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 |
|---|---|---|---|---|
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $42.02 | 8 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $45.33 | 8 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $42.02 | 8 |
| Clot factor xii hageman CPT 85280 | not published | not published | $19.35 – $42.96 | 8 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $9.11 – $20.22 | 8 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $36.27 | 8 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $731.04 | $731.04 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $731.04 | $731.04 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $4,940.21 | $4,940.21 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $731.04 | $731.04 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $731.04 | $731.04 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $700.70 | $700.70 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $4,940.21 | $4,940.21 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $4,940.21 | $4,940.21 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $731.04 | $731.04 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $855.66 | $855.66 | $292.08 – $648.41 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $731.04 | $731.04 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $731.04 | $731.04 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $731.04 | $731.04 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $731.04 | $731.04 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $1,306.50 | $1,306.50 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $731.04 | $731.04 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $4,940.21 | $4,940.21 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $4,940.21 | $4,940.21 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $4,940.21 | $4,940.21 | not published | 0 |
| Cltx tmprmand dislc comp CPT 21485 | $4,797.91 | $4,797.91 | not published | 0 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $61.60 – $136.76 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $61.60 – $136.76 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $14.07 – $31.24 | 8 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $19.54 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $19.56 – $43.42 | 8 |
| Cmv pcr-sendout CPT 87496 | $162.49 | $162.49 | $35.09 – $77.90 | 8 |
| Coagulation time activated teg CPT 85347 | $423.93 | $423.93 | $4.28 – $9.50 | 8 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $9.97 | 8 |
| Cocaine 4 % nasal solution HCPCS C9046 | $2,275.32 | $2,275.32 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $17.92 | 8 |
| Cold agglutinin titer CPT 86157 | not published | not published | $8.06 – $17.89 | 8 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $138.94 – $308.45 | 8 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $372.65 | $372.65 | $138.94 – $308.45 | 8 |
| Collection of venous blood by venipuncture CPT 36415 | $27.81 | $27.81 | $9.34 – $20.73 | 8 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $225.48 – $500.57 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $971.14 – $2,155.92 | 8 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $971.14 – $2,155.92 | 8 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $971.14 – $2,155.92 | 8 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $971.14 – $2,155.92 | 8 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,898.56 – $6,434.81 | 8 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,249.63 – $2,774.17 | 8 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $899.33 | $899.33 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $455.16 | $455.16 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $497.27 | $497.27 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $113.74 | $113.74 | $12.00 – $26.64 | 8 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $22.22 | 8 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $260.91 – $579.22 | 8 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,780.93 | $1,780.93 | $424.52 – $942.42 | 8 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $771.80 – $1,713.39 | 8 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $225.48 – $500.57 | 8 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,482.76 – $5,511.72 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $771.80 – $1,713.39 | 8 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,857.61 | $1,857.61 | $771.80 – $1,713.39 | 8 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,225.93 | $1,225.93 | $424.52 – $942.42 | 8 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $2,213.11 | $2,213.11 | $424.52 – $942.42 | 8 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $434.11 | $434.11 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $278.99 | $278.99 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $771.80 – $1,713.39 | 8 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $2,154.64 – $4,783.30 | 8 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $139.03 – $308.65 | 8 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $139.03 – $308.65 | 8 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $364.32 – $808.79 | 8 |
| Concentration infection agents any type CPT 87015 | $186.69 | $186.69 | $6.68 – $14.83 | 8 |
| Condylomata destruction 56420 CPT 56420 | $4,369.98 | $4,369.98 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $61.60 – $136.76 | 8 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $2,402.67 | $2,402.67 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $455.16 | $455.16 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $156.18 | $156.18 | $54.42 – $120.81 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $1,024.75 | $1,024.75 | $39.00 – $86.59 | 8 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $138.94 – $308.45 | 8 |
| Contrast baths charges CPT 97034 | not published | not published | $14.81 – $32.88 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $12,846.89 | $12,846.89 | $3,297.29 – $7,319.99 | 9 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $3,297.29 – $7,319.99 | 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.