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Ascension St Vincent's Southside

4201 Belfort Rd, Jacksonville, FL 32216 · (904) 296-3700

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Jacksonville, FL metroWebsite ↗

Price file

Prices published

File dated 2026-01-01

177,530 price rows for 58 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 123 lines · metro median $101

$72
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 82 lines · metro median $2,682

$693
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 82 lines · metro median $677

$677
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 82 lines · metro median $670

$670
cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 902 lines · metro median $4

$4
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 246 lines · metro median $75

$51
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 123 lines · metro median $122

$122
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 82 lines · metro median $304

$304
cash
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cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 246 lines · metro median $219

$219
cash
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cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 738 lines · metro median $4

$4
cash
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cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 246 lines · metro median $157

$157
cash
Liver function panel

CPT 80076 · lowest of 123 lines · metro median $78

$50
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 82 lines · metro median $622

$622
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 328 lines · metro median $1,849

$590
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 82 lines · metro median $1,136

$1,136
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 82 lines · metro median $558

$558
cash
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cash
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cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 82 lines · metro median $136

$136
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 123 lines · metro median $186

$63
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 82 lines · metro median $314

$314
cash
PSA test (prostate)

CPT 84153 · lowest of 205 lines · metro median $2

$2
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 738 lines · metro median $54

$17
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 410 lines · metro median $82

$32
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 328 lines · metro median $341

$247
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 492 lines · metro median $9

$9
cash
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Psychotherapy, 45 minutes

CPT 90834 · lowest of 82 lines · metro median $172

$225
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 82 lines · metro median $361

$225
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 246 lines · metro median $257

$257
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 164 lines · metro median $5,161

$5,161
cash
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TSH test (thyroid)

CPT 84443 · lowest of 451 lines · metro median $25

$1
cash
Transvaginal ultrasound

CPT 76830 · lowest of 82 lines · metro median $710

$515
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 82 lines · metro median $897

$897
cash
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Urinalysis with microscope

CPT 81001 · lowest of 123 lines · metro median $22

$22
cash
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cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 123 lines · metro median $371

$371
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.