AdventHealth New Smyrna Beach
401 Palmetto St, New Smyrna Beach, FL · AdventHealth · · NPI 1871977942
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 |
|---|---|---|---|---|
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $168.93 | $168.93 | $12.23 – $28.11 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $61.92 | $61.92 | $3.72 – $8.56 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $49.71 | $49.71 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,249.52 | $2,249.52 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $63.00 | $63.00 | $17.65 – $40.59 | 7 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $140.99 – $324.20 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $63.00 | $63.00 | $17.59 – $40.46 | 7 |
| Gonioscopy CPT 92020 | not published | not published | $131.99 – $303.51 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $103.67 | $103.67 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $676.05 | $676.05 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $925.29 | $925.29 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $378.43 | $378.43 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $89.88 | $89.88 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,198.64 – $16,553.08 | 7 |
| Great toe with reduction 28495 CPT 28495 | $800.66 | $800.66 | not published | 0 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,046.91 – $4,706.81 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,515.61 – $8,084.04 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,515.61 – $8,084.04 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.37 – $28.44 | 7 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.95 – $34.38 | 7 |
| Growth hormone panel CPT 80428 | not published | not published | $63.36 – $145.71 | 7 |
| Growth hormone panel CPT 80430 | not published | not published | $122.86 – $282.52 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $71.82 – $165.15 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,903.68 – $4,377.46 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $2,073.80 – $4,768.64 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,593.48 | $2,593.48 | $702.51 – $1,615.41 | 7 |
| Guid loc target vol rad tx CPT 77387 | $500.00 | $500.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,884.37 – $8,932.00 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $733.21 – $1,685.99 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $403.29 – $927.35 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $403.29 – $927.35 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $81.09 | $81.09 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.44 | $14.44 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,198.64 – $16,553.08 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Hand X-ray CPT 73130 | $708.80 | $708.80 | $86.33 – $198.52 | 8 |
| Haptoglobin quantitative CPT 83010 | $32.76 | $32.76 | $11.95 – $27.48 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,046.91 – $4,706.81 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $437.67 – $1,006.42 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $131.99 – $303.51 | 7 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $131.99 – $303.51 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $570.00 – $1,310.70 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $192.28 – $442.14 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $356.49 – $819.73 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $308.35 – $709.05 | 7 |
| Hbb gene com variants CPT 81361 | not published | not published | $166.07 – $381.87 | 7 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $192.28 – $442.14 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $356.49 – $819.73 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.22 – $21.21 | 7 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $136.52 – $313.92 | 7 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $174.01 – $400.13 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.53 – $33.40 | 7 |
| Hcg qualitative CPT 84703 | $72.18 | $72.18 | $7.14 – $16.43 | 7 |
| Hcg quantitative CPT 84702 | $303.69 | $303.69 | $14.30 – $32.88 | 7 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,595.23 – $3,668.20 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $733.21 – $1,685.99 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $733.21 – $1,685.99 | 7 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $538.66 – $1,238.64 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $321.92 – $911.97 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $396.60 – $956.27 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $538.66 – $1,238.64 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,284.38 – $3,005.32 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $382.64 – $879.86 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $382.64 – $879.86 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $4,553.52 | $4,553.52 | $174.01 – $642.98 | 8 |
| Head CT scan (with contrast) CPT 70460 | $2,624.67 | $2,624.67 | $174.01 – $570.98 | 8 |
| Head CT scan (without contrast) CPT 70450 | $2,113.31 | $2,113.31 | $103.72 – $290.01 | 8 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $645.59 – $1,484.52 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,543.75 – $3,549.81 | 7 |
| Heart first pass multiple CPT 78483 | not published | not published | $538.66 – $2,645.34 | 8 |
| Heart image spect CPT 78494 | not published | not published | $396.60 – $911.97 | 8 |
| Heart infarct image CPT 78466 | not published | not published | $396.60 – $911.97 | 8 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $538.66 – $1,238.64 | 8 |
| Heavy metal qual any number CPT 83015 | not published | not published | $19.89 – $45.74 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.99 – $9.17 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.48 – $14.90 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $91.25 | $91.25 | $16.01 – $36.81 | 7 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.78 – $17.89 | 7 |
| Hematocrit CPT 85014 | $69.23 | $69.23 | $2.25 – $5.18 | 7 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $231.48 – $817.91 | 8 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Hemodialysis one evaluation CPT 90935 | $1,289.18 | $1,289.18 | not published | 0 |
| Hemodialysis repeated eval CPT 90937 | $2,646.33 | $2,646.33 | not published | 0 |
| Hemoglobin CPT 85018 | $69.64 | $69.64 | $2.25 – $5.18 | 7 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.81 – $8.76 | 7 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $7.60 – $17.48 | 7 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.20 – $23.46 | 7 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $24.41 | $24.41 | $7.79 – $17.91 | 7 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $12.67 – $29.14 | 7 |
| Hemoglobin plasma CPT 83051 | $199.19 | $199.19 | $6.94 – $15.97 | 7 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.55 – $19.66 | 7 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.75 – $8.63 | 7 |
| Hemolysin acid CPT 85475 | not published | not published | $8.43 – $19.38 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.33 – $19.16 | 7 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $11.50 – $26.45 | 7 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.05 – $34.60 | 7 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,753.64 – $6,331.91 | 7 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $922.58 – $2,121.44 | 7 |
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.