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 |
|---|---|---|---|---|
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $242.27 | 8 |
| Cell count body fluid CPT 89050 | $539.30 | $539.30 | $4.72 – $10.48 | 8 |
| Cell count w differential body fluid CPT 89051 | $539.30 | $539.30 | $5.60 – $12.43 | 8 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $29.02 | 8 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $556.73 | 8 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $301.61 | 8 |
| Cell marker study CPT 88182 | not published | not published | $54.42 – $120.81 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $103,630.35 | $103,630.35 | not published | 0 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $567.01 – $1,258.77 | 9 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,565.53 | $5,565.53 | not published | 0 |
| #cf-97variants CPT 81220 | not published | not published | $556.60 – $1,235.65 | 8 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $965.86 | 8 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $374.63 | 8 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $215.83 | 8 |
| Change cystostomy tube; complex 51710 CPT 51710 | $2,040.52 | $2,040.52 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $834.57 | $834.57 | $260.91 – $579.22 | 8 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $2,003.87 – $4,448.60 | 8 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Change stent via transureth CPT 50385 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $209.52 – $465.13 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $424.52 – $942.42 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $424.52 – $942.42 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $771.80 – $1,713.39 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $320.54 – $711.61 | 8 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $320.54 – $711.61 | 8 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $320.54 – $711.61 | 8 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $320.54 – $711.61 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $320.54 – $711.61 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $320.54 – $711.61 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $48.90 – $108.56 | 8 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $222.12 – $493.11 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $35.50 | 8 |
| Chest 2 vws w oblique CPT 71048 | $1,481.51 | $1,481.51 | $109.17 – $242.37 | 9 |
| Chest apical lordotic proj CPT 71047 | $2,223.00 | $2,223.00 | $90.88 – $201.75 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $12,594.09 | $12,594.09 | $183.17 – $530.75 | 9 |
| Chest CT scan (with contrast) CPT 71260 | $10,500.28 | $10,500.28 | $183.17 – $530.75 | 9 |
| Chest CT scan (without contrast) CPT 71250 | $9,443.83 | $9,443.83 | $109.17 – $242.37 | 9 |
| Chest X-ray CPT 71046 | $1,793.20 | $1,793.20 | $90.88 – $201.75 | 9 |
| Chest X-ray (single view) CPT 71045 | $1,097.32 | $1,097.32 | $90.88 – $201.75 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $61.60 – $136.76 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $183.17 – $406.63 | 9 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $460.56 | 8 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $578.95 | 8 |
| Chlamydia culture CPT 87110 | not published | not published | $19.60 – $43.51 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $26.60 | 8 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $12.37 | 8 |
| Chloride CPT 82435 | $236.00 | $236.00 | $4.60 – $10.21 | 8 |
| Chloride 24 hour urine CPT 82436 | $449.64 | $449.64 | $5.75 – $12.76 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | $205.55 | $205.55 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $456.58 | $456.58 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $898.02 | $898.02 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,738.94 – $8,300.44 | 8 |
| Cholesterol CPT 82465 | $238.76 | $238.76 | $4.35 – $9.66 | 8 |
| Cholesterol (Lipid) Test CPT 80061 | $805.91 | $805.91 | $13.39 – $29.73 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $17.47 | 8 |
| Cholinesterase challenge CPT 95857 | not published | not published | $225.48 – $500.57 | 8 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $77.28 | 8 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $86.58 | 8 |
| Chromatography CPT 83021 | $56.89 | $56.89 | $18.06 – $40.09 | 8 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $26.40 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $198.09 | $198.09 | $57.04 – $126.63 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $385.53 | 8 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $384.44 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $395.29 | $395.29 | $125.49 – $278.59 | 8 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $384.44 | 8 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $333.64 | 8 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $586.83 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $384.44 | 8 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $418.63 | 8 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $152.29 | 8 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $59.74 | 8 |
| Chromosome karyotype study CPT 88280 | not published | not published | $33.47 – $74.30 | 8 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $76.43 | 8 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $27.66 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | $213.59 | $213.59 | $61.50 – $136.53 | 8 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,482.76 – $5,511.72 | 8 |
| Cine/video x-rays CPT 76120 | not published | not published | $109.17 – $242.37 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $239.53 | $239.53 | not published | 0 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,182.94 – $4,846.13 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $884.40 | $884.40 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $731.51 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $7,563.32 | $7,563.32 | not published | 0 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $138.94 – $308.45 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $138.94 – $308.45 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $138.94 – $308.45 | 8 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $39.00 – $86.59 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $334.69 | $334.69 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $104.24 | $104.24 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $4,940.21 | $4,940.21 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $4,940.21 | $4,940.21 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $1,812.24 | $1,812.24 | not published | 0 |
| Close tear system fistula CPT 68770 | not published | not published | $2,482.76 – $5,511.72 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $35.52 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $4,797.91 | $4,797.91 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $655.08 – $1,454.28 | 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.