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 |
|---|---|---|---|---|
| X-ray knee 1-2 views (both sides) CPT 73560 | $1,479.89 | $1,479.89 | $77.67 – $201.75 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $1,325.34 | $1,325.34 | $77.67 – $201.75 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $513.53 | $513.53 | $77.67 – $201.75 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $830.26 | $830.26 | $77.67 – $201.75 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,434.88 | $1,434.88 | $109.17 – $242.37 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $2,113.80 | $2,113.80 | $109.17 – $242.37 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,748.49 | $2,748.49 | $109.17 – $242.37 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $249.17 – $553.15 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $1,445.67 | $1,445.67 | $109.17 – $242.37 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $1,137.98 | $1,137.98 | $77.67 – $201.75 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $123.09 – $220.52 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $849.49 | $849.49 | $77.67 – $201.75 | 9 |
| X-ray neck soft tissue CPT 70360 | $995.31 | $995.31 | $77.67 – $201.75 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $1,227.37 | $1,227.37 | $77.67 – $201.75 | 9 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $249.17 – $553.15 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $77.67 – $201.75 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $1,042.61 | $1,042.61 | $77.67 – $242.37 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,043.22 | $1,043.22 | $77.67 – $242.37 | 9 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $348.87 – $958.38 | 9 |
| X-ray ribs 2 views left CPT 71100 | $1,335.86 | $1,335.86 | $77.67 – $201.75 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $2,404.94 | $2,404.94 | $109.17 – $242.37 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,562.17 | $1,562.17 | $109.17 – $242.37 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $2,483.00 | $2,483.00 | $109.17 – $242.37 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,115.72 | $1,115.72 | $77.67 – $242.37 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,616.28 | $1,616.28 | $77.67 – $201.75 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $1,308.84 | $1,308.84 | $77.67 – $242.37 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $77.67 – $201.75 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $1,097.32 | $1,097.32 | $77.67 – $201.75 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,827.19 | $1,827.19 | $77.67 – $201.75 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $430.54 – $1,266.75 | 9 |
| X-ray skull < 4 views CPT 70250 | $1,745.01 | $1,745.01 | $77.67 – $242.37 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $2,197.29 | $2,197.29 | $109.17 – $242.37 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $109.17 – $242.37 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $137.92 – $406.63 | 9 |
| X-ray spine single view CPT 72020 | $286.89 | $286.89 | $77.67 – $201.75 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $77.67 – $201.75 | 9 |
| X-ray sternum > 2 views CPT 71120 | $1,520.44 | $1,520.44 | $77.67 – $201.75 | 9 |
| X-ray surgical specimen CPT 76098 | not published | not published | $430.54 – $1,266.75 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,196.04 | $1,196.04 | $137.92 – $406.63 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,069.70 | $1,069.70 | $77.67 – $201.75 | 9 |
| X-ray thoracic spine 2 views CPT 72070 | $1,520.44 | $1,520.44 | $77.67 – $242.37 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $1,718.29 | $1,718.29 | $109.17 – $242.37 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,562.17 | $1,562.17 | $77.67 – $201.75 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $1,061.35 | $1,061.35 | $90.88 – $201.75 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $2,915.81 | $2,915.81 | $109.17 – $242.37 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $1,881.75 | $1,881.75 | $77.67 – $201.75 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $995.31 | $995.31 | $77.67 – $201.75 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $183.17 – $530.75 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $183.17 – $530.75 | 9 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $204.81 – $366.91 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $204.81 – $366.91 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $1,165.12 | $1,165.12 | $77.67 – $201.75 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $137.92 – $530.75 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $28.66 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $29.28 | 8 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $113.91 | 8 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $37.41 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,022.16 | $1,022.16 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $429.02 | 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.