HCA FLORIDA TWIN CITIES HOSPITAL
160 Twin Springs Way, DEFUNIAK SPRINGS, FL · HCA Florida Healthcare · · NPI 1891732988
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) X-ray (4 or more views) CPT 72110 | not published | not published | $245.18 – $823.49 | 4 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $7,316.00 | $7,316.00 | $245.18 – $1,375.21 | 4 |
| Lower jaw bone graft CPT 21215 | not published | not published | $4,147.43 – $4,365.72 | 3 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | not published | not published | $182.03 – $431.16 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $19.95 – $456.89 | 20 |
| Lso corset front HCPCS L0972 | not published | not published | $130.22 – $161.10 | 17 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $63.21 – $78.20 | 17 |
| Lso full corset HCPCS L0976 | not published | not published | $237.64 – $293.99 | 17 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $194.07 – $240.08 | 17 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,580.78 – $1,955.60 | 17 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $895.07 – $1,107.30 | 17 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $122.04 – $150.97 | 17 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,274.48 – $1,576.68 | 17 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,880.61 – $2,326.52 | 17 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $343.70 – $425.20 | 17 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $216.09 – $267.32 | 17 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,254.17 – $1,551.55 | 17 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,631.64 – $2,018.52 | 17 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.93 – $78.67 | 22 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.96 – $2.42 | 17 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $94.55 – $116.96 | 17 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $109.04 – $134.89 | 17 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $3,741.72 – $3,947.38 | 4 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $113.80 – $140.78 | 17 |
| Lumbar sling HCPCS L1090 | not published | not published | $102.17 – $126.40 | 17 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $6,615.71 – $6,963.91 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.28 – $622.53 | 2 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $3,734.00 | $3,734.00 | $46.55 – $49.00 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $18.05 – $19.00 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $997.00 | $997.00 | $27.55 – $29.00 | 3 |
| Lung perfusion imaging CPT 78580 | $8,805.00 | $8,805.00 | $848.52 – $3,326.66 | 4 |
| Lung transplant double CPT 32853 | not published | not published | $1,618.99 – $1,704.20 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $1,618.99 – $1,704.20 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $1,618.99 – $1,704.20 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $1,618.99 – $1,704.20 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,618.99 – $1,704.20 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $205.74 – $636.30 | 2 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.47 – $128.25 | 2 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $959.82 – $959.82 | 1 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $778.80 – $778.80 | 1 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $613.28 – $758.70 | 17 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $958.97 – $1,009.44 | 3 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $339.09 – $419.50 | 17 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $18.17 – $107.28 | 22 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $5,780.99 – $6,085.25 | 3 |
| Lymphatics/lymph node imaging CPT 78195 | $9,583.00 | $9,583.00 | $1,101.15 – $2,155.79 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $33.14 – $62.32 | 22 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $44.44 – $91.95 | 22 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $59.20 – $295.64 | 22 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $43.14 – $85.82 | 22 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $1,218.65 – $2,374.43 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $2,255.71 – $3,163.82 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,255.71 – $6,438.74 | 4 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $2,255.71 – $6,438.74 | 4 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $544.51 – $573.17 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $6,086.73 – $6,407.08 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.65 – $45.30 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $292.21 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.87 – $51.09 | 22 |
| Macroscopic exam parasite CPT 87169 | $12.93 | $12.93 | $3.91 – $107.28 | 22 |
| Magnesium CPT 83735 | not published | not published | $6.07 – $102.17 | 22 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.42 – $1.29 | 2 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $212.56 – $3,399.00 | 5 |
| Malaria antibody CPT 86750 | not published | not published | $11.95 – $91.95 | 22 |
| Male sling procedure CPT 53440 | not published | not published | $7,665.92 – $8,069.39 | 3 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,609.28 – $1,693.98 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $3,028.31 – $3,187.70 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $2,753.63 – $2,898.56 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,069.13 – $1,125.40 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $5,719.84 – $6,020.88 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $3,028.31 – $3,187.70 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.54 – $3.54 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $75.40 – $93.28 | 17 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.60 – $104.21 | 22 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $90.25 – $95.00 | 3 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $5,780.99 – $6,085.25 | 3 |
| Map tachycard site(s) CPT 93609 | not published | not published | $95.95 – $101.00 | 3 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $51.67 – $159.81 | 2 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,762.00 – $3,762.00 | 1 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,609.28 – $1,693.98 | 3 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $107.23 – $132.66 | 17 |
| Mastectomy form HCPCS L8020 | not published | not published | $270.74 – $334.93 | 17 |
| Mastectomy partial CPT 19301 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Mastoidectomy CPT 69501 | not published | not published | $6,870.98 – $7,232.61 | 3 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $9,894.45 – $10,415.21 | 3 |
| Mastoids complete CPT 70130 | not published | not published | $245.18 – $955.29 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,870.98 – $7,232.61 | 3 |
| Mastopexy CPT 19316 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Mast radical CPT 19305 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $4,150.35 – $4,368.79 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | $1.00 | $1.00 | $381.42 – $381.42 | 1 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $7,700.01 – $7,700.01 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1.00 | $1.00 | $381.42 – $381.42 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $31.81 – $107.28 | 22 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $24.73 – $107.28 | 22 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $38.83 – $107.28 | 22 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,278.20 – $5,556.00 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $25.39 | $25.39 | $13.10 – $78.67 | 22 |
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.