $104.61 – $235.69 | 28 |
| X-ray exam of perineum CPT 74775 | not published | not published | $237.78 – $525.31 | 28 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $79.88 – $194.81 | 29 |
| X-ray exam of sinuses CPT 70210 | $211.36 | $571.25 | $64.42 – $194.81 | 29 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $237.78 – $525.31 | 28 |
| X-ray exam of teeth CPT 70300 | not published | not published | $24.19 – $194.81 | 29 |
| X-ray exam of teeth CPT 70310 | not published | not published | $91.23 – $525.31 | 29 |
| X-ray exam si joints CPT 72200 | $177.05 | $478.50 | $67.50 – $235.69 | 29 |
| X-ray exam thorac spine4/>vw CPT 72074 | $148.83 | $402.25 | $89.15 – $235.69 | 29 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $163.73 | $442.50 | $65.44 – $194.81 | 29 |
| X-ray facial bones complete > 3 views CPT 70150 | $204.06 | $551.50 | $94.31 – $235.69 | 29 |
| X-ray femur >=2 views (both sides) CPT 73552 | $284.81 | $769.75 | $73.69 – $194.81 | 29 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $195.73 | $529.00 | $82.99 – $194.81 | 29 |
| X-ray foot 2 views (both sides) CPT 73620 | $243.65 | $658.50 | $58.23 – $194.81 | 29 |
| X-ray forearm 2 views (both sides) CPT 73090 | $231.71 | $626.25 | $59.26 – $194.81 | 29 |
| X-ray hand 2 views (both sides) CPT 73120 | $236.89 | $640.25 | $63.39 – $235.69 | 29 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $24.19 – $194.81 | 29 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $226.44 | $612.00 | $58.23 – $194.81 | 29 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $239.39 | $647.00 | $104.61 – $235.69 | 29 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $254.28 | $687.25 | $82.99 – $235.69 | 29 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $265.75 | $718.25 | $104.61 – $235.69 | 29 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $278.52 | $752.75 | $104.61 – $235.69 | 29 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $199.34 | $538.75 | $64.42 – $194.81 | 29 |
| X-ray humerus >= 2 views left CPT 73060 | $196.93 | $532.25 | $66.47 – $194.81 | 29 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $82.99 – $235.69 | 29 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $263.26 | $711.50 | $72.66 – $194.81 | 29 |
| X-ray knee 3 views (both sides) CPT 73562 | $294.43 | $795.75 | $86.07 – $194.81 | 29 |
| X-ray knee ap standing bilateral CPT 73565 | $236.43 | $639.00 | $86.61 – $194.81 | 29 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $137.64 | $372.00 | $64.42 – $194.81 | 29 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $560.18 | $1,514.00 | $81.93 – $235.69 | 29 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $463.98 | $1,254.00 | $102.56 – $235.69 | 29 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $593.02 | $1,602.75 | $104.61 – $235.69 | 29 |
| X-ray male genital tract CPT 74440 | not published | not published | $213.91 – $525.31 | 29 |
| X-ray mandible complete > 4 views CPT 70110 | $258.08 | $697.50 | $86.07 – $235.69 | 29 |
| X-ray mandible ltd <4 views CPT 70100 | $186.94 | $505.25 | $79.88 – $194.81 | 29 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $65.44 – $65.44 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $269.55 | $728.50 | $79.88 – $194.81 | 29 |
| X-ray neck soft tissue CPT 70360 | $199.25 | $538.50 | $62.36 – $194.81 | 29 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $57.20 – $194.81 | 29 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $147.92 – $525.31 | 29 |
| X-ray optic foramina CPT 70190 | not published | not published | $78.86 – $194.81 | 29 |
| X-ray pelvis 1-2 views CPT 72170 | $188.15 | $508.50 | $57.20 – $235.69 | 29 |
| X-ray pelvis complete > 3 views CPT 72190 | $185.46 | $501.25 | $80.91 – $235.69 | 29 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $833.70 | $2,253.25 | $140.70 – $824.45 | 29 |
| X-ray ribs 2 views left CPT 71100 | $334.02 | $902.75 | $70.60 – $194.81 | 29 |
| X-ray ribs 3 views bilateral CPT 71110 | $301.09 | $813.75 | $81.93 – $235.69 | 29 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $340.03 | $919.00 | $79.88 – $235.69 | 29 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $496.08 | $1,340.75 | $101.54 – $235.69 | 29 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $76.80 – $235.69 | 29 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $207.57 | $561.00 | $65.44 – $194.81 | 29 |
| X-ray scapula complete (both sides) CPT 73010 | $277.13 | $749.00 | $54.12 – $235.69 | 29 |
| X-ray sella turcica CPT 70240 | not published | not published | $68.56 – $194.81 | 29 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $110.08 | $297.50 | $39.68 – $194.81 | 29 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $263.44 | $712.00 | $73.69 – $194.81 | 29 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $507.55 | $1,371.75 | $96.37 – $1,182.67 | 29 |
| X-ray skull < 4 views CPT 70250 | $213.68 | $577.50 | $73.69 – $235.69 | 29 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $86.07 – $235.69 | 29 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $104.61 – $235.69 | 29 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $480.17 | $1,297.75 | $175.12 – $393.89 | 29 |
| X-ray small intestine follow-through study CPT 74248 | $843.14 | $2,278.75 | $137.14 – $137.14 | 1 |
| X-ray spine single view CPT 72020 | $241.80 | $653.50 | $46.90 – $194.81 | 29 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $307.01 | $829.75 | $82.99 – $194.81 | 29 |
| X-ray sternum > 2 views CPT 71120 | $259.09 | $700.25 | $65.44 – $194.81 | 29 |
| X-ray surgical specimen CPT 76098 | not published | not published | $78.86 – $1,182.67 | 29 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $216.82 | $586.00 | $175.12 – $393.89 | 29 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $185.56 | $501.50 | $86.61 – $194.81 | 29 |
| X-ray thoracic spine 2 views CPT 72070 | $155.68 | $420.75 | $62.36 – $235.69 | 29 |
| X-ray thoracic spine 3 views CPT 72072 | $179.45 | $485.00 | $77.83 – $235.69 | 29 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $197.86 | $534.75 | $67.50 – $194.81 | 29 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $130.98 | $354.00 | $81.93 – $194.81 | 29 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $186.57 | $504.25 | $104.61 – $235.69 | 29 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $269.45 | $728.25 | $65.44 – $194.81 | 29 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $163.73 | $442.50 | $62.36 – $194.81 | 29 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $175.12 – $393.89 | 29 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $581.27 | $1,571.00 | $175.12 – $393.89 | 29 |
| X-ray wrist 2 views (both sides) CPT 73100 | $263.26 | $711.50 | $70.60 – $194.81 | 29 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $175.12 – $393.89 | 29 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $614.53 – $1,636.00 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $163.55 – $1,636.00 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.36 – $32.28 | 31 |
| Yersinia antibody CPT 86793 | not published | not published | $11.61 – $32.98 | 31 |
| Zika virus dna/rna amp probe CPT 87662 | $59.66 | $161.25 | $45.15 – $128.28 | 31 |
| Zika virus igm antibody CPT 86794 | $33.30 | $90.00 | $14.83 – $42.13 | 31 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $31.27 | $84.50 | $10.79 – $10.79 | 3 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $162.19 – $606.10 | 6 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $189.38 – $483.13 | 30 |
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.