Adventhealth Fish Memorial
1055 Saxon Blvd, Orange City, FL · AdventHealth · · NPI 1700978558
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 |
|---|---|---|---|---|
| Ghs vaginal delivery only CPT 59409 | $9,565.58 | $9,565.58 | $3,211.44 – $6,433.70 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $370.20 – $741.64 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $161.21 – $322.96 | 8 |
| Giardia lamblia antibody CPT 86674 | $120.65 | $120.65 | $13.98 – $28.02 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $236.71 – $474.21 | 10 |
| Gi inhouse confirmation CPT 87045 | $174.81 | $174.81 | $8.97 – $17.97 | 8 |
| Gi protein loss CPT 78282 | not published | not published | $396.60 – $794.53 | 10 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $899.79 – $1,802.61 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $899.79 – $1,802.61 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $899.79 – $1,802.61 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $96.06 – $192.45 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $58.44 – $117.08 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $33.25 – $66.61 | 8 |
| Glucagon plasma - sendout CPT 82943 | $26.06 | $26.06 | $13.58 – $27.20 | 8 |
| Glucose 1 hr post dose CPT 82950 | $47.20 | $47.20 | $4.51 – $9.04 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.75 – $11.51 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.12 – $6.24 | 8 |
| Glucose blood quantitative CPT 82947 | $113.78 | $113.78 | $3.73 – $7.48 | 8 |
| Glucose body fluid CPT 82945 | $165.17 | $165.17 | $3.73 – $7.48 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $58.52 – $117.25 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $192.14 | $192.14 | $12.23 – $24.49 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $76.42 | $76.42 | $3.72 – $7.46 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $38.79 | $38.79 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,170.08 | $1,170.08 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $63.00 | $63.00 | $17.65 – $35.36 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $107.19 | $107.19 | $17.59 – $35.25 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $131.99 – $264.43 | 8 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $450.10 | $450.10 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $325.99 | $325.99 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $709.85 | $709.85 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $971.55 | $971.55 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $397.35 | $397.35 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $958.73 | $958.73 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $731.04 | $731.04 | not published | 0 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,046.91 – $4,100.71 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.37 – $24.78 | 8 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.95 – $29.96 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $71.82 – $143.88 | 8 |
| G-tube reposition CPT 43761 | not published | not published | $247.87 – $496.57 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,549.28 | $4,549.28 | $1,914.92 – $4,154.58 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,610.68 | $2,610.68 | $702.51 – $1,407.39 | 8 |
| Guid loc target vol rad tx CPT 77387 | $640.85 | $640.85 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,884.37 – $7,781.81 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $733.21 – $1,468.88 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $403.29 – $807.94 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $403.29 – $807.94 | 8 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $58.38 | $58.38 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $19.53 | $19.53 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Hand X-ray CPT 73130 | $761.68 | $761.68 | $86.33 – $172.96 | 10 |
| Haptoglobin quantitative CPT 83010 | $36.40 | $36.40 | $11.95 – $23.94 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,046.91 – $4,100.71 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $437.67 – $876.82 | 8 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $131.99 – $264.43 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $131.99 – $264.43 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $570.00 – $1,141.92 | 8 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,062.55 | $1,062.55 | $192.28 – $385.21 | 8 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $356.49 – $714.18 | 8 |
| Hbb full gene sequence CPT 81364 | not published | not published | $308.35 – $617.74 | 8 |
| Hbb gene com variants CPT 81361 | not published | not published | $166.07 – $332.70 | 8 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $192.28 – $385.21 | 8 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $356.49 – $714.18 | 8 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $136.52 – $273.49 | 8 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $174.01 – $348.60 | 10 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.53 – $29.10 | 8 |
| Hcg qualitative CPT 84703 | $141.58 | $141.58 | $7.14 – $14.31 | 8 |
| Hcg quantitative CPT 84702 | $354.30 | $354.30 | $14.30 – $28.64 | 8 |
| Hc metata joint dislocation anes CPT 28635 | $4,940.21 | $4,940.21 | $1,595.23 – $3,195.84 | 8 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $733.21 – $1,468.88 | 8 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $733.21 – $1,468.88 | 8 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $538.66 – $1,079.14 | 10 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $223.14 – $794.53 | 10 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $396.60 – $794.53 | 10 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $538.66 – $1,079.14 | 10 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,284.38 – $2,573.08 | 10 |
| Head CT scan (with and without contrast) CPT 70470 | $5,080.62 | $5,080.62 | $174.01 – $485.17 | 10 |
| Head CT scan (with contrast) CPT 70460 | $4,539.58 | $4,539.58 | $174.01 – $430.83 | 10 |
| Head CT scan (without contrast) CPT 70450 | $3,879.09 | $3,879.09 | $103.72 – $218.83 | 10 |
| Heart first pass multiple CPT 78483 | not published | not published | $538.66 – $1,996.05 | 10 |
| Heart image spect CPT 78494 | not published | not published | $396.60 – $794.53 | 10 |
| Heart infarct image CPT 78466 | not published | not published | $396.60 – $794.53 | 10 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $538.66 – $1,079.14 | 10 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.99 – $7.99 | 8 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $16.01 – $32.07 | 8 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.78 – $15.59 | 8 |
| Hematocrit CPT 85014 | $63.71 | $63.71 | $2.25 – $4.51 | 8 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $231.48 – $617.16 | 10 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Hemodialysis one evaluation CPT 90935 | $1,778.77 | $1,778.77 | not published | 0 |
| Hemoglobin CPT 85018 | $73.12 | $73.12 | $2.25 – $4.51 | 8 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.81 – $7.63 | 8 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $7.60 – $15.23 | 8 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.20 – $20.44 | 8 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $134.84 | $134.84 | $7.79 – $15.61 | 8 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $12.67 – $25.39 | 8 |
| Hemoglobin plasma CPT 83051 | $232.39 | $232.39 | $6.94 – $13.91 | 8 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.75 – $7.52 | 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.