Adventhealth Daytona Beach
301 Memorial Medical Parkway, Daytona Beach, FL · AdventHealth · · NPI 1063426823
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,599.61 | $6,599.61 | $346.11 – $748.98 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,158.95 | $6,158.95 | $236.71 – $517.67 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,261.16 | $1,261.16 | $94.39 – $182.21 | 10 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,872.86 – $10,317.68 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $199.04 – $349.69 | 8 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,545.49 – $18,526.75 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,545.49 – $18,526.75 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,545.49 – $18,526.75 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,545.49 – $18,526.75 | 8 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $36.70 | 8 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,937.23 – $4,848.69 | 10 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,394.69 – $30,559.72 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | $190.11 | $190.11 | $58.52 – $102.82 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $754.14 | $754.14 | $214.21 – $376.33 | 8 |
| Lung perfusion imaging CPT 78580 | $4,741.87 | $4,741.87 | $396.60 – $696.76 | 10 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $33.46 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $2,801.82 | $2,801.82 | $538.66 – $946.34 | 10 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $61.02 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | $487.75 | $487.75 | $46.58 – $81.83 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $316.29 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $79.43 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $523.23 – $1,093.33 | 10 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,215.77 – $2,743.60 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,215.77 – $5,503.18 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,215.77 – $5,503.18 | 10 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $535.05 – $940.00 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,211.44 – $5,641.99 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,073.80 – $3,643.33 | 8 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $7.13 | 8 |
| Macroscopic exam parasite CPT 87169 | $58.60 | $58.60 | $4.09 – $7.19 | 8 |
| Magnesium CPT 83735 | $167.84 | $167.84 | $6.36 – $11.18 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $105.80 | $105.80 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $236.71 – $517.67 | 10 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $22.01 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,595.23 – $2,802.57 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,595.23 – $2,802.57 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $235.02 | $235.02 | $131.99 – $231.89 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $430.94 | $430.94 | $131.99 – $231.89 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,595.23 – $2,802.57 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $1,595.23 – $2,802.57 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $244.71 – $429.92 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $48.76 | $48.76 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $8.46 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $31,760.33 | $31,760.33 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,156.76 | $1,156.76 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,884.37 – $6,824.22 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $6,587.48 – $11,573.16 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $5,872.86 – $10,317.68 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,872.86 – $10,317.68 | 8 |
| Mastoids complete CPT 70130 | not published | not published | $94.39 – $182.21 | 10 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,872.86 – $10,317.68 | 8 |
| Mastopexy CPT 19316 | not published | not published | $6,587.48 – $11,573.16 | 8 |
| Mast simple complete CPT 19303 | not published | not published | $6,587.48 – $11,573.16 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $58.57 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $45.55 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $71.50 | 8 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,872.86 – $10,317.68 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $39.96 | $39.96 | $13.74 – $24.13 | 8 |
| Mayo aathr protein s free CPT 85306 | $46.56 | $46.56 | $14.55 – $25.57 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $59.88 | $59.88 | $14.55 – $25.57 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $368.75 | $368.75 | $36.64 – $64.37 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $268.26 | $268.26 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $96.74 | $96.74 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $96.44 | $96.44 | $14.04 – $24.67 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $221.62 | $221.62 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $142.64 | $142.64 | $12.77 – $22.43 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $45.83 | $45.83 | $14.33 – $25.17 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $56.47 | $56.47 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $191.73 | $191.73 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $507.43 | $507.43 | $115.55 – $203.00 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $746.42 | $746.42 | $87.08 – $152.98 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $130.15 – $228.65 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,183.00 | $2,183.00 | $1,102.00 – $1,936.04 | 8 |
| Mayo androstenedione CPT 82157 | $30.95 | $30.95 | $27.82 – $48.87 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $23.46 | $23.46 | $13.87 – $24.37 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $68.40 | $68.40 | $10.27 – $18.04 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $52.27 | $52.27 | $14.30 – $25.12 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $135.39 | $135.39 | $29.32 – $51.51 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $96.73 | $96.73 | $33.34 – $58.57 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $156.28 | $156.28 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $35.35 | $35.35 | $9.67 – $16.99 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $354.96 | $354.96 | $137.60 – $241.74 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $522.23 | $522.23 | $203.89 – $358.20 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $21.01 | $21.01 | $12.26 – $21.53 | 8 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $795.34 | $795.34 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $45.81 | $45.81 | $12.53 – $22.01 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | $13.38 | $13.38 | $8.48 – $14.90 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $47.37 | $47.37 | $12.92 – $22.70 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $226.50 | $226.50 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $129.58 | $129.58 | $16.03 – $28.16 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $104.94 | $104.94 | $25.44 – $44.70 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $116.11 – $203.99 | 8 |
| Mayo ceruloplasmin CPT 82390 | $13.03 | $13.03 | $10.20 – $17.93 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $368.75 | $368.75 | $13.41 – $23.57 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $147.75 | $147.75 | $12.24 – $21.50 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $43.03 | $43.03 | $11.23 – $19.73 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $43.03 | $43.03 | $12.05 – $21.16 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $144.15 | $144.15 | $110.67 – $194.42 | 8 |
| Mayo chromium CPT 82495 | $61.64 | $61.64 | $19.27 – $33.85 | 8 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $130.03 | $130.03 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.