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×
Apheresis therapeutic rbc (36512) $960.43 $2,595.75 0.6×
Appl finger splint static (29130) $247.53 $669 1.8×
Application Finger Splint Dynamic (29131) $63.36 $171.25 1.0×
Apply long arm splint (29105) $182.50 $493.25 1.1×
Apply multi-layer compression lower leg (29581) $280.28 $757.50 1.7×
Apply short arm splint static (29125) $197.90 $534.88 1.4×
Apply splint short arm dynamic (29126) $127.47 $344.50 0.9×
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 of nail plate, partial or complete, simple; single (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 of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $1,165.41 $3,149.75 1.2×
Biopsy of uterus lining (58100) $312.84 $845.50 1.5×
Biopsy thyroid percutaneous core needle (60100) $768.40 $2,076.75 1.0×
Biopsy vaginal mucosa simple (57100) $1,029.25 $2,781.75 1.1×
Biopsy Vulva/Perineum,One Lesn (56605) $1,026.38 $2,774 1.1×
Bladder Scan (51798) $327.64 $885.50 5.3×
Blood transfusion service (36430) $597.27 $1,614.25 1.3×
Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) $281.94 $762 1.1×
Cautery of cervix; laser ablation Other Surgical Services (57513) $3,626.37 $9,801 1.1×
Chemical cauterization of granulation tissue (17250) $284.62 $769.25 1.4×
Chemodervate facial/trigem/cerv musc migraine (64615) $434.75 $1,175 1.4×
Colpocentesis (separate procedure) Other Surgical Services (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 (57452) $590.61 $1,596.25 2.8×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $753.60 $2,036.75 2.4×
Colposcopy,Cervix W/Adj Vagina,W/Bx (57455) $699.21 $1,889.75 2.2×
Colposcopy,Entire Vagina (57420) $484.15 $1,308.50 1.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $590.61 $1,596.25 0.6×
Complete replacement picc rs&i (36584) $941.93 $2,545.75 0.6×
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) $1,567.97 $4,237.75 7.1×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $256.23 $692.50 1.8×
Cryocautery of cervix (57511) $590.61 $1,596.25 1.9×
Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) $268.34 $725.25 0.6×
Declot vascular device (36593) $423.47 $1,144.50 1.2×
Destroy vulva lesion/s compl (56515) $5,012.95 $13,548.50 2.3×
Destruct lesion 15 or more (17111) $215.99 $583.75 1.0×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) $551.86 $1,491.50 1.3×
Destruction benign lesions up to 14 (17110) $263.35 $711.75 1.3×
Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) $178.99 $483.75 0.9×
Destruction lesions vulva simple (56501) $4,455.82 $12,042.75 2.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $305.90 $826.75 1.5×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) $604.40 $1,633.50 1.4×
Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical… (57061) $4,485.79 $12,123.75 1.3×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) $623.91 $1,686.25 3.0×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) $234.40 $633.50 1.1×
Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) $292.95 $791.75 1.4×
Diagnostic sigmoidoscopy (45330) $1,165.41 $3,149.75 1.2×
Drain blood under nail (11740) $186.11 $503 1.3×
Drainage of lymph node abscess or lymphadenitis; simple Other Surgical Services (38300) $2,891.18 $7,814 1.0×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $317 $856.75 2.4×
Ed prof burn - large - hospital (16030) $709.57 $1,917.75 1.7×
Ed prof burn medium - hospital (16025) $620.12 $1,676 3.0×
Ed prof burn small - hospital (16020) $172.79 $467 0.8×
Ed prof insert non tunnel cv cath >5 (36556) $5,124.13 $13,849 1.6×
Exc face-mm b9 (11440) $917.69 $2,480.25 1.2×
Exc h-f-nk-sp b9+marg 0.5/< (11420) $1,560.20 $4,216.75 0.9×
Exc h-f-nk-sp b9+marg 1.1-2 (11422) $1,687.57 $4,561 1.0×
Exc Skin Benig 0.6-1cm Remaindr Body (11421) $1,623.84 $4,388.75 2.2×
Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) $1,048.03 $2,832.50 2.5×
Exc skin malig 0.6-1cm face,facial (11641) $1,409.42 $3,809.25 1.9×
Exc skin malig 1.1-2 cm face,facial (11642) $1,425.61 $3,853 1.9×
Exc skin malig >4 cm remaindr body (11626) $4,847.37 $13,101 1.6×
Exc tr-ext b9 + marg 2.1 to 3.0 (11403) $1,719.58 $4,647.50 2.3×
Exc tr-ext b9+marg 0.5 < cm (11400) $1,026.38 $2,774 1.4×
Exc tr-ext b9+marg 1.1-2 cm (11402) $1,048.03 $2,832.50 1.4×
Exchange transfusion, blood; newborn Other Surgical Services (36450) $425.69 $1,150.50 0.9×
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 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 malignant lesion trunk/arm/leg > 4.0 cm (11606) $2,159.14 $5,835.50 1.3×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) $3,168.68 $8,564 1.8×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) $3,713.60 $10,036.75 2.2×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) $3,713.60 $10,036.75 2.2×
Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Other… (11640) $1,393.05 $3,765 1.9×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) $1,297.96 $3,508 1.8×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) $1,135.16 $3,068 1.5×
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) $1,026.38 $2,774 1.4×
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&inse pessary or other intravaginal support device (57160) $312.84 $845.50 1.5×
Hysteroscopy,Dx,Sep Proc (58555) $594.59 $1,607 0.2×
Hysteroscopy,W/Endo Bx (58558) $2,548.19 $6,887 0.8×
I&d bartholins gland abscess (56420) $590.61 $1,596.25 2.8×
I&d hematoma/seroma/fluid (10140) $2,093.46 $5,658 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 TechFee (10061) $244.57 $661 0.6×
Incision & Drainage Abscess Simple/Single (10060) $244.57 $661 1.2×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $580.16 $1,568 1.4×
Incisional biopsy skin single lesion (11106) $311.26 $841.25 0.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,302.86 $3,521.25 1.8×
Inject Nerv Blck,Othr Periph Nerv (64450) $1,302.86 $3,521.25 1.8×
Inject Tendon Origin/Insert (20551) $402.56 $1,088 1.3×
Inject Tendon Sheath/Ligament (20550) $561.20 $1,516.75 1.8×
Injection therapeutic carpal tunnel (20526) $458.52 $1,239.25 1.4×
Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services (64435) $17.39 $47.01 0.0×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $572.58 $1,547.50 1.8×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $583.95 $1,578.25 1.8×
Injection, intralesional; up to and including 7 lesions (11900) $243 $656.75 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $293.55 $793.38 2.1×
Insert,Temp Indwelling Blad Cath,Simple (51702) $152.95 $413.38 1.1×
Insertion picc w/rs&i 5 yr/> (36573) $1,290.19 $3,487 0.8×
Intubation endotracheal (31500) $560.55 $1,515 2.3×
Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other… (57150) $48.84 $132 0.8×
Lumbar puncture (62270) $561.20 $1,516.75 0.8×
Ot strapping hand or finger (29280) $63.36 $171.25 1.0×
Other procedure on upper arm or elbow (24999) $236.89 $640.25 0.9×
Punch biopsy skin single lesion (11104) $311.26 $841.25 0.7×
Puncture aspiration of cyst of breast (19000) $552.41 $1,493 0.7×
Removal Impacted Cerumen Instrumentation Unilat (69210) $302.01 $816.25 4.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $302.01 $816.25 4.9×
Removal Implantable Contraceptive Capsules (11976) $1,026.38 $2,774 1.4×
Removal of foreign body, external eye; conjunctival superficial (65205) $307.29 $830.50 2.2×
Removal of nail bed (11750) $1,026.38 $2,774 2.4×
Removal of skin lesion (11423) $2,427.57 $6,561 1.4×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $263.35 $711.75 1.3×
Removal, non-biodegradable drug delivery implant (11982) $561.85 $1,518.50 1.2×
Remove intrauterine device (58301) $590.61 $1,596.25 1.9×
Remove intrvas foreign body (37197) $5,124.13 $13,849 1.6×
Remv Ext Canal Foreign Body (69200) $302.01 $816.25 2.2×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other… (11300) $209.05 $565 0.5×
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm Other Surgical… (11301) $209.05 $565 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 0.5 Cm/< (11305) $219.97 $594.50 1.0×
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 >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×
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/< TechFee (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 TechFee (12002) $384.52 $1,039.25 1.8×
Stomach surgery procedure unlisted (43999) $1,572.87 $4,251 1.7×
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×
Therapeutic apheresis plasma (36514) $1,027.58 $2,777.25 0.6×
Therapeutic apheresis platelet (36513) $966.53 $2,612.25 2.1×
Therapeutic apheresis white blood cells (36511) $851.65 $2,301.75 0.5×
Tracheostomy, Planned (31600) $2,052.11 $5,546.25 0.6×
Trim skin lesion (11055) $389.33 $1,052.25 1.9×
Trimming of nondystrophic nails, any number (11719) $186.11 $503 3.0×
Vascular surgery procedure (37799) $1,007.70 $2,723.50 1.5×
Venipuncture (36415) $5 $13.50 0.5×