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 |
|---|---|---|---|---|
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $12,736.81 – $29,287.95 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,198.64 – $16,553.08 | 7 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,736.81 – $29,287.95 | 7 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,198.64 – $16,553.08 | 7 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $835.85 | $835.85 | not published | 0 |
| Leukacyte transfusion CPT 86950 | not published | not published | $169.02 – $388.65 | 7 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.87 – $22.70 | 7 |
| Levalbuterol non-comp con HCPCS J7612 | $23.93 | $23.93 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $220.95 | $220.95 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $75.52 | $75.52 | $12.59 – $28.94 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $132.48 | $132.48 | not published | 0 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,216.21 – $7,395.58 | 7 |
| Lidocaine injection HCPCS J2001 | $42.46 | $42.46 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $81.51 | $81.51 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $13.96 – $32.09 | 7 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,211.44 – $7,384.62 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,638.49 – $3,767.67 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,520.33 – $12,693.86 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,520.33 – $12,693.86 | 7 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,132.43 – $7,202.93 | 7 |
| Limb exercise test CPT 95875 | not published | not published | $127.65 – $293.53 | 7 |
| Limited visual field xm CPT 92081 | not published | not published | $58.52 – $134.57 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $201.63 | $201.63 | not published | 0 |
| Lipase CPT 83690 | $111.46 | $111.46 | $6.55 – $15.05 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.17 – $73.97 | 7 |
| Lipoprotein blood quant CPT 83704 | $89.06 | $89.06 | $32.48 – $74.69 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $46.85 | $46.85 | $7.78 – $17.89 | 7 |
| Lipoprotein direct measurement ldl CPT 83721 | $27.35 | $27.35 | $9.98 – $22.94 | 7 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $32.48 – $74.69 | 7 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.53 – $28.81 | 7 |
| Lithium therapeutic drug level CPT 80178 | $50.66 | $50.66 | $6.28 – $14.44 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $384.89 | 7 |
| Liver elastography 91200 CPT 91200 | $360.66 | $360.66 | $127.65 – $293.53 | 7 |
| Liver Function Test CPT 80076 | $216.41 | $216.41 | $7.76 – $17.85 | 7 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $854.33 – $879.49 | 2 |
| Liver imaging CPT 78201 | not published | not published | $538.66 – $1,238.64 | 8 |
| Liver imaging (3d) CPT 78205 | not published | not published | $854.33 – $879.49 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $538.66 – $1,238.64 | 8 |
| Liver/spleen imag static only CPT 78215 | $825.70 | $825.70 | $396.60 – $911.97 | 8 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $396.60 – $911.97 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,246.04 – $7,464.18 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $16.54 | $16.54 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $26.60 | $26.60 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $214.21 – $492.57 | 7 |
| Low back disk surgery CPT 63030 | not published | not published | $7,198.64 – $16,553.08 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $4,265.48 | $4,265.48 | $174.01 – $642.98 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,880.34 | $2,880.34 | $346.11 – $795.86 | 8 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,833.42 | $2,833.42 | $103.72 – $290.01 | 8 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,349.69 | $6,349.69 | $346.11 – $1,130.31 | 8 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,754.20 | $5,754.20 | $346.11 – $977.98 | 8 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $5,702.40 | $5,702.40 | $236.71 – $675.95 | 8 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $681.26 | $681.26 | $103.72 – $238.49 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $199.04 – $457.69 | 7 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,545.49 – $24,249.07 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,545.49 – $24,249.07 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,545.49 – $24,249.07 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,545.49 – $24,249.07 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $48.04 | 7 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,937.23 – $6,331.24 | 8 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,394.69 – $39,998.63 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $298.60 | $298.60 | $58.52 – $134.57 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $498.27 | $498.27 | $214.21 – $492.57 | 7 |
| Lung perfusion imaging CPT 78580 | $1,059.97 | $1,059.97 | $396.60 – $911.97 | 8 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $43.80 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,108.53 – $18,645.36 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $1,579.20 | $1,579.20 | $538.66 – $1,238.64 | 8 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $79.87 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $107.11 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $413.98 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $103.96 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $622.33 – $1,431.02 | 8 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,561.66 – $3,591.00 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,693.88 – $7,202.93 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,693.88 – $7,202.93 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,211.44 – $7,384.62 | 7 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,073.80 – $4,768.64 | 7 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $9.33 | 7 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.09 – $9.42 | 7 |
| Magnesium CPT 83735 | $143.87 | $143.87 | $6.36 – $14.64 | 7 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $132.48 | $132.48 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $236.71 – $675.95 | 8 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $28.81 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,595.23 – $3,668.20 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,595.23 – $3,668.20 | 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.