Adventhealth Palm Coast
60 Memorial Medical Pkwy, Palm Coast, FL · AdventHealth · · NPI 1679678486
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 |
|---|---|---|---|---|
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,545.49 – $23,709.58 | 8 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $46.97 | 8 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,937.23 – $4,778.60 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,394.69 – $39,108.75 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | $218.61 | $218.61 | $58.52 – $131.58 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $317.94 | $317.94 | $214.21 – $481.61 | 8 |
| Lung perfusion imaging CPT 78580 | $4,394.27 | $4,394.27 | $396.60 – $891.68 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $42.82 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $2,596.41 | $2,596.41 | $514.65 – $1,211.08 | 9 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $78.09 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $104.72 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $404.77 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $101.65 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $472.40 – $1,399.18 | 9 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,097.66 – $3,511.11 | 9 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,097.66 – $7,042.68 | 9 |
| Lymph vessel x-ray trunk CPT 75807 | $12,609.73 | $12,609.73 | $1,097.66 – $7,042.68 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,211.44 – $7,220.33 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,073.80 – $4,662.55 | 8 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $9.12 | 8 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.09 – $9.21 | 8 |
| Magnesium CPT 83735 | $269.03 | $269.03 | $6.36 – $14.31 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $124.15 | $124.15 | not published | 0 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $236.71 – $532.20 | 9 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $28.17 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,595.23 – $3,586.59 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,595.23 – $3,586.59 | 8 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $231.45 | $231.45 | $131.99 – $296.76 | 8 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $424.40 | $424.40 | $131.99 – $296.76 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,595.23 – $3,586.59 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $1,595.23 – $3,586.59 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $244.71 – $550.19 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $50.96 | $50.96 | not published | 0 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $10.83 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $38,230.26 | $38,230.26 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $730.23 | $730.23 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,884.37 – $8,733.28 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $6,587.48 – $14,810.73 | 8 |
| Mastoids complete CPT 70130 | not published | not published | $85.22 – $233.19 | 9 |
| Mastopexy CPT 19316 | not published | not published | $6,587.48 – $14,810.73 | 8 |
| Mast simple complete CPT 19303 | not published | not published | $6,587.48 – $14,810.73 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $74.95 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $58.29 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $91.50 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $40.69 | $40.69 | $13.74 – $30.89 | 8 |
| Mayo aathr protein s free CPT 85306 | $46.56 | $46.56 | $14.55 – $32.72 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $64.35 | $64.35 | $14.55 – $32.72 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $368.75 | $368.75 | $36.64 – $82.38 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $255.27 | $255.27 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $103.89 | $103.89 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $96.44 | $96.44 | $14.04 – $31.57 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $206.65 | $206.65 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $70.59 | $70.59 | $12.77 – $28.71 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $45.83 | $45.83 | $14.33 – $32.21 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $56.47 | $56.47 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $206.47 | $206.47 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $544.99 | $544.99 | $115.55 – $259.79 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $746.42 | $746.42 | $87.08 – $195.78 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $130.15 – $292.62 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,344.60 | $2,344.60 | $1,102.00 – $2,477.64 | 8 |
| Mayo androstenedione CPT 82157 | $30.95 | $30.95 | $27.82 – $62.54 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $23.88 | $23.88 | $13.87 – $31.18 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $73.51 | $73.51 | $10.27 – $23.09 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $73.74 | $73.74 | $14.30 – $32.15 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $192.11 | $192.11 | $29.32 – $65.91 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $96.73 | $96.73 | $33.34 – $74.95 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $156.28 | $156.28 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $35.35 | $35.35 | $9.67 – $21.74 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $503.01 | $503.01 | $137.60 – $309.36 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $560.90 | $560.90 | $203.89 – $458.41 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $27.02 | $27.02 | $12.26 – $27.55 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $12.53 – $28.17 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | $13.62 | $13.62 | $8.48 – $19.07 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $47.96 | $47.96 | $12.92 – $29.05 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $210.25 | $210.25 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $139.55 | $139.55 | $16.03 – $36.03 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $93.01 | $93.01 | $25.44 – $57.20 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $424.45 | $424.45 | $116.11 – $261.05 | 8 |
| Mayo ceruloplasmin CPT 82390 | $17.03 | $17.03 | $10.20 – $22.94 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $368.75 | $368.75 | $13.41 – $30.16 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $189.45 | $189.45 | $12.24 – $27.51 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $217.82 | $217.82 | $11.23 – $25.25 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $144.07 | $144.07 | $12.05 – $27.08 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $353.99 | $353.99 | $110.67 – $248.81 | 8 |
| Mayo chromium CPT 82495 | $61.64 | $61.64 | $19.27 – $43.32 | 8 |
| Mayo coccidioides antibody CPT 86635 | $15.36 | $15.36 | $10.90 – $24.50 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $232.70 | $232.70 | $22.89 – $51.45 | 8 |
| Mayo cortisol free CPT 82530 | $58.03 | $58.03 | $15.87 – $35.69 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $191.45 | $191.45 | $40.02 – $89.99 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $111.07 | $111.07 | $11.51 – $25.89 | 8 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $67.63 | $67.63 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $221.22 | $221.22 | not published | 0 |
| Mayo cyanide CPT 82600 | $47.96 | $47.96 | $18.43 – $41.44 | 8 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $169.02 – $380.01 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $40.28 | $40.28 | $12.59 – $28.30 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $35.57 | $35.57 | $24.01 – $53.97 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $114.59 | $114.59 | $27.82 – $62.54 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.16 – $20.59 | 8 |
| Mayo efpo chloride stool CPT 82438 | $19.98 | $19.98 | $4.75 – $10.68 | 8 |
| Mayo estriol CPT 82677 | $68.12 | $68.12 | $22.97 – $51.65 | 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.