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 |
|---|---|---|---|---|
| Revision of penis CPT 54300 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of penis CPT 54304 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of penis CPT 54420 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of penis CPT 54435 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Revision of testis CPT 54660 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Revision of urethra CPT 53450 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Revision tips CPT 37183 | not published | not published | $5,943.58 – $13,194.75 | 8 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Rheumatoid factor qualitative CPT 86430 | $21.33 | $21.33 | $6.14 – $13.63 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $31.26 | $31.26 | $5.67 – $12.59 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $160.37 | $160.37 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,385.48 – $7,515.77 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,385.48 – $7,515.77 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $46,830.11 | $46,830.11 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $51,876.06 | $51,876.06 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $59,813.58 | $59,813.58 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $56,898.75 | $56,898.75 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $59,189.14 | $59,189.14 | not published | 0 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,385.48 – $7,515.77 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,385.48 – $7,515.77 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $739.49 – $1,641.66 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,313.22 – $14,015.34 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,033.33 – $6,734.00 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $4,990.49 | $4,990.49 | $1,724.73 – $3,828.90 | 8 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $655.08 – $1,454.28 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $739.49 – $1,641.66 | 8 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,033.33 – $6,734.00 | 8 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $60,663.77 | $60,663.77 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $4,211.67 | $4,211.67 | not published | 0 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $40.47 | 8 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $209.52 – $465.13 | 8 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $417.47 – $926.79 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,351.97 – $3,001.38 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,493.26 – $3,315.05 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $3,297.29 – $7,319.99 | 8 |
| Rpl tun cvc wo subq port CPT 36581 | $7,221.44 | $7,221.44 | $3,297.29 – $7,319.99 | 8 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,760.47 – $15,008.25 | 8 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,313.22 – $14,015.34 | 8 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,760.47 – $15,008.25 | 8 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,313.22 – $14,015.34 | 8 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,760.47 – $15,008.25 | 8 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,313.22 – $14,015.34 | 8 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,313.22 – $14,015.34 | 8 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,599.21 – $12,430.25 | 8 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,681.06 – $8,171.96 | 8 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,760.47 – $15,008.25 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,898.56 – $6,434.81 | 8 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $61.60 – $136.76 | 8 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $243.67 – $540.94 | 9 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $29.08 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $139.03 – $308.65 | 8 |
| Rubella antibody igg CPT 86762 | $49.98 | $49.98 | $14.39 – $31.95 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $134.98 | 8 |
| Rubeola antibody igg CPT 86765 | $99.66 | $99.66 | $12.88 – $28.59 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $731.51 | 8 |
| Russell viper venom diluted CPT 85613 | $85.91 | $85.91 | $9.58 – $21.27 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $2,035.92 | 8 |
| Salivary gland function exam CPT 78232 | not published | not published | $417.47 – $926.79 | 9 |
| Salivary gland imaging CPT 78230 | not published | not published | $417.47 – $926.79 | 9 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $417.47 – $926.79 | 9 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $29.28 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $139.03 – $308.65 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $114.17 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $78.43 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $156.04 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $3,137.30 | $3,137.30 | $249.17 – $553.15 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $3,276.78 | $3,276.78 | $109.17 – $242.37 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,022.46 | $2,022.46 | $249.17 – $553.15 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $109.17 – $242.37 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $2,381.46 | $2,381.46 | $109.17 – $242.37 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $5,134.00 | $5,134.00 | $109.17 – $242.37 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $6,941.37 | $6,941.37 | $249.17 – $553.15 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $3,102.61 | $3,102.61 | $109.17 – $242.37 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $4,909.62 | $4,909.62 | $109.17 – $242.37 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,724.73 – $3,828.90 | 8 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $41.16 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $70.91 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $97.61 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $58.81 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $60.05 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $44.98 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $971.14 – $2,155.92 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $971.14 – $2,155.92 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $40.07 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $62.76 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $102.90 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $53.46 | 8 |
| Screening Mammogram CPT 77067 | $1,448.74 | $1,448.74 | $87.36 – $213.19 | 9 |
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.