Visits & medical services prices at Ascension St. Vincent's Southside

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 13 matching MRF lines
$53.10–$61.05 $143.50–$165 varies
Airway resistance by oscillometry (94728) $332.54 $898.75 2.5×
Analyze neurostim no prog (95970) $332.45 $898.50 2.4×
Analyze Neurostim Simple (95971) $514.86 $1,391.50 5.2×
Ans parasymp & symp w/tilt (95924) $158.82 $429.25 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $44.68 $120.75 3.1×
Application on-body injector (96377) $69.28 $187.25 1.4×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$124.97–$203.87 $337.75–$551 varies
Behavior id assessment by phys/qhp ea 15 min (97151) $68.17 $184.25 0.6×
Behavior id support assmt by 1 tech ea 15 min (97152) $68.17 $184.25 0.6×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$116–$254.93 $313.50–$689 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $79.46 $214.75 1.0×
Bfb training ea addl 15 min (90913) $79.46 $214.75 2.4×
Bioimpedance Cv Analysis (93701) $116.74 $315.50 0.8×
Brief Emotional/Behav Assmt (96127) $62.81 $169.75 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$440.76–$506.90 $1,191.25–$1,370 varies
Car seat/bed test 60 min (94780) $149.02 $402.75 3.8×
Cardiac Stress Tst,Tracing Only (93017)
range across 6 matching MRF lines
$872.92–$1,382.69 $2,359.25–$3,737 varies
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$670.90–$964.41 $1,813.25–$2,606.50 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$464.91–$510.32 $1,256.50–$1,379.25 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,092.89–$1,102.23 $2,953.75–$2,979 varies
Cbt 1st hour (94644) $117.01 $316.25 0.8×
Chemo Admin Peritoneal Cavity (96446) $421.43 $1,139 1.2×
Chemo Anti-Neopl Sq/Im (96401)
range across 7 matching MRF lines
$181.95–$218.30 $491.75–$590 varies
Chemo Hormon Antineopl Sq/Im (96402) $207.94 $562 2.8×
Chemo Ia Push (96420) $841.57 $2,274.50 2.4×
Chemo Intralesional Over 7 (96406) $499.50 $1,350 2.2×
Chemo intralesional up to 7 (96405) $164.37 $444.25 2.2×
Chemo IV infusion addl hr (96415) $349.19 $943.75 4.6×
Chemo IV push addl drug (96411) $419.03 $1,132.50 5.6×
Chemother Prolong Infuse W/Pump (96416) $621.23 $1,679 1.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $519.67 $1,404.50 1.5×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $66.42 $179.50 1.4×
Chemotherapy Into Cns (96450)
range across 4 matching MRF lines
$767.47–$920.93 $2,074.25–$2,489 varies
Chemotherapy Intracavitary (96440) $316.54 $855.50 0.9×
Chemotherapy Unspecified (96549) $207.11 $559.75 4.2×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $535.76 $1,448 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $483.59 $1,307 6.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $977.91 $2,643 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $419.03 $1,132.50 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $207.94 $562 0.6×
Chest Wall Manipulation (94668) $97.59 $263.75 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $134.31 $363 1.3×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$573.78–$826.30 $1,550.75–$2,233.25 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$626.97–$902.89 $1,694.50–$2,440.25 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $40.15 $108.50 1.3×
Continuous Pulse Ox (94762) $118.22 $319.50 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $340.22 $919.50 1.5×
Cpt initial (94667) $95.83 $259 0.7×
Critical care first hour (99291) $1,534.67 $4,147.75 1.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 7 matching MRF lines
$153.09–$180.10 $413.75–$486.75 varies
Developmental tst admin phys/qhp 1st hour (96112) $277.87 $751 2.1×
Dialysis One Evaluation (90945)
range across 8 matching MRF lines
$522.81–$1,622.82 $1,413–$4,386 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $525.68 $1,420.75 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $311.27 $841.28 2.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $291.75 $788.50 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$594.50–$856 $1,606.75–$2,313.50 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 6 matching MRF lines
$366.12–$527.25 $989.50–$1,425 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$755.73–$1,088.26 $2,042.50–$2,941.25 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$479.89–$691.07 $1,297–$1,867.75 varies
Duplex Scan Hemodialysis Access (93990) $663.78 $1,794 6.1×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$592.09–$852.57 $1,600.25–$2,304.25 varies
Duplex up extrem art unilat/ltd (93931)
range across 5 matching MRF lines
$368.15–$530.12 $995–$1,432.75 varies
ECG/monitoring and analysis (93271) $55.59 $150.25 0.6×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$317.09–$472.95 $857–$1,278.25 varies
Echo transesophageal (93312) $3,200.69 $8,650.50 5.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$2,217.87–$3,220.20 $5,994.25–$8,703.25 varies
Eeg 41-60 Minutes (95812) $559.44 $1,512 2.5×
EEG awake and asleep (95819) $559.72 $1,512.75 2.5×
EEG awake drowsy (95816) $536.22 $1,449.25 2.4×
EEG cerebral death evaluation (95824) $289.25 $781.75 0.7×
EEG cont rec w/video by tech min 8 channels (95700) $498.67 $1,347.75 2.2×
EEG extended monitoring 61-119 minutes (95813) $505.51 $1,366.25 2.2×
Eeg Sleep Only (95822) $559.72 $1,512.75 2.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $413.94 $1,118.75 1.8×
EEG w/o vid 2-12hr cont mntr (95707) $413.94 $1,118.75 1.8×
EEG w/o vid ea 12-26hr intmt (95709) $763.31 $2,063 2.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $763.31 $2,063 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $413.94 $1,118.75 1.8×
EEG wo vid ea 12-26hr unmntr (95708) $763.31 $2,063 2.0×
EKG signal averaged (93278) $91.58 $247.50 1.5×
Electrical Stimulation Ea 15 Min (97032) $46.62 $126 3.2×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$109.34–$195.36 $295.50–$528 varies
Emergency Dept Visit Level 2 (99282) $491.18 $1,327.50 3.1×
Emergency Dept Visit Level 3 (99283) $1,319.05 $3,565 4.6×
Emergency Dept Visit Level 4 (99284) $1,327.56 $3,588 3.0×
Er level 1 (99281) $211.73 $572.25 2.4×
Er level v (99285) $1,395.46 $3,771.50 2.2×
Ergonovine provocation test (93024) $623.82 $1,686 1.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$123.12–$141.62 $332.75–$382.75 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$116.64–$254.93 $315.25–$689 varies
Evaluate Swallowing Function (92610) $114.79 $310.25 1.4×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$168.07–$254.93 $454.25–$689 varies
Evoked Auditory Test,Limited (92587) $130.98 $354 0.6×
Exercise test for bronchospasm (94617) $293.60 $793.50 2.1×
External ECG rec>48hr<7d recording (93242) $305.44 $825.50 7.8×
External ECG rec>7d<15d recording (93246) $280.46 $758 7.2×
External Ecg Scanning Analysis Report (93226) $114.70 $310 1.9×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$769.14–$1,107.60 $2,078.75–$2,993.50 varies
Extracranial Uni/Ltd Study (93882) $755.17 $2,041 6.9×
Flexible endoscopic eval swallow c/v rec (92612) $60.22 $162.75 0.3×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $707.16 $1,911.25 0.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $197.21 $533 0.2×
Group Therapeutic Procedures (97150) $24.79 $67 1.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $181.58 $490.75 0.3×
High altitude simulation test (94452) $236.80 $640 1.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $231.16 $624.75 1.7×
Holter monitor recording (93225)
range across 2 matching MRF lines
$401.36–$456.12 $1,084.75–$1,232.75 varies
Icd device progr eval dual (93283) $129.13 $349 3.3×
Icd Device Progr Eval Mult (93284) $129.13 $349 3.3×
Icm Device Eval (93290) $106.01 $286.50 2.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $11.10 $30 0.1×
Immunization administration (90471) $53.37 $144.25 0.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $550.01 $1,486.50 1.4×
Inital newborn e/m (99460) $66.60 $180 0.5×
Iontophoresis 15 min (97033) $56.33 $152.25 3.0×
Irrig Drug Delivery Device (96523)
range across 8 matching MRF lines
$99.07–$136.72 $267.75–$369.50 varies
IV infusion hydration each additional hour (96361)
range across 19 matching MRF lines
$78.44–$94.63 $212–$255.75 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 19 matching MRF lines
$602.18–$727.14 $1,627.50–$1,965.25 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 19 matching MRF lines
$72.80–$87.88 $196.75–$237.50 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 19 matching MRF lines
$108.23–$119.70 $292.50–$323.50 varies
IV push initial (96374)
range across 19 matching MRF lines
$257.24–$310.62 $695.25–$839.50 varies
Low frequency non-thermal us (97610) $352.89 $953.75 1.7×
Lung Function Test (Mbc/Mvv) (94200) $93.98 $254 1.5×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$357.98–$515.50 $967.50–$1,393.25 varies
Mechanical chest wall oscillation per session (94669) $135.88 $367.25 0.6×
Methacholine challenge (94070) $946.55 $2,558.25 2.4×
Microvolt T-Wave Assess (93025)
range across 2 matching MRF lines
$428.83–$487.29 $1,159–$1,317 varies
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$115.07–$149.30 $311–$403.50 varies
Multiple Sleep Latency Test (95805) $5,676.08 $15,340.75 6.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $447.33 $1,209 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $447.33 $1,209 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$213.77–$352.89 $577.75–$953.75 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$408.48–$709.57 $1,104–$1,917.75 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $482.39 $1,303.75 3.6×
Neuromuscular Reeducation (97112) $39.59 $107 1.2×
Nitric oxide expired gas determination (95012) $62.90 $170 1.6×
Oral Function Therapy (92526) $73.45 $198.50 0.9×
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$78.81–$138.38 $213–$374 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $19.98 $54 0.9×
Osteopathic manipulative tx 3-4 body regions (98926) $22.20 $60 1.0×
Osteopathic manipulative tx 5-6 body regions (98927) $24.42 $66 1.1×
Osteopathic manipulative tx 7-8 body regions (98928) $26.27 $71 1.2×
Osteopathic manipulative tx 9-10 body regions (98929) $28.49 $77 1.3×
Ot manual therapy 15 min (97140) $36.26 $98 1.3×
Ot paraffin bath (97018) $7.31 $19.75 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $52.08 $140.75 1.3×
Oxygen Uptake Rest Indirect (94690) $228.20 $616.75 3.7×
Penile Vascular Study,Ltd or F/U (93981) $307.84 $832 2.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $205.35 $555 0.9×
Percutaneous tests w/allergenic extracts (95004) $127.19 $343.75 0.1×
Phlebotomy therapeutic (99195) $217.01 $586.50 1.6×
Physical Performance Test (97750) $35.24 $95.25 1.0×
Plethysmography (94726) $616.98 $1,667.50 1.6×
Pm device eval in person (93288) $129.13 $349 3.3×
Pm device progr eval dual (93280) $129.13 $349 3.3×
Pm device progr eval multi (93281) $129.13 $349 3.3×
Pm Device Progr Eval Sngl (93279) $129.13 $349 3.3×
Pm/Icd Remote Tech Serv (93296) $119.79 $323.75 3.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,143 $13,900 5.7×
Polysom <6 yrs 4/> paramtrs (95782) $2,547.54 $6,885.25 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,739.48 $7,404 3.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $129.13 $349 3.3×
Psychiatric diagnostic evaluation (90791) $224.83 $607.65 1.2×
Pt Eval High Complex (97163) $100.92 $272.75 1.0×
Pt eval low complex 20 min (97161) $100.92 $272.75 1.0×
Pt Eval Mod Complex (97162) $100.92 $272.75 1.0×
Pt gait training 15 min (97116) $29.69 $80.25 1.0×
Pt mechanical traction (97012) $40.24 $108.75 2.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $15.54 $42 0.4×
Pulm function test by gas (94727) $369.08 $997.50 1.6×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$312.10–$358.90 $843.50–$970 varies
Pure Tone Audiometry Air (92552) $214.79 $580.50 1.5×
Refill/Maint Portable Pump (96521) $499.50 $1,350 2.2×
Refill/Maint Pump/Resvr Syst (96522) $499.50 $1,350 2.2×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $66.23 $179 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $228.85 $618.50 1.6×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $14.06 $38 0.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $9.62 $26 0.2×
Respiratory flow volume loop (94375) $174.64 $472 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $85.29 $230.50 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$108.50–$352.89 $293.25–$953.75 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $156.23 $422.25 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $62.07 $167.75 1.3×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $1,303.05 $3,521.75 3.3×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $971.44 $2,625.50 4.3×
Short-latency somatosens ep std upr limbs (95925) $940.63 $2,542.25 4.2×
Sleep study unattended (95806) $619.94 $1,675.50 2.7×
Speech sound lang comprehen (92523) $247.90 $670 1.1×
Spirometry (94010)
range across 2 matching MRF lines
$203.13–$233.56 $549–$631.25 varies
Ssep lower limbs (95926) $947.48 $2,560.75 4.2×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$131.54–$330.04 $355.50–$892 varies
Subcutaneous Infusion Each Additional Hour (96370) $69.28 $187.25 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $333.83 $902.25 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $109.89 $297 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $24.88 $67.25 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $24.88 $67.25 1.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $61.24 $165.50 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$42.64–$65.95 $115.25–$178.25 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $130.98 $354 1.3×
Ther/Prop/Diag Inj/Inf Proc (96379) $69.28 $187.25 1.4×
Ther/Proph/Diag Inj Ia (96373) $333.83 $902.25 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 22 matching MRF lines
$123.12–$157.25 $332.75–$425 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 19 matching MRF lines
$656.29–$754.71 $1,773.75–$2,039.75 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$50.23–$63.73 $135.75–$172.25 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.04 $135.25 1.3×
Tte w/doppler, complete (93306)
range across 5 matching MRF lines
$1,624.39–$2,144.15 $4,390.25–$5,795 varies
Tte W/O Doppler Complete (93307) $1,194.18 $3,227.50 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $255.30 $690 3.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $23.77 $64.25 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 18 matching MRF lines
$238–$287.40 $643.25–$776.75 varies
Tympanometry (92567) $57.72 $156 1.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$304.14–$437.99 $822–$1,183.75 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$357.98–$515.50 $967.50–$1,393.25 varies
Valvuloplasty pulmonary valve (92990) $31,082.78 $84,007.50 2.6×
Veeg 2-12 Hr Cont Mntr (95713) $763.87 $2,064.50 2.0×
Veeg 2-12 hr intmt mntr (95712) $1,511.45 $4,085 3.9×
Veeg 2-12 hr unmonitored (95711) $413.94 $1,118.75 1.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,511.45 $4,085 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $763.31 $2,063 2.0×
Veeg ea 12-26hr cont mntr (95716) $1,429.77 $3,864.25 1.6×
Vent Mgmt Inpat Init Day (94002) $688.85 $1,861.75 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $461.21 $1,246.50 0.7×
Visual Evoked Potential Test (95930) $272.41 $736.25 1.2×
Vital capacity, total (94150) $91.95 $248.50 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $40.15 $108.50 1.3×
Whirlpool Therapy (97022) $49.21 $133 3.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.