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 |
|---|---|---|---|---|
| X-ray bone survey infant CPT 77076 | $622.99 | $622.99 | $103.72 – $238.49 | 8 |
| X-ray cervical spine 2-3 views CPT 72040 | $691.24 | $691.24 | $86.33 – $198.52 | 8 |
| X-ray cervical spine 4-5 views CPT 72050 | $820.86 | $820.86 | $103.72 – $238.49 | 8 |
| X-ray cervical spine >= 6 views CPT 72052 | $928.86 | $928.86 | $103.72 – $238.49 | 8 |
| X-ray clavicle complete (both sides) CPT 73000 | $584.17 | $584.17 | $86.33 – $198.52 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $796.15 | $796.15 | $174.01 – $400.13 | 8 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $917.50 | $917.50 | $174.01 – $400.13 | 8 |
| X-ray elbow 2 views (both sides) CPT 73070 | $495.16 | $495.16 | $86.33 – $198.52 | 8 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $585.78 | $585.78 | $86.33 – $198.52 | 8 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $639.18 | $639.18 | $174.01 – $400.13 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $748.58 | $748.58 | $103.72 – $238.49 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | $866.01 | $866.01 | $103.72 – $238.49 | 7 |
| X-ray exam of arm infant CPT 73092 | $751.65 | $751.65 | $103.72 – $238.49 | 8 |
| X-ray exam of eye sockets CPT 70200 | $650.50 | $650.50 | $103.72 – $238.49 | 8 |
| X-ray exam of femur 1 CPT 73551 | $178.01 | $178.01 | $86.33 – $198.52 | 7 |
| X-ray exam of jaw joint CPT 70328 | $364.11 | $364.11 | $86.33 – $198.52 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $236.71 – $778.12 | 8 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $103.72 – $238.49 | 8 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $131.50 – $1,246.50 | 8 |
| X-ray exam of penis CPT 74445 | not published | not published | $103.72 – $590.69 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $236.71 – $590.69 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray exam of sinuses CPT 70210 | $558.28 | $558.28 | $86.33 – $198.52 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $236.71 – $728.99 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $97.76 – $544.31 | 8 |
| X-ray exam si joints CPT 72200 | $462.68 | $462.68 | $103.72 – $238.49 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $753.83 | $753.83 | $103.72 – $238.49 | 8 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray facial bones complete > 3 views CPT 70150 | $754.06 | $754.06 | $103.72 – $238.49 | 8 |
| X-ray femur >=2 views (both sides) CPT 73552 | $398.07 | $398.07 | $86.33 – $198.52 | 7 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $302.60 | $302.60 | $86.33 – $198.52 | 8 |
| X-ray foot 2 views (both sides) CPT 73620 | $558.28 | $558.28 | $86.33 – $198.52 | 8 |
| X-ray forearm 2 views (both sides) CPT 73090 | $579.32 | $579.32 | $86.33 – $198.52 | 8 |
| X-ray hand 2 views (both sides) CPT 73120 | $680.46 | $680.46 | $103.72 – $238.49 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $580.93 | $580.93 | $86.33 – $198.52 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $438.04 | $438.04 | $103.72 – $238.49 | 7 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $369.87 | $369.87 | $103.72 – $238.49 | 7 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $485.46 | $485.46 | $103.72 – $238.49 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $520.13 | $520.13 | $103.72 – $238.49 | 7 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $239.51 | $239.51 | $86.33 – $198.52 | 7 |
| X-ray humerus >= 2 views left CPT 73060 | $585.78 | $585.78 | $86.33 – $198.52 | 8 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $103.72 – $238.49 | 8 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $648.27 | $648.27 | $86.33 – $198.52 | 8 |
| X-ray knee 3 views (both sides) CPT 73562 | $729.30 | $729.30 | $86.33 – $198.52 | 8 |
| X-ray knee ap standing bilateral CPT 73565 | $314.21 | $314.21 | $86.33 – $198.52 | 8 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $268.62 | $268.62 | $86.33 – $198.52 | 8 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $880.05 | $880.05 | $103.72 – $238.49 | 8 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,011.34 | $1,011.34 | $103.72 – $238.49 | 8 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,055.06 | $1,055.06 | $103.72 – $238.49 | 8 |
| X-ray male genital tract CPT 74440 | not published | not published | $236.71 – $590.69 | 8 |
| X-ray mandible complete > 4 views CPT 70110 | $707.14 | $707.14 | $103.72 – $238.49 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $558.28 | $558.28 | $86.33 – $198.52 | 8 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $208.41 – $214.56 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $682.88 | $682.88 | $86.33 – $198.52 | 8 |
| X-ray neck soft tissue CPT 70360 | $451.47 | $451.47 | $86.33 – $198.52 | 8 |
| X-ray nose to rectum for foreign body child CPT 76010 | $281.57 | $281.57 | $86.33 – $198.52 | 8 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $236.71 – $729.01 | 8 |
| X-ray optic foramina CPT 70190 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray pelvis 1-2 views CPT 72170 | $585.95 | $585.95 | $103.72 – $238.49 | 8 |
| X-ray pelvis complete > 3 views CPT 72190 | $843.77 | $843.77 | $103.72 – $238.49 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $563.12 | $563.12 | $346.11 – $795.86 | 8 |
| X-ray ribs 2 views left CPT 71100 | $558.28 | $558.28 | $86.33 – $198.52 | 8 |
| X-ray ribs 3 views bilateral CPT 71110 | $746.43 | $746.43 | $103.72 – $238.49 | 8 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $610.04 | $610.04 | $103.72 – $238.49 | 8 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $837.46 | $837.46 | $103.72 – $238.49 | 8 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $616.91 | $616.91 | $103.72 – $238.49 | 8 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $567.99 | $567.99 | $86.33 – $198.52 | 8 |
| X-ray scapula complete (both sides) CPT 73010 | $642.40 | $642.40 | $103.72 – $238.49 | 8 |
| X-ray sella turcica CPT 70240 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $417.47 | $417.47 | $86.33 – $198.52 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $618.16 | $618.16 | $86.33 – $198.52 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $446.60 | $446.60 | $542.08 – $1,246.50 | 8 |
| X-ray skull < 4 views CPT 70250 | $642.40 | $642.40 | $103.72 – $238.49 | 8 |
| X-ray skull > 4 views complete CPT 70260 | not published | not published | $103.72 – $238.49 | 8 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $103.72 – $238.49 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $589.82 | $589.82 | $174.01 – $400.13 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $504.24 | $504.24 | not published | 0 |
| X-ray spine single view CPT 72020 | $503.25 | $503.25 | $86.33 – $198.52 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $86.33 – $198.52 | 8 |
| X-ray sternum > 2 views CPT 71120 | $744.37 | $744.37 | $86.33 – $198.52 | 8 |
| X-ray surgical specimen CPT 76098 | $1,564.18 | $1,564.18 | $542.08 – $1,246.50 | 8 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $639.18 | $639.18 | $174.01 – $400.13 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $476.15 | $476.15 | $86.33 – $198.52 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $624.60 | $624.60 | $103.72 – $238.49 | 8 |
| X-ray thoracic spine 3 views CPT 72072 | $689.21 | $689.21 | $103.72 – $238.49 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $669.92 | $669.92 | $86.33 – $198.52 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $86.33 – $198.52 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $660.51 | $660.51 | $103.72 – $238.49 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $584.17 | $584.17 | $86.33 – $198.52 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $578.11 | $578.11 | $86.33 – $198.52 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,260.55 | $1,260.55 | $174.01 – $400.13 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,234.65 | $1,234.65 | $174.01 – $400.13 | 8 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $346.78 – $356.99 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $346.78 – $356.99 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $579.32 | $579.32 | $86.33 – $198.52 | 8 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $578.24 | $578.24 | $174.01 – $400.13 | 8 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $28.20 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $28.81 | 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.