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 |
|---|---|---|---|---|
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $30.43 | $30.43 | $9.66 – $21.45 | 8 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $12.45 | 8 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.35 – $31.86 | 8 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $61.60 – $136.76 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $27.20 | 8 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $32.41 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $399.93 | $399.93 | $138.94 – $308.45 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,008.91 | $1,008.91 | not published | 0 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.89 – $35.28 | 8 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $9.57 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $220.90 | $220.90 | $13.91 – $30.88 | 8 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $9.48 | 8 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $27.33 | 8 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $21.84 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | $34.64 | $34.64 | $7.48 – $16.61 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,225.93 | $1,225.93 | $424.52 – $942.42 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,225.93 | $1,225.93 | $424.52 – $942.42 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,225.93 | $1,225.93 | $424.52 – $942.42 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $424.52 – $942.42 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $636.93 | $636.93 | $209.52 – $465.13 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $636.93 | $636.93 | $209.52 – $465.13 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $636.93 | $636.93 | $209.52 – $465.13 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $209.52 – $465.13 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $209.52 – $465.13 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $225.48 – $500.57 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $225.48 – $500.57 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $48.76 – $108.25 | 8 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $320.54 – $711.61 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $138.94 – $308.45 | 8 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $312.01 | $312.01 | $105.19 – $233.52 | 8 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $39.00 – $86.59 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $138.94 – $308.45 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $596.42 | $596.42 | $72.07 – $160.00 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $48.90 – $108.56 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $725.59 | $725.59 | $222.12 – $493.11 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,780.93 | $1,780.93 | $771.80 – $1,713.39 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $424.52 – $942.42 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $16.21 | 8 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $53.95 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $14.71 – $32.66 | 8 |
| Ghs vaginal delivery only CPT 59409 | $13,395.75 | $13,395.75 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,531.51 | $3,531.51 | not published | 0 |
| Ghs windowing of cast CPT 29730 | not published | not published | $169.70 – $376.72 | 8 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $30.21 | 8 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $32.68 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $249.17 – $553.15 | 9 |
| Gi inhouse confirmation CPT 87045 | $1,036.69 | $1,036.69 | $9.44 – $20.96 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $417.47 – $926.79 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $947.15 – $2,102.66 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $971.14 – $2,155.92 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $947.15 – $2,102.66 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $947.15 – $2,102.66 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $224.49 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $136.57 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $77.70 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $39.00 – $86.59 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,410.01 – $5,350.23 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,410.01 – $5,350.23 | 8 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $31.72 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $102.28 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $112.11 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $39.45 | 8 |
| Glucose 1 hr post dose CPT 82950 | $275.88 | $275.88 | $4.75 – $10.55 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $13.43 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $7.28 | 8 |
| Glucose blood quantitative CPT 82947 | $511.30 | $511.30 | $3.93 – $8.72 | 8 |
| Glucose body fluid CPT 82945 | $511.30 | $511.30 | $3.93 – $8.72 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $61.60 – $136.76 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $361.01 | $361.01 | $12.87 – $28.57 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $158.79 | $158.79 | $3.92 – $8.70 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $221.53 | $221.53 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11,231.09 | $11,231.09 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $129.05 | $129.05 | $18.58 – $41.25 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $329.47 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $128.64 | $128.64 | $18.52 – $41.11 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $138.94 – $308.45 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $260.46 | $260.46 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $771.60 | $771.60 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $558.86 | $558.86 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,216.90 | $1,216.90 | not published | 0 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,154.64 – $4,783.30 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $13.02 – $28.90 | 8 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $34.94 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $148.07 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $287.11 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $167.83 | 8 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,003.87 – $4,448.60 | 8 |
| G-tube reposition CPT 43761 | not published | not published | $260.91 – $579.22 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $1,631.65 – $4,846.13 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $5,697.66 | $5,697.66 | $739.49 – $1,641.66 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $771.80 – $1,713.39 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $424.52 – $942.42 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $424.52 – $942.42 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $390.14 | $390.14 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $52.23 | $52.23 | not published | 0 |
| Hand X-ray CPT 73130 | $1,233.74 | $1,233.74 | $77.67 – $201.75 | 9 |
| Haptoglobin quantitative CPT 83010 | $43.69 | $43.69 | $12.58 – $27.93 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,154.64 – $4,783.30 | 8 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,482.76 – $5,511.72 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $460.71 – $1,022.77 | 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.