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 |
|---|---|---|---|---|
| Ligation of femoral vein CPT 37650 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,132.43 – $6,275.40 | 8 |
| Limb exercise test CPT 95875 | not published | not published | $127.65 – $255.73 | 8 |
| Limited visual field xm CPT 92081 | not published | not published | $58.52 – $117.25 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $146.18 | $146.18 | not published | 0 |
| Lipase CPT 83690 | $187.10 | $187.10 | $6.55 – $13.11 | 8 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.17 – $64.44 | 8 |
| Lipoprotein blood quant CPT 83704 | $103.90 | $103.90 | $32.48 – $65.07 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | $111.23 | $111.23 | $7.78 – $15.59 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | $111.20 | $111.20 | $9.98 – $19.98 | 8 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $32.48 – $65.07 | 8 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.53 – $25.10 | 8 |
| Lithium therapeutic drug level CPT 80178 | $339.82 | $339.82 | $6.28 – $12.58 | 8 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $13,897.98 | $13,897.98 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $335.32 | 8 |
| Liver elastography 91200 CPT 91200 | not published | not published | $127.65 – $255.73 | 8 |
| Liver Function Test CPT 80076 | $227.23 | $227.23 | $7.76 – $15.55 | 8 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $592.17 – $644.64 | 3 |
| Liver imaging CPT 78201 | not published | not published | $538.66 – $1,079.14 | 10 |
| Liver imaging (3d) CPT 78205 | not published | not published | $592.17 – $644.64 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $538.66 – $1,079.14 | 10 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $396.60 – $794.53 | 10 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $396.60 – $794.53 | 10 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $16.54 | $16.54 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $26.82 | $26.82 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $214.21 – $429.14 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,907.26 | $5,907.26 | $174.01 – $485.17 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,253.83 | $4,253.83 | $346.11 – $693.38 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,619.06 | $3,619.06 | $103.72 – $218.83 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $9,429.95 | $9,429.95 | $346.11 – $852.88 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,781.76 | $6,781.76 | $346.11 – $737.94 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,069.16 | $6,069.16 | $236.71 – $510.04 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,079.05 | $1,079.05 | $91.15 – $207.78 | 10 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $199.04 – $398.76 | 8 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,545.49 – $21,126.49 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,545.49 – $21,126.49 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,545.49 – $21,126.49 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,545.49 – $21,126.49 | 8 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $41.85 | 8 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,937.23 – $4,777.26 | 10 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $58.52 – $117.25 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $214.21 – $429.14 | 8 |
| Lung perfusion imaging CPT 78580 | $3,534.35 | $3,534.35 | $396.60 – $794.53 | 10 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $38.16 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $3,746.43 | $3,746.43 | $538.66 – $1,079.14 | 10 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $69.58 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $93.31 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $360.68 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $90.57 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $505.29 – $1,246.75 | 10 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,174.08 – $3,128.59 | 10 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,174.08 – $6,275.40 | 10 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,174.08 – $6,275.40 | 10 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,211.44 – $6,433.70 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,073.80 – $4,154.58 | 8 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $8.13 | 8 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.09 – $8.20 | 8 |
| Magnesium CPT 83735 | $167.84 | $167.84 | $6.36 – $12.75 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $97.63 | $97.63 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $236.71 – $510.04 | 10 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $25.10 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $1,028.45 | $1,028.45 | $131.99 – $264.43 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $444.81 | $444.81 | $131.99 – $264.43 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $47.68 | $47.68 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $9.65 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $27,313.43 | $27,313.43 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,884.37 – $7,781.81 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| Mastoids complete CPT 70130 | not published | not published | $91.15 – $207.78 | 10 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $66.78 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $51.94 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $81.53 | 8 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $39.96 | $39.96 | $13.74 – $27.52 | 8 |
| Mayo aathr protein s free CPT 85306 | $46.56 | $46.56 | $14.55 – $29.16 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $59.88 | $59.88 | $14.55 – $29.16 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $1,367.70 | $1,367.70 | $36.64 – $73.41 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $347.73 | $347.73 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $317.15 | $317.15 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $25.13 | $25.13 | $14.04 – $28.13 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $317.15 | $317.15 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $434.13 | $434.13 | $12.77 – $25.58 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $1,367.70 | $1,367.70 | $14.33 – $28.70 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $163.75 | $163.75 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $347.73 | $347.73 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $616.26 | $616.26 | $115.55 – $231.49 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $746.42 | $746.42 | $87.08 – $174.45 | 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.