Supplies, drugs & other prices at Ascension St. Vincent's Riverside
Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $832.50 | $2,250 | 1.8× |
| Adm tocilizu covid-19 2nd (M0250) | $832.50 | $2,250 | 1.8× |
| Admin pneumococcal vaccine (G0009) | $52.63 | $142.25 | 1.1× |
| Alcohol/sub misuse assess (G2011) | $24.05 | $65 | 0.8× |
| Ca screen;pelvic/breast exam (G0101) | $111 | $300 | 1.0× |
| Catheterize for urine spec (P9612) | $12.67 | $34.25 | 1.4× |
| Group mnt 2 or more 30 mins (G0271) | $52.63 | $142.25 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $897.99 | $2,427 | 6.2× |
| Mnt subs tx for change dx (G0270) | $58.74 | $158.75 | 1.9× |
| Neuro csf prion prtn qual (0035U) | $206.09 | $557 | 0.4× |
| Obtaining screen pap smear (Q0091) | $29.14 | $78.75 | 1.0× |
| Oth resp proc, group (G0239) | $114.15 | $308.50 | 2.9× |
| Pathogen test for platelets (P9100) | $41.53 | $112.25 | 0.7× |
| Ppps, initial visit (G0438) | $253.36 | $684.75 | 1.5× |
| Ppps, subseq visit (G0439) | $171.03 | $462.25 | 1.2× |
| Prostate biopsy, any mthd (G0416) | $1,513.58 | $4,090.75 | 4.0× |