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 |
|---|---|---|---|---|
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $9.57 | 8 |
| Magnesium CPT 83735 | $490.96 | $490.96 | $6.70 – $14.87 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $318.64 | $318.64 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $249.17 – $553.15 | 9 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $29.28 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $820.32 | $820.32 | $138.94 – $308.45 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $333.94 | $333.94 | $138.94 – $308.45 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $298.28 | $298.28 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $11.26 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $120,952.41 | $120,952.41 | not published | 0 |
| Mastoids complete CPT 70130 | not published | not published | $77.67 – $242.37 | 9 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $227.34 | $227.34 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $77.90 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $60.58 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $95.10 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $93.32 | $93.32 | $14.46 – $32.10 | 8 |
| Mayo aathr protein s free CPT 85306 | $48.26 | $48.26 | $15.32 – $34.01 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $49.26 | $49.26 | $15.32 – $34.01 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $237.69 | $237.69 | $38.57 – $85.63 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $497.26 | $497.26 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $434.13 | $434.13 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $46.56 | $46.56 | $14.78 – $32.81 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $661.44 | $661.44 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $46.68 | $46.68 | $13.44 – $29.84 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $254.29 | $254.29 | $15.08 – $33.48 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $661.44 | $661.44 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $56.47 | $56.47 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,027.97 | $1,027.97 | $121.63 – $270.02 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $746.42 | $746.42 | $91.66 – $203.49 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $304.14 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $4,431.25 | $4,431.25 | $1,160.00 – $2,575.20 | 8 |
| Mayo androstenedione CPT 82157 | not published | not published | $29.28 – $65.00 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $45.99 | $45.99 | $14.60 – $32.41 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $34.05 | $34.05 | $10.81 – $24.00 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $52.27 | $52.27 | $15.05 – $33.41 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $107.17 | $107.17 | $30.86 – $68.51 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $77.90 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $267.70 | $267.70 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $35.35 | $35.35 | $10.18 – $22.60 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $695.27 | $695.27 | $144.84 – $321.54 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $1,060.08 | $1,060.08 | $214.62 – $476.46 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $81.39 | $81.39 | $12.90 – $28.64 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $45.81 | $45.81 | $13.19 – $29.28 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | $148.66 | $148.66 | $8.93 – $19.82 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $356.48 | $356.48 | $13.60 – $30.19 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $263.42 | $263.42 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $53.14 | $53.14 | $16.87 – $37.45 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $26.78 – $59.45 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $271.33 | 8 |
| Mayo ceruloplasmin CPT 82390 | $37.30 | $37.30 | $10.74 – $23.84 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $181.13 | $181.13 | $14.12 – $31.35 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $45.39 | $45.39 | $12.88 – $28.59 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $411.19 | $411.19 | $11.82 – $26.24 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $39.94 | $39.94 | $12.68 – $28.15 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $366.94 | $366.94 | $116.49 – $258.61 | 8 |
| Mayo chromium CPT 82495 | $63.88 | $63.88 | $20.28 – $45.02 | 8 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $11.47 – $25.46 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $256.44 | $256.44 | $24.09 – $53.48 | 8 |
| Mayo cortisol free CPT 82530 | $67.01 | $67.01 | $16.71 – $37.10 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $173.65 | $173.65 | $42.13 – $93.53 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $12.12 – $26.91 | 8 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $43.07 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $46.02 | $46.02 | $13.25 – $29.42 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $87.76 | $87.76 | $25.27 – $56.10 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $216.30 | $216.30 | $29.28 – $65.00 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $21.40 | 8 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $11.10 | 8 |
| Mayo estriol CPT 82677 | not published | not published | $24.18 – $53.68 | 8 |
| Mayo estrone CPT 82679 | $78.59 | $78.59 | $24.95 – $55.39 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $16.34 – $36.27 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $267.33 | $267.33 | $13.73 – $30.48 | 8 |
| Mayo factor ii CPT 85210 | $107.21 | $107.21 | $12.98 – $28.82 | 8 |
| Mayo factor v CPT 85220 | not published | not published | $17.65 – $39.18 | 8 |
| Mayo factor vii CPT 85230 | not published | not published | $17.90 – $39.74 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $216.97 | $216.97 | $22.94 – $50.93 | 8 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.94 – $50.93 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $216.97 | $216.97 | $22.94 – $50.93 | 8 |
| Mayo factor x CPT 85260 | not published | not published | $17.90 – $39.74 | 8 |
| Mayo factor xi CPT 85270 | not published | not published | $17.90 – $39.74 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $37.30 | 8 |
| Mayo fbl culture fungi blood CPT 87103 | $64.45 | $64.45 | $20.46 – $45.42 | 8 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $80.46 – $178.62 | 8 |
| Mayo ffspg allergen clam igg CPT 86001 | $27.15 | $27.15 | $7.82 – $17.36 | 8 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $32.10 | 8 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $268.71 | $268.71 | $21.67 – $48.11 | 8 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.75 – $10.55 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $319.07 | $319.07 | $35.09 – $77.90 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $77.90 | 8 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $13.79 – $30.61 | 8 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $81.30 | $81.30 | $25.81 – $57.30 | 8 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $63.82 | $63.82 | $8.89 – $19.74 | 8 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $63.82 | $63.82 | $13.52 – $30.01 | 8 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $127.44 | $127.44 | $27.17 – $60.32 | 8 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $317.15 | $317.15 | $17.27 – $38.34 | 8 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $127.44 | $127.44 | $14.99 – $33.28 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $72.27 | $72.27 | $20.81 – $46.20 | 8 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $96.36 | $96.36 | $20.81 – $46.20 | 8 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $77.90 | 8 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $267.33 | $267.33 | $16.07 – $35.68 | 8 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $101.85 | $101.85 | $11.98 – $26.60 | 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.