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 |
|---|---|---|---|---|
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $199.04 – $398.76 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $403.29 – $807.94 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $403.29 – $807.94 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $733.21 – $1,468.88 | 8 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $327.68 – $656.47 | 8 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $700.28 – $1,402.92 | 8 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $700.28 – $1,402.92 | 8 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $700.28 – $1,402.92 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,187.15 – $2,378.29 | 8 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $304.52 – $610.06 | 8 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $700.28 – $1,402.92 | 8 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $700.28 – $1,402.92 | 8 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $327.68 – $656.47 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $46.45 – $93.06 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $327.68 – $656.47 | 8 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $327.68 – $656.47 | 8 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $211.02 – $422.74 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.19 – $30.43 | 8 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $327.68 – $656.47 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $327.68 – $656.47 | 8 |
| Chest 2 vws w oblique CPT 71048 | $1,106.54 | $1,106.54 | $103.72 – $207.78 | 8 |
| Chest apical lordotic proj CPT 71047 | $1,169.30 | $1,169.30 | $86.33 – $172.96 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $6,536.07 | $6,536.07 | $174.01 – $485.17 | 10 |
| Chest CT scan (with contrast) CPT 71260 | $5,046.70 | $5,046.70 | $174.01 – $430.83 | 10 |
| Chest CT scan (without contrast) CPT 71250 | $4,529.07 | $4,529.07 | $103.72 – $218.83 | 10 |
| Chest X-ray CPT 71046 | $998.59 | $998.59 | $86.33 – $172.96 | 8 |
| Chest X-ray (single view) CPT 71045 | $769.76 | $769.76 | $86.33 – $172.96 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $197.43 | $197.43 | $58.52 – $117.25 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $174.01 – $348.60 | 8 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $197.09 – $394.84 | 8 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $247.75 – $496.34 | 8 |
| Chlamydia culture CPT 87110 | not published | not published | $18.62 – $37.30 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.38 – $22.80 | 8 |
| Chlamydia type CPT 87140 | $31.04 | $31.04 | $5.29 – $10.60 | 8 |
| Chloride CPT 82435 | $116.63 | $116.63 | $4.37 – $8.75 | 8 |
| Chloride 24 hour urine CPT 82436 | $187.10 | $187.10 | $5.46 – $10.94 | 8 |
| Chloroprocaine hcl injection HCPCS J2401 | $36.92 | $36.92 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $63.78 | $63.78 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $112.82 | $112.82 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $327.68 – $656.47 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,551.99 – $7,115.94 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,961.00 | $6,961.00 | $3,551.99 – $7,115.94 | 8 |
| Cholesterol CPT 82465 | $68.57 | $68.57 | $4.13 – $8.28 | 8 |
| Cholesterol body fluid CPT 84999 | $34.77 | $34.77 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $327.17 | $327.17 | $12.72 – $25.48 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.48 – $14.98 | 8 |
| Cholinesterase challenge CPT 95857 | not published | not published | $214.21 – $429.14 | 8 |
| Chrom analysis CPT 88273 | not published | not published | $33.07 – $66.25 | 8 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $37.05 – $74.22 | 8 |
| Chromatography CPT 83021 | $37.23 | $37.23 | $17.16 – $34.37 | 8 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.30 – $22.63 | 8 |
| Chromo high res and frag x - sendout CPT 81243 | $198.09 | $198.09 | $54.19 – $108.56 | 8 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $164.98 – $330.51 | 8 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $164.51 – $329.58 | 8 |
| Chromosome analysis 15-20 cell count CPT 88262 | $381.34 | $381.34 | $119.22 – $238.83 | 8 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $164.51 – $329.58 | 8 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $142.78 – $286.03 | 8 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $251.12 – $503.09 | 8 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $164.51 – $329.58 | 8 |
| Chromosome analys placenta CPT 88267 | not published | not published | $179.14 – $358.89 | 8 |
| Chromosome banding study CPT 88283 | not published | not published | $65.17 – $130.56 | 8 |
| Chromosome count additional CPT 88285 | not published | not published | $25.56 – $51.22 | 8 |
| Chromosome karyotype study CPT 88280 | $53.61 | $53.61 | $31.80 – $63.70 | 8 |
| Chromosome study additional CPT 88289 | not published | not published | $32.71 – $65.53 | 8 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $11.84 – $23.71 | 8 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $58.42 – $117.05 | 8 |
| Cine/video x-rays CPT 76120 | not published | not published | $103.72 – $271.09 | 10 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $85.83 | $85.83 | not published | 0 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,073.80 – $4,154.58 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $691.76 – $1,385.86 | 8 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,073.80 – $4,154.58 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $260.48 | $260.48 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,144.35 | $1,144.35 | $313.03 – $627.12 | 8 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,883.78 | $1,883.78 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $131.99 – $264.43 | 8 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $131.99 – $264.43 | 8 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $131.99 – $264.43 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $114.18 | $114.18 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,211.44 – $6,433.70 | 8 |
| Cllr miami j sm HCPCS L0174 | $1,176.39 | $1,176.39 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $26.50 | $26.50 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $731.04 | $731.04 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $473.01 | $473.01 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $4,940.21 | $4,940.21 | $1,595.23 – $3,195.84 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $1,154.25 | $1,154.25 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,595.23 – $3,195.84 | 8 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,246.04 – $6,503.01 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $7,198.64 – $14,421.52 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.20 – $30.45 | 8 |
| Closure paravalvlr leak pq CPT 33999 | $5,596.51 | $5,596.51 | $622.33 – $1,246.75 | 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.