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 |
|---|---|---|---|---|
| Protein total body fluid CPT 84157 | $123.40 | $123.40 | $3.80 – $7.61 | 8 |
| Protein total serum plasma whole blood CPT 84155 | $114.61 | $114.61 | $3.49 – $6.98 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $11.97 | $11.97 | $3.74 – $7.50 | 8 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.25 – $18.54 | 8 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $132.08 – $264.60 | 8 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,551.99 – $7,115.94 | 8 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,186.18 – $36,433.61 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $18,186.18 – $36,433.61 | 8 |
| Prq cardiac angio addl art CPT 92921 | $19,494.80 | $19,494.80 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $35,902.62 | $35,902.62 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $28,259.15 | $28,259.15 | $11,452.59 – $22,943.75 | 8 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $28,259.15 | $28,259.15 | $11,452.59 – $22,943.75 | 8 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $18,186.18 – $36,433.61 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $18,186.18 – $36,433.61 | 8 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,452.59 – $22,943.75 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $19,494.80 | $19,494.80 | $5,646.40 – $11,311.82 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,452.59 – $22,943.75 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $27,948.82 | $27,948.82 | $11,452.59 – $22,943.75 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $316.03 | $316.03 | $131.99 – $264.43 | 8 |
| Pr removal intrauterine device CPT 58301 | $1,000.34 | $1,000.34 | $302.31 – $605.64 | 8 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,149.52 | $1,149.52 | $403.29 – $807.94 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $350.84 | $350.84 | $199.04 – $398.76 | 8 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $483.82 | $483.82 | $199.04 – $398.76 | 8 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $350.81 | $350.81 | $199.04 – $398.76 | 8 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $636.93 | $636.93 | $199.04 – $398.76 | 8 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,046.91 – $4,100.71 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $437.67 – $876.82 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,899.91 | $2,899.91 | $1,561.66 – $3,128.59 | 8 |
| PSA (Prostate) Test CPT 84153 | $158.45 | $158.45 | $17.47 – $35.00 | 8 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $214.21 – $429.14 | 8 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $131.99 – $264.43 | 8 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $249.40 | $249.40 | $14.29 – $28.62 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $89.59 | $89.59 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $149.50 | $149.50 | $18.96 – $37.99 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $310.64 | $310.64 | $14.40 – $28.85 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $242.82 | $242.82 | $13.56 – $27.16 | 8 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $285.00 – $570.96 | 8 |
| Pten gene full sequence CPT 81321 | not published | not published | $570.00 – $1,141.92 | 8 |
| Pten gene known fam variant CPT 81322 | not published | not published | $44.27 – $88.69 | 8 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,872.86 – $11,765.49 | 8 |
| Pt evaluation high complexity patient/family CPT 97163 | $325.95 | $325.95 | $95.26 – $190.83 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | $325.95 | $325.95 | $93.79 – $187.90 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $325.95 | $325.95 | $91.20 – $182.71 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $220.58 | $220.58 | $62.79 – $125.78 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $140.73 | $140.73 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $12.79 – $25.62 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $184.11 | $184.11 | $28.62 – $57.34 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $255.94 | $255.94 | $27.66 – $55.42 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $142.67 | $142.67 | $30.57 – $61.24 | 8 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,452.59 – $22,943.75 | 8 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,139.12 – $10,295.55 | 8 |
| Pulmonary vent imaging CPT 78579 | $2,996.00 | $2,996.00 | $396.60 – $794.53 | 10 |
| Pulse ox continuous overnight monitoring CPT 94762 | $412.67 | $412.67 | $127.65 – $255.73 | 8 |
| Pulse ox multiple CPT 94761 | $122.27 | $122.27 | not published | 0 |
| Pulse ox single CPT 94760 | $86.74 | $86.74 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $700.28 – $1,402.92 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $132.17 | $132.17 | $131.99 – $264.43 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $705.15 | $705.15 | $403.29 – $807.94 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,252.23 | $2,252.23 | $700.28 – $1,402.92 | 8 |
| Puraply 1 sq cm HCPCS Q4195 | $674.60 | $674.60 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $700.28 – $1,402.92 | 8 |
| Pvb thoracic single inj site CPT 64461 | $2,252.23 | $2,252.23 | $700.28 – $1,402.92 | 8 |
| Pyruvate CPT 84210 | not published | not published | $13.76 – $27.56 | 8 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.97 – $17.97 | 8 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $131.99 – $264.43 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $4,496.77 | $4,496.77 | $538.66 – $1,079.14 | 10 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $396.60 – $794.53 | 10 |
| Quest t3 uptake CPT 84479 | $79.20 | $79.20 | $6.15 – $12.31 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | $6,415.26 | $6,415.26 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $6,419.49 | $6,419.49 | not published | 0 |
| Radiation physics consult CPT 77336 | $1,119.29 | $1,119.29 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $1,177.00 | $1,177.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $722.36 | $722.36 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $2,268.57 | $2,268.57 | not published | 0 |
| Radiation treatment delivery CPT 77401 | $424.87 | $424.87 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $860.82 | $860.82 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $909.98 | $909.98 | not published | 0 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,881.67 – $5,773.04 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,881.67 – $5,773.04 | 8 |
| Radiology port images(s) CPT 77417 | $450.03 | $450.03 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $17,202.50 | $17,202.50 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,319.58 | $3,319.58 | $538.66 – $1,136.72 | 10 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $5,757.10 | $5,757.10 | $538.66 – $2,002.64 | 10 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,284.38 – $2,573.08 | 8 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,933.76 | $3,933.76 | $538.66 – $1,136.72 | 10 |
| Radphm lcl tumor plr sgl day CPT 78800 | $3,093.89 | $3,093.89 | $396.60 – $794.53 | 10 |
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.