Procedures & surgery prices at Ascension St. Vincent's Southside

Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.

159 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $12,922.34 $34,925.25 1.7×
Anoscopy diagnostic (46600) $302.01 $816.25 2.2×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $280.28 $757.50 1.7×
Application Finger Splint Dynamic (29131) $63.36 $171.25 1.0×
Application finger splint static (29130) $247.53 $669 1.8×
Application long arm splint shoulder hand (29105) $182.50 $493.25 1.1×
Application Short Arm Splint Dynamic (29126) $127.47 $344.50 0.9×
Application short arm splint forearm-hand static (29125) $197.90 $534.88 1.4×
Arterial puncture (36600) $49.03 $132.50 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $715.72 $1,934.38 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $729.94 $1,972.82 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $734.68 $1,985.62 2.3×
Avulsion nail plate partial/complete simple 1 (11730) $263.35 $711.75 1.3×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $1,029.25 $2,781.75 1.1×
Biopsy External Auditory Canal (69105) $1,052.10 $2,843.50 0.6×
Biopsy muscle percutaneous needle (20206) $1,438.47 $3,887.75 0.8×
Biopsy Vaginal Mucosa Simple (57100) $1,029.25 $2,781.75 1.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,026.38 $2,774 1.1×
Bl exchange/transfuse nb (36450) $425.69 $1,150.50 0.9×
Blood transfusion service (36430) $597.27 $1,614.25 1.3×
Cautery cervix laser ablation (57513) $3,626.37 $9,801 1.1×
Cautery of cervix; cryocautery, initial or repeat (57511) $590.61 $1,596.25 1.9×
Chemical cautery tissue (17250) $284.62 $769.25 1.4×
Chemodenerv musc migraine (64615) $434.75 $1,175 1.4×
Colpocentesis (57020)
likely a partial charge, not the full procedure
$1,029.25 $2,781.75 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $644.82 $1,742.75 2.0×
Colposcopy cervix upper/adjacent vagina (57452) $590.61 $1,596.25 2.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $699.21 $1,889.75 2.2×
Colposcopy entire vagina w/cervix if present (57420) $484.15 $1,308.50 1.5×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $753.60 $2,036.75 2.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $590.61 $1,596.25 0.6×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $1,567.97 $4,237.75 7.1×
Control Nasal Hemorrhage Anterior Simple (30901) $256.23 $692.50 1.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $268.34 $725.25 0.6×
Declot vascular device (36593) $423.47 $1,144.50 1.2×
Destruction Benign Lesions 15/> (17111) $215.99 $583.75 1.0×
Destruction Benign Lesions Up To 14 (17110) $263.35 $711.75 1.3×
Destruction Lesions Vulva Extensive (56515) $5,012.95 $13,548.50 2.3×
Destruction Lesions Vulva Simple (56501) $4,455.82 $12,042.75 2.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $623.91 $1,686.25 3.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $234.40 $633.50 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $305.90 $826.75 1.5×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $292.95 $791.75 1.4×
Destruction Premalignant Lesion 15/> (17004) $551.86 $1,491.50 1.3×
Destruction premalignant lesion 1st (17000) $178.99 $483.75 0.9×
Destruction Vaginal Lesions Simple (57061) $4,485.79 $12,123.75 1.3×
Diagnostic sigmoidoscopy (45330) $1,165.41 $3,149.75 1.2×
Drainage of hematoma/fluid (10140) $2,093.46 $5,658 1.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,891.18 $7,814 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $709.57 $1,917.75 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $620.12 $1,676 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $172.79 $467 0.8×
Dstrj lesion anus simple chemical (46900) $604.40 $1,633.50 1.4×
Endometrial Biopsy (58100) $312.84 $845.50 1.5×
Evacuation of subungual hematoma (11740) $186.11 $503 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,026.38 $2,774 1.4×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $1,560.20 $4,216.75 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,427.57 $6,561 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $3,168.68 $8,564 1.8×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $1,048.03 $2,832.50 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $917.69 $2,480.25 1.2×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,623.84 $4,388.75 2.2×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,048.03 $2,832.50 2.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,719.58 $4,647.50 2.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,713.60 $10,036.75 2.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,847.37 $13,101 1.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,159.14 $5,835.50 1.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,713.60 $10,036.75 2.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,297.96 $3,508 1.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $912.70 $2,466.75 1.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $939.80 $2,540 2.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $967 $2,613.50 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,393.05 $3,765 1.9×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $1,409.42 $3,809.25 1.9×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,425.61 $3,853 1.9×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $2,687.22 $7,262.75 1.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $732.69 $1,980.25 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $787.18 $2,127.50 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $841.47 $2,274.25 1.1×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $1,026.38 $2,774 1.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $1,135.16 $3,068 1.5×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,687.57 $4,561 1.0×
Fetal contraction stress test (59020) $1,029.25 $2,781.75 4.9×
Fetal non-stress test (59025) $473.69 $1,280.25 2.2×
Fit/Insert Intravag Support Device (57160) $312.84 $845.50 1.5×
Hysteroscopy biopsy (58558) $2,548.19 $6,887 0.8×
Hysteroscopy, diagnostic (separate procedure) (58555) $594.59 $1,607 0.2×
I&d abscess simple (10060) $244.57 $661 1.2×
I&d vulva/perineal abscess (56405) $590.61 $1,596.25 1.9×
Incise external hemorrhoid (46083) $867.47 $2,344.50 3.3×
Incision & drainage abscess complicated/multiple (10061) $244.57 $661 0.6×
Incision & removal foreign body subq tiss simple (10120) $580.16 $1,568 1.4×
Incision and drainage of bartholin's gland abscess (56420) $590.61 $1,596.25 2.8×
Incisional biopsy skin single lesion (11106) $311.26 $841.25 0.4×
Inj tendon sheath/ligament (20550) $561.20 $1,516.75 1.8×
Inj therapeutic carpal tunnel (20526) $458.52 $1,239.25 1.4×
Inject Tendon Origin/Insert (20551) $402.56 $1,088 1.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,302.86 $3,521.25 1.8×
Injection anesthetic agent femoral nerve single (64447) $1,302.86 $3,521.25 1.8×
Injection into skin lesions (11900) $243 $656.75 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $572.58 $1,547.50 1.8×
Injection single/mlt trigger point 3/> muscles (20553) $583.95 $1,578.25 1.8×
Injection, anesthetic agent; paracervical (uterine) nerve (64435) $17.39 $47.01 0.0×
Insert Bladder Cath Complex (51703) $317 $856.75 2.4×
Insert non-tunnel cv cath (36556) $5,124.13 $13,849 1.6×
Insert Temp Bladder Cath (51702) $152.95 $413.38 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $293.55 $793.38 2.1×
Insj picc rs&i 5 yr+ (36573) $1,290.19 $3,487 0.8×
Intubation endotracheal emergency procedure (31500) $560.55 $1,515 2.3×
Punch biopsy skin single lesion (11104) $311.26 $841.25 0.7×
Puncture Aspiration Cyst Breast (19000) $552.41 $1,493 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $302.01 $816.25 4.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $302.01 $816.25 4.9×
Removal Implantable Contraceptive Capsules (11976) $1,026.38 $2,774 1.4×
Removal of iud (58301) $590.61 $1,596.25 1.9×
Removal of nail bed (11750) $1,026.38 $2,774 2.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $263.35 $711.75 1.3×
Remove drug implant device (11982) $561.85 $1,518.50 1.2×
Remove intrvas foreign body (37197) $5,124.13 $13,849 1.6×
Remv Ext Canal Foreign Body (69200) $302.01 $816.25 2.2×
Remv F.B.,Eye,Superf Conjunc (65205) $307.29 $830.50 2.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $941.93 $2,545.75 0.6×
Shave skin lesion 0.5 cm/< (11300) $209.05 $565 0.5×
Shave skin lesion 0.5 cm/< (11305) $219.97 $594.50 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $219.97 $594.50 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $285.18 $770.75 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $241.80 $653.50 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $263.35 $711.75 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $285.18 $770.75 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $241.80 $653.50 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $263.35 $711.75 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $209.05 $565 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $215.99 $583.75 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $211.92 $572.75 1.0×
Sigmoidoscopy w/biopsy (45331) $1,165.41 $3,149.75 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $384.52 $1,039.25 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $371.67 $1,004.50 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $396.55 $1,071.75 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $384.52 $1,039.25 1.8×
Spinal puncture lumbar diagnostic (62270) $561.20 $1,516.75 0.8×
Strapping hand/finger (29280) $63.36 $171.25 1.0×
Strapping unna boot (29580) $262.42 $709.25 1.5×
Tangential biopsy skin single lesion (11102) $311.26 $841.25 0.7×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $1,740.11 $4,703 0.4×
Ther Apheresis,Plasma Pheresis (36514) $1,027.58 $2,777.25 0.6×
Ther Apheresis,Platelets (36513) $966.53 $2,612.25 2.1×
Ther Apheresis,Red Blood Cells (36512) $960.43 $2,595.75 0.6×
Ther Apheresis,White Blood Cells (36511) $851.65 $2,301.75 0.5×
Thyroid biopsy (60100) $768.40 $2,076.75 1.0×
Tracheostomy planned (31600) $2,052.11 $5,546.25 0.6×
Treat vagina infection (57150) $48.84 $132 0.8×
Trim skin lesion (11055) $389.33 $1,052.25 1.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $186.11 $503 3.0×
Unlisted procedure foot or toes (28899) $281.94 $762 1.1×
Unlisted procedure humerus/elbow (24999) $236.89 $640.25 0.9×
Unlisted Procedure Vascular Surgery (37799) $1,007.70 $2,723.50 1.5×
Unlisted procedure, stomach (43999) $1,572.87 $4,251 1.7×
Us urine capacity measure (51798) $327.64 $885.50 5.3×
Venipuncture (36415) $5 $13.50 0.5×