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 |
|---|---|---|---|---|
| X-ray knee ap standing bilateral CPT 73565 | $582.32 | $582.32 | $86.33 – $172.96 | 10 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $1,178.44 | $1,178.44 | $86.33 – $172.96 | 10 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $690.30 | $690.30 | $103.72 – $207.78 | 10 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,454.42 | $1,454.42 | $103.72 – $207.78 | 10 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,820.00 | $1,820.00 | $103.72 – $207.78 | 10 |
| X-ray male genital tract CPT 74440 | not published | not published | $236.71 – $474.21 | 10 |
| X-ray mandible complete > 4 views CPT 70110 | $1,125.97 | $1,125.97 | $103.72 – $207.78 | 10 |
| X-ray mandible ltd <4 views CPT 70100 | $717.53 | $717.53 | $86.33 – $172.96 | 10 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $144.46 – $157.26 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $742.36 | $742.36 | $86.33 – $172.96 | 10 |
| X-ray neck soft tissue CPT 70360 | $517.82 | $517.82 | $86.33 – $172.96 | 10 |
| X-ray nose to rectum for foreign body child CPT 76010 | $532.16 | $532.16 | $86.33 – $172.96 | 10 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $236.71 – $550.07 | 10 |
| X-ray optic foramina CPT 70190 | not published | not published | $86.33 – $172.96 | 10 |
| X-ray pelvis 1-2 views CPT 72170 | $971.42 | $971.42 | $91.15 – $207.78 | 10 |
| X-ray pelvis complete > 3 views CPT 72190 | $838.97 | $838.97 | $91.15 – $207.78 | 10 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,940.48 | $1,940.48 | $346.11 – $693.38 | 10 |
| X-ray ribs 2 views left CPT 71100 | $1,015.61 | $1,015.61 | $86.33 – $172.96 | 10 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,156.29 | $1,156.29 | $103.72 – $207.78 | 10 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $1,043.20 | $1,043.20 | $103.72 – $207.78 | 10 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,435.07 | $1,435.07 | $103.72 – $207.78 | 10 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $858.28 | $858.28 | $91.15 – $207.78 | 10 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,040.41 | $1,040.41 | $86.33 – $172.96 | 10 |
| X-ray scapula complete (both sides) CPT 73010 | $775.48 | $775.48 | $91.15 – $207.78 | 10 |
| X-ray sella turcica CPT 70240 | not published | not published | $86.33 – $172.96 | 10 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $695.48 | $695.48 | $86.33 – $172.96 | 10 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,034.87 | $1,034.87 | $86.33 – $172.96 | 10 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,725.37 | $1,725.37 | $505.29 – $1,085.98 | 10 |
| X-ray skull < 4 views CPT 70250 | $725.80 | $725.80 | $91.15 – $207.78 | 10 |
| X-ray skull > 4 views complete CPT 70260 | $1,007.31 | $1,007.31 | $103.72 – $207.78 | 10 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $103.72 – $207.78 | 10 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $987.27 | $987.27 | $161.87 – $348.60 | 10 |
| X-ray small intestine follow-through study CPT 74248 | $673.84 | $673.84 | not published | 0 |
| X-ray spine single view CPT 72020 | $792.07 | $792.07 | $86.33 – $172.96 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $86.33 – $172.96 | 10 |
| X-ray sternum > 2 views CPT 71120 | $805.86 | $805.86 | $86.33 – $172.96 | 10 |
| X-ray surgical specimen CPT 76098 | $1,713.79 | $1,713.79 | $505.29 – $1,085.98 | 10 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $879.76 | $879.76 | $161.87 – $348.60 | 10 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $985.23 | $985.23 | $86.33 – $172.96 | 10 |
| X-ray thoracic spine 2 views CPT 72070 | $825.16 | $825.16 | $91.15 – $207.78 | 10 |
| X-ray thoracic spine 3 views CPT 72072 | $883.12 | $883.12 | $103.72 – $207.78 | 10 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $874.85 | $874.85 | $86.33 – $172.96 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $86.33 – $172.96 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,402.75 | $1,402.75 | $103.72 – $207.78 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $963.13 | $963.13 | $86.33 – $172.96 | 10 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $618.20 | $618.20 | $86.33 – $172.96 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,625.21 | $1,625.21 | $174.01 – $348.60 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $946.07 | $946.07 | $174.01 – $348.60 | 10 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $240.37 – $261.67 | 3 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $240.37 – $261.67 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | $874.85 | $874.85 | $86.33 – $172.96 | 10 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $527.96 | $527.96 | $161.87 – $348.60 | 10 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $24.57 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $25.10 | 8 |
| Zika virus dna/rna amp probe CPT 87662 | $127.08 | $127.08 | $48.74 – $97.65 | 8 |
| Zika virus igm antibody CPT 86794 | $138.05 | $138.05 | $16.01 – $32.07 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $292.55 | $292.55 | not published | 0 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $367.79 | 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.