Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL · AdventHealth · · NPI 1053972760
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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $17,217.10 | $17,217.10 | $249.17 – $553.15 | 9 |
| CT thoracic spine w/contrast CPT 72129 | $7,112.05 | $7,112.05 | $183.17 – $530.75 | 9 |
| CT thoracic spine without contrast CPT 72128 | $8,789.66 | $8,789.66 | $109.17 – $242.37 | 9 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $3,203.84 | $3,203.84 | $109.17 – $242.37 | 9 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $183.17 – $530.75 | 9 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $8,789.66 | $8,789.66 | $337.22 – $808.79 | 9 |
| CT upper extremity without contrast (both sides) CPT 73200 | $7,909.21 | $7,909.21 | $109.17 – $242.37 | 9 |
| CT uppr extremity w/o&w/dye CPT 73202 | $7,112.05 | $7,112.05 | $183.17 – $530.75 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,154.64 – $4,783.30 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $154.61 | $154.61 | $8.08 – $17.94 | 8 |
| Culture afb any source CPT 87116 | $211.92 | $211.92 | $10.80 – $23.98 | 8 |
| Culture anaerobic additional method definitive id each CPT 87076 | $313.05 | $313.05 | $8.08 – $17.94 | 8 |
| Culture anaerobic except blood CPT 87075 | $29.83 | $29.83 | $9.47 – $21.02 | 8 |
| Culture bact stool aero addl path ea CPT 87046 | $254.29 | $254.29 | $9.44 – $20.96 | 8 |
| Culture body fluid CPT 87070 | $434.13 | $434.13 | $8.62 – $19.14 | 8 |
| Culture fungi definitive id mold CPT 87107 | $82.03 | $82.03 | $10.32 – $22.91 | 8 |
| Culture fungi definitive id yeast CPT 87106 | $334.50 | $334.50 | $10.32 – $22.91 | 8 |
| Culture fungi other (except blood) CPT 87102 | $305.08 | $305.08 | $8.41 – $18.67 | 8 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.71 – $17.12 | 8 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $46.02 | $46.02 | $14.61 – $32.43 | 8 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $34.17 | 8 |
| Culture quantitative aerobic other source CPT 87071 | $31.15 | $31.15 | $9.89 – $21.96 | 8 |
| Culture screening strep group a CPT 87081 | $358.37 | $358.37 | $6.63 – $14.72 | 8 |
| Culture typing added method CPT 87158 | $26.88 | $26.88 | $7.74 – $17.18 | 8 |
| Culture typing immunologic CPT 87147 | $337.42 | $337.42 | $5.18 – $11.50 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,009.72 | $1,009.72 | $218.06 – $484.09 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $321.89 | $321.89 | $35.09 – $77.90 | 8 |
| Culture urine each isolate CPT 87088 | not published | not published | $8.09 – $17.96 | 8 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $43.42 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,482.76 – $5,511.72 | 8 |
| Cv line/pic reposition CPT 36597 | $3,787.79 | $3,787.79 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $49.74 | $49.74 | $14.32 – $31.79 | 8 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $208.55 | $208.55 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $40.79 | $40.79 | $12.95 – $28.75 | 8 |
| Cyclosporine 2 hour CPT 80158 | $255.82 | $255.82 | $18.05 – $40.07 | 8 |
| Cyclosporine oral 100 mg HCPCS J7502 | $104.09 | $104.09 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $646.82 | 8 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $388.08 | 8 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $1,001.02 | 8 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $388.08 | 8 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $388.08 | 8 |
| Cystatin c CPT 82610 | $58.34 | $58.34 | $18.52 – $41.11 | 8 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $1,107.78 | 8 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $51.02 | 8 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $348.87 – $808.79 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $172.08 | $172.08 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $94.08 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $90.35 | 8 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $2,575.20 | 8 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $1,998.00 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $49.98 | $49.98 | $14.39 – $31.95 | 8 |
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.